P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalTrinity Regional Medical Center Estimated FY2026 net: −$108K×

Hospital record · FY2026CCN 160016

1Hospital

Trinity Regional Medical Center

2Location

Fort Dodge, IA (Iowa’s hospitals on the map and in the table) 50501

Webster County

3Type

Minor teaching · 174 beds · Nonprofit · Rural · Rural referral center · 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

0.8681

As CMS reports it

6Payment reduction

1% cut
CMS’s value: Yes

7Estimated cut

$155K estimate
Likely $111⁠–⁠174K; about $125 per traditional Medicare stay

Cut 1%

$155K

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

For fiscal year 2026, CMS reports a Total HAC Score of 0.8681 for Trinity Regional Medical Center and a payment reduction decision of Yes.

That is 1% of about $15.5M, 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 $125 per traditional Medicare stay.

Likely range $111–174K

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: 0.8681 This hospital 0.8681 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: 0.8681 This hospital 0.8681

Higher than 91% of the other 2,928 scores CMS published (higher is worse).

Its record, fiscal years 2015 to 2026 Cut in 3 of 11 years

  1. 15No
  2. 16No
  3. 17No
  4. 18No
  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 PSI 90 down to the national median (0.9623) would lower the score the most: by 0.4490, to 0.4191. Try it in the what-if

Figure 1. Of its 6 measures with a value, this hospital is above the national median on 4; PSI 90 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.

    added the most

    Patient safety and adverse events composite

    Worse than 97% 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 value1.4621

    Z-score2.5111

    Part of score+0.4185

  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 96% of the other 2,181 hospitals

    CMS value1.710

    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 97% of the other 2,354 hospitals

    CMS value1.982

    Z-score2.3863

    Part of score+0.3977

  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

    Better than 60% of the other 2,269 hospitals

    CMS value0.644

    Z-score−0.3533

    Part of score−0.0589

  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 50% 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 value0.347

    Z-score−0.1186

    Part of score−0.0198

  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 901.46210.96232.5111+0.4185Worse than 97% of the other 2,808 hospitals
CLABSI1.7100.5592.2402+0.3734Worse than 96% of the other 2,181 hospitals
CAUTI1.9820.4892.3863+0.3977Worse than 97% of the other 2,354 hospitals
SSI0.6440.795−0.3533−0.0589Better than 60% of the other 2,269 hospitals
CDI0.3470.346−0.1186−0.0198Worse than 50% 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.

(2.5111PSI 90+2.2402CLABSI+2.3863CAUTI−0.3533SSI−0.1186CDI−1.4573MRSA)÷6measures=0.8681Total HAC Score

This hospital’s score is 0.4889 above 0.3792, the highest score CMS marked No. (This site recomputes.)

Figure 2. The parts add up to 0.8681, above CMS’s line.
1% cut PSI 90: z‑score 2.5111 divided by 6 = +0.4185PSI 90+0.4185 CLABSI: z‑score 2.2402 divided by 6 = +0.3734CLABSI+0.3734 CAUTI: z‑score 2.3863 divided by 6 = +0.3977CAUTI+0.3977 SSI: z‑score −0.3533 divided by 6 = −0.0589SSI−0.0589 CDI: z‑score −0.1186 divided by 6 = −0.0198CDI−0.0198 MRSA: z‑score −1.4573 divided by 6 = −0.2429MRSA−0.2429 Total HAC Score: 0.8681Score0.8681 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.20.40.60.81.01.2 1% cut PSI 90: z‑score 2.5111 divided by 6 = +0.4185PSI 90+0.4185 CLABSI: z‑score 2.2402 divided by 6 = +0.3734CLABSI+0.3734 CAUTI: z‑score 2.3863 divided by 6 = +0.3977CAUTI+0.3977 SSI: z‑score −0.3533 divided by 6 = −0.0589SSI−0.0589 CDI: z‑score −0.1186 divided by 6 = −0.0198CDI−0.0198 MRSA: z‑score −1.4573 divided by 6 = −0.2429MRSA−0.2429 Total HAC Score: 0.8681Score0.8681 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.20.40.60.81.01.2

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 902.5111+0.41850.4185
CLABSI2.2402+0.37340.7919
CAUTI2.3863+0.39771.1896
SSI−0.3533−0.05891.1307
CDI−0.1186−0.01981.1109
MRSA−1.4573−0.24290.8680
Total HAC Score0.8681
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, 0.4889 over the highest score CMS didn’t cut, costs it about $155K 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 $155K at any score from 0.3799 $0at any score up to 0.3792 $155K at any score from 0.3799 −1012 CMS’s highest score: 2.3133 This hospital: 0.8681 This hospital 0.8681 CMS’s line $0 at any score up to 0.3792 $155K at any score from 0.3799 $0at any score up to 0.3792 $155Kat 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: 0.8681 This hospital 0.8681

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−$154,773
This hospital0.8681−$154,773
CMS’s highest score2.3133−$154,773

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.

($15,176,944payment+$253,633teaching, MA stays+$0readmissions+$46,750value-based)×1%the cut=$154,773HAC cut

$154,773HAC cut÷1,236traditional Medicare stays=$125per traditional Medicare stay

Figure 4. This site estimates the HAC cut at $155K: 1% of the hospital’s whole inpatient payment, taken last. The readmissions and value-based adjustments, on the base alone, came to $0 and +$47K.

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 $12,331,143
Teaching (indirect medical education) $462,418
Teaching on Medicare Advantage stays $253,633
Many low-income patients (disproportionate share) $351,068
Outliers: unusually costly stays $74,233
Sole community hospital rate difference $974,336
Capital: buildings and equipment $983,746
Total, before the three programs $15,430,577
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (1.0000 − 1) $0
Value-based purchasing (HVBP) base × (1.0038 − 1) +$46,750
After these two $15,477,327
HAC Reduction Program 1% of everything above; likely $111⁠–⁠174K −$154,773
Net of the three programs likely −$114K to −$75K −$108,023

Not paid to this hospital: a Medicare-dependent hospital add-on, a low-volume adjustment, 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)$12,331,143
Teaching (indirect medical education)$462,418
Teaching on Medicare Advantage stays$253,633
Many low-income patients (disproportionate share)$351,068
Outliers: unusually costly stays$74,233
Sole community hospital rate difference$974,336
Capital: buildings and equipment$983,746
Total, before the three programs$15,430,577
Readmissions (HRRP) (base × (1.0000 − 1))$0
Value-based purchasing (HVBP) (base × (1.0038 − 1))+$46,750
After these two$15,477,327
HAC Reduction Program (1% of everything above; likely $111–174K)−$154,773
Net of the three programs (likely −$114K to −$75K)−$108,023

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 Score0.8681same
Payment reduction decisionYessame
Payment cut1%same
Estimated HAC cut estimate$155Ksame

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 0.8681 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 $155K, 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 900.9279 or lower
CLABSI0.307 or lower
CAUTI0.320 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 1.4621 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1164

CMS 1.710 · median 0.559 · cap 1.572 · each 0.1 = 0.0387

CMS 1.982 · median 0.489 · cap 1.537 · each 0.1 = 0.0402

CMS 0.644 · median 0.795 · cap 2.118 · each 0.1 = 0.0286

CMS 0.347 · 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. PSI 90 added the most to this hospital’s Total HAC Score of 0.8681 among its measured results: +0.4185.
  • PSI 90 +0.4185
  • CLABSI +0.3734
  • CAUTI +0.3977
  • SSI −0.0589
  • CDI −0.0198
  • 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 902.5111+0.4185same
CLABSI2.2402+0.3734same
CAUTI2.3863+0.3977same
SSI−0.3533−0.0589same
CDI−0.1186−0.0198same
MRSA−1.4573−0.2429same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/160016/

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 3 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 4.7500, higher than 33% of scores; not cutFY2017: score 2.6200, higher than 12% of scores; not cutFY2018: score −0.6017, higher than 17% of scores; not cutFY2019: score −0.4707, higher than 22% of scores; not cutFY2020: score −0.5152, higher than 19% of scores; not cutFY2021: score −0.0162, higher than 51% of scores; not cutFY2022: score −0.0961, higher than 44% of scores; not cutFY2024: score 1.7590, higher than 98% of scores; cutFY2025: score 1.3958, higher than 97% of scores; cutFY2026: score 0.8681, higher than 91% of scores; cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 4.7750, higher than 37% of scores; not cutFY2016: score 4.7500, higher than 33% of scores; not cutFY2017: score 2.6200, higher than 12% of scores; not cutFY2018: score −0.6017, higher than 17% of scores; not cutFY2019: score −0.4707, higher than 22% of scores; not cutFY2020: score −0.5152, higher than 19% of scores; not cutFY2021: score −0.0162, higher than 51% of scores; not cutFY2022: score −0.0961, higher than 44% of scores; not cutFY2024: score 1.7590, higher than 98% of scores; cutFY2025: score 1.3958, higher than 97% of scores; cutFY2026: score 0.8681, higher than 91% 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
FY20164.750033.4%not cut
FY20172.620012.4%not cut
FY2018−0.601717.0%not cut
FY2019−0.470722.4%not cut
FY2020−0.515219.1%not cut
FY2021−0.016251.2%not cut
FY2022−0.096144.8%not cut
FY2023no decision
FY20241.759098.1%cut
FY20251.395897.5%cut
FY20260.868191.2%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 4 infection measures ended lower than they started.
CLABSI 0.00 → 2.25 1as predicted 0 ’18’21’24 Nation’s middle CLABSI, 2018: 0.000CLABSI, 2019: 0.000CLABSI, 2021: 2.242CLABSI, 2022: 2.524CLABSI, 2023: 1.256CLABSI, 2024: 2.252 CAUTI 0.00 → 1.37 1 0 ’18’21’24 CAUTI, 2017: 0.000CAUTI, 2018: 0.810CAUTI, 2019: 2.324CAUTI, 2021: 2.647CAUTI, 2022: 0.607CAUTI, 2023: 2.548CAUTI, 2024: 1.372 SSI, colon 0.00 → 0.00 1 0 ’18’21’24 SSI, colon, 2017: 0.000SSI, colon, 2018: 0.824SSI, colon, 2019: 0.862SSI, colon, 2021: 0.000SSI, colon, 2022: 0.000SSI, colon, 2024: 0.000 C. diff 0.60 → 0.34 1 0 ’18’21’24 C. diff, 2017: 0.596C. diff, 2018: 0.391C. diff, 2019: 0.343C. diff, 2021: 0.835C. diff, 2022: 0.901C. diff, 2023: 0.355C. diff, 2024: 0.340 CLABSI 0.00 → 2.25 1as predicted 0 ’18’20’22’24 Nation’s middle CLABSI, 2018: 0.000CLABSI, 2019: 0.000CLABSI, 2021: 2.242CLABSI, 2022: 2.524CLABSI, 2023: 1.256CLABSI, 2024: 2.252 CAUTI 0.00 → 1.37 1 0 ’18’20’22’24 CAUTI, 2017: 0.000CAUTI, 2018: 0.810CAUTI, 2019: 2.324CAUTI, 2021: 2.647CAUTI, 2022: 0.607CAUTI, 2023: 2.548CAUTI, 2024: 1.372 SSI, colon 0.00 → 0.00 1 0 ’18’20’22’24 SSI, colon, 2017: 0.000SSI, colon, 2018: 0.824SSI, colon, 2019: 0.862SSI, colon, 2021: 0.000SSI, colon, 2022: 0.000SSI, colon, 2024: 0.000 C. diff 0.60 → 0.34 1 0 ’18’20’22’24 C. diff, 2017: 0.596C. diff, 2018: 0.391C. diff, 2019: 0.343C. diff, 2021: 0.835C. diff, 2022: 0.901C. diff, 2023: 0.355C. diff, 2024: 0.340

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
20170.0000.0000.596
20180.0000.8100.8240.391
20190.0002.3240.8620.343
20212.2422.6470.0000.835
20222.5240.6070.0000.901
20231.2562.5480.355
20242.2521.3720.0000.340

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 Iowa, its score is higher than 79% of the other 29 scored there.

Figure 8. Its score is above the middle in all 7 groups it belongs to; the share cut runs from 21% (Minor teaching) to 53% (Iowa).
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 Iowa: CMS cut 16 of 30 (53%); middle score 0.3970Iowa 30 hospitals53% cut Minor teaching: CMS cut 181 of 873 (21%); middle score −0.0567Minor teaching 873 hospitals21% cut 100 to 299 beds: CMS cut 275 of 1,193 (23%); middle score −0.0732100 to 299 beds 1,193 hospitals23% cut Nonprofit: CMS cut 478 of 1,830 (26%); middle score −0.0134Nonprofit 1,830 hospitals26% cut 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: 0.8681 This hospital 0.8681 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 Iowa: CMS cut 16 of 30 (53%); middle score 0.3970Iowa30 hospitals53% cut Minor teaching: CMS cut 181 of 873 (21%); middle score −0.0567Minor teaching873 hospitals21% cut 100 to 299 beds: CMS cut 275 of 1,193 (23%); middle score −0.0732100 to 299 beds1,193 hospitals23% cut Nonprofit: CMS cut 478 of 1,830 (26%); middle score −0.0134Nonprofit1,830 hospitals26% cut 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: 0.8681 This hospital 0.8681

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%−0.045391%
Midwest region68317425%−0.026891%
Iowa301653%0.397079%
Minor teaching87318121%−0.056795%
100 to 299 beds1,19327523%−0.073293%
Nonprofit1,83047826%−0.013491%
Rural61919632%0.022984%
This hospital0.8681
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 4 of the 8 nearest hospitals; the closest is 43 miles away.
10 mi25 mi50 mi8. Lakes Regional Healthcare, Spirit Lake: score 0.4133, cut, 80 miles87. UnityPoint Health - Marshalltown, Marshalltown: score 0.8756, cut, 73 miles76. UnityPoint Health - Des Moines Iowa Methodist Medi, Des Moines: score −0.1312, not cut, 68 miles65. MercyOne Des Moines Medical Center, Des Moines: score 0.0690, not cut, 68 miles54. MercyOne North Iowa Medical Center, Mason City: score −0.3912, not cut, 67 miles43. Broadlawns Medical Center, Des Moines: score 0.2689, not cut, 67 miles32. Spencer Municipal Hospital, Spencer: score 0.7954, cut, 66 miles21. Mary Greeley Medical Center, Ames: score 0.5064, cut, 43 miles1This hospital: Trinity Regional Medical Center

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

Show table
HospitalMilesScoreDecision
Mary Greeley Medical Center, Ames, IA430.5064cut
Spencer Municipal Hospital, Spencer, IA660.7954cut
Broadlawns Medical Center, Des Moines, IA670.2689not cut
MercyOne North Iowa Medical Center, Mason City, IA67−0.3912not cut
MercyOne Des Moines Medical Center, Des Moines, IA680.0690not cut
UnityPoint Health - Des Moines Iowa Methodist Medi, Des Moines, IA68−0.1312not cut
UnityPoint Health - Marshalltown, Marshalltown, IA730.8756cut
Lakes Regional Healthcare, Spirit Lake, IA800.4133cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1Mary Greeley Medical CenterAmes, IA430.50641% cut$295KAbove the national median on 4 of 6 measures
2Spencer Municipal HospitalSpencer, IA660.79541% cut$101KAbove the national median on 4 of 4 measures
3Broadlawns Medical CenterDes Moines, IA670.2689No cut$0Above the national median on 3 of 6 measures
4MercyOne North Iowa Medical CenterMason City, IA67−0.3912No cut$0Above the national median on 2 of 6 measures
5MercyOne Des Moines Medical CenterDes Moines, IA680.0690No cut$0Above the national median on 3 of 6 measures
6UnityPoint Health - Des Moines Iowa Methodist MediDes Moines, IA68−0.1312No cut$0Above the national median on 3 of 6 measures
7UnityPoint Health - MarshalltownMarshalltown, IA730.87561% cut$51KAbove the national median on 1 of 2 measures
8Lakes Regional HealthcareSpirit Lake, IA800.41331% cut$48KAbove the national median on 2 of 3 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. Trinity Regional Medical Center, Fort Dodge, IA: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/160016/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.