P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalUnityPoint Health - Des Moines Iowa Methodist Medi Estimated FY2026 net: −$728K×

Hospital record · FY2026CCN 160082

1Hospital

UnityPoint Health - Des Moines Iowa Methodist Medi

2Location

Des Moines, IA (Iowa’s hospitals on the map and in the table) 50309

Polk County

3Type

Minor teaching · 674 beds · Nonprofit · Urban · Rural referral center

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

−0.1312

As CMS reports it

6Payment reduction

No cut
CMS’s value: No

7Estimated cut

$0
A cut would have been $1.2M, likely $989K⁠–⁠$1.3M estimate

No cut

$0

from this program

For fiscal year 2026, CMS reports a Total HAC Score of −0.1312 for UnityPoint Health - Des Moines Iowa Methodist Medi and a payment reduction decision of No.

A cut would have taken about $1.2M estimate 1% of about $121M, 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. Its score was 0.5111 under 0.3799, the lowest score CMS cut.

Likely range $989K–$1.3M

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.

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: −0.1312 This hospital −0.1312 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: −0.1312 This hospital −0.1312

Higher than 43% of the other 2,928 scores CMS published (higher is worse).

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

  1. 15No
  2. 16No
  3. 17No
  4. 18No
  5. 19No
  6. 20No
  7. 21No
  8. 22No
  9. 23—
  10. 24Cut
  11. 25No
  12. 26No

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 CDI down to the national median (0.346) would lower the score the most: by 0.1323, to −0.2635. Try it in the what-if

Figure 1. Of its 6 measures with a value, this hospital is above the national median on 3; CDI 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 67% 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 value1.0133

    Z-score0.1734

    Part of score+0.0289

  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

    Better than 54% of the other 2,181 hospitals

    CMS value0.509

    Z-score−0.2257

    Part of score−0.0376

  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

    Better than 63% of the other 2,354 hospitals

    CMS value0.365

    Z-score−0.4388

    Part of score−0.0731

  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 80% of the other 2,269 hospitals

    CMS value0.325

    Z-score−0.8997

    Part of score−0.1500

  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.

    added the most

    Clostridioides difficile (C. diff) infections

    Worse than 77% 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 value0.551

    Z-score0.6713

    Part of score+0.1119

  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

    Worse than 51% of the other 2,067 hospitals

    CMS value0.665

    Z-score−0.0675

    Part of score−0.0113

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

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 901.01330.96230.1734+0.0289Worse than 67% of the other 2,808 hospitals
CLABSI0.5090.559−0.2257−0.0376Better than 54% of the other 2,181 hospitals
CAUTI0.3650.489−0.4388−0.0731Better than 63% of the other 2,354 hospitals
SSI0.3250.795−0.8997−0.1500Better than 80% of the other 2,269 hospitals
CDI0.5510.3460.6713+0.1119Worse than 77% of the other 2,766 hospitals
MRSA0.6650.641−0.0675−0.0113Worse than 51% 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.

(0.1734PSI 90−0.2257CLABSI−0.4388CAUTI−0.8997SSI+0.6713CDI−0.0675MRSA)÷6measures=−0.1312Total HAC Score

Added from the rounded z‑scores CMS published, the parts make −0.1312; CMS reports −0.1312. The small difference is rounding.

This hospital’s score is 0.5111 below 0.3799, the lowest score CMS marked Yes. (This site recomputes.)

Figure 2. The parts add up to −0.1312, below CMS’s line.
1% cut PSI 90: z‑score 0.1734 divided by 6 = +0.0289PSI 90+0.0289 CLABSI: z‑score −0.2257 divided by 6 = −0.0376CLABSI−0.0376 CAUTI: z‑score −0.4388 divided by 6 = −0.0731CAUTI−0.0731 SSI: z‑score −0.8997 divided by 6 = −0.1500SSI−0.1500 CDI: z‑score 0.6713 divided by 6 = +0.1119CDI+0.1119 MRSA: z‑score −0.0675 divided by 6 = −0.0113MRSA−0.0113 Total HAC Score: −0.1312Score−0.1312 CMS’s line: between 0.3792 and 0.3799 CMS’s line −0.20.00.20.4 1% cut PSI 90: z‑score 0.1734 divided by 6 = +0.0289PSI 90+0.0289 CLABSI: z‑score −0.2257 divided by 6 = −0.0376CLABSI−0.0376 CAUTI: z‑score −0.4388 divided by 6 = −0.0731CAUTI−0.0731 SSI: z‑score −0.8997 divided by 6 = −0.1500SSI−0.1500 CDI: z‑score 0.6713 divided by 6 = +0.1119CDI+0.1119 MRSA: z‑score −0.0675 divided by 6 = −0.0113MRSA−0.0113 Total HAC Score: −0.1312Score−0.1312 CMS’s line: between 0.3792 and 0.3799 CMS’s line −0.20.00.20.4

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

Show table
MeasureZ-scorePart of the scoreRunning total
PSI 900.1734+0.02890.0289
CLABSI−0.2257−0.0376−0.0087
CAUTI−0.4388−0.0731−0.0818
SSI−0.8997−0.1500−0.2318
CDI0.6713+0.1119−0.1199
MRSA−0.0675−0.0113−0.1312
Total HAC Score−0.1312
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, 0.5111 under the lowest score CMS cut, costs it nothing; 0.5111 higher, the cut would have been about $1.2M by this site’s estimate, the same as at CMS’s highest score, 2.3133.
CMS’s line $0 at any score up to 0.3792 $1.2M at any score from 0.3799 $0at any score up to 0.3792 $1.2M at any score from 0.3799 −1012 CMS’s highest score: 2.3133 CMS’s highest score 2.3133 This hospital: −0.1312 This hospital −0.1312 CMS’s line $0 at any score up to 0.3792 $1.2M at any score from 0.3799 $0at any score up to 0.3792 $1.2Mat 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: −0.1312 This hospital −0.1312

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−$1,214,887
This hospital−0.1312$0
CMS’s highest score2.3133−$1,214,887

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.

($117,414,076payment+$4,802,656teaching, MA stays−$265,224readmissions−$462,838value-based)×1%the cut=$1,214,887at stake

$1,214,887at stake÷7,747traditional Medicare stays=$157per traditional Medicare stay

Figure 4. No HAC cut this year; 1% of the hospital’s whole inpatient payment would have been about $1.2M by this site’s estimate. The readmissions and value-based adjustments, on the base alone, came to −$265K and −$463K.

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 $94,722,719
Teaching (indirect medical education) $6,546,287
Teaching on Medicare Advantage stays $4,802,656
Many low-income patients (disproportionate share) $3,549,260
Outliers: unusually costly stays $1,768,473
Capital: buildings and equipment $8,143,169
Uncompensated care $2,684,168
Total, before the three programs $122,216,732
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (0.9972 − 1) −$265,224
Value-based purchasing (HVBP) base × (0.9951 − 1) −$462,838
After these two $121,488,670
HAC Reduction Program no cut; 1% would have been $1,214,887 $0
Net of the three programs likely −$797K to −$629K −$728,062

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)$94,722,719
Teaching (indirect medical education)$6,546,287
Teaching on Medicare Advantage stays$4,802,656
Many low-income patients (disproportionate share)$3,549,260
Outliers: unusually costly stays$1,768,473
Capital: buildings and equipment$8,143,169
Uncompensated care$2,684,168
Total, before the three programs$122,216,732
Readmissions (HRRP) (base × (0.9972 − 1))−$265,224
Value-based purchasing (HVBP) (base × (0.9951 − 1))−$462,838
After these two$121,488,670
HAC Reduction Program (no cut; 1% would have been $1,214,887)$0
Net of the three programs (likely −$797K to −$629K)−$728,062

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 Score−0.1312same
Payment reduction decisionNosame
Payment cut0%same
Estimated HAC cut estimate$0same

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 −0.1312 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 $1.2M 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.

MeasureHighest value that keeps No
PSI 90any value: every PSI 90 value past the cap (1.3482) scores the same
CLABSIany value: every CLABSI value past the cap (1.572) scores the same
CAUTIany value: every CAUTI value past the cap (1.537) scores the same
SSIup to 2.112
CDIany value: every CDI value past the cap (0.944) scores the same
MRSAany value: every MRSA value past the cap (1.762) scores the same

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 1.0133 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1164

CMS 0.509 · median 0.559 · cap 1.572 · each 0.1 = 0.0387

CMS 0.365 · median 0.489 · cap 1.537 · each 0.1 = 0.0402

CMS 0.325 · median 0.795 · cap 2.118 · each 0.1 = 0.0286

CMS 0.551 · median 0.346 · cap 0.944 · each 0.1 = 0.0645

CMS 0.665 · median 0.641 · cap 1.762 · each 0.1 = 0.0348

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

Stays in your browser; never sent.

Figure 5. CDI added the most to this hospital’s Total HAC Score of −0.1312 among its measured results: +0.1119.
  • PSI 90 +0.0289
  • CLABSI −0.0376
  • CAUTI −0.0731
  • SSI −0.1500
  • CDI +0.1119
  • MRSA −0.0113

A measure adds its z‑score divided by 6, the number of measures scored. Bars right of the center line raise the score. Hatched: assigned by CMS.

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

Show table
MeasureZ-scorePart of the scoreHypothetical
PSI 900.1734+0.0289same
CLABSI−0.2257−0.0376same
CAUTI−0.4388−0.0731same
SSI−0.8997−0.1500same
CDI0.6713+0.1119same
MRSA−0.0675−0.0113same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/160082/

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.
highest middle lowest z‑scoresequal weights no scores FY2015: score 6.0500, higher than 60% of scores; not cutFY2016: score 5.2500, higher than 45% of scores; not cutFY2017: score 5.1500, higher than 45% of scores; not cutFY2018: score −0.2212, higher than 35% of scores; not cutFY2019: score −0.1045, higher than 44% of scores; not cutFY2020: score 0.0345, higher than 55% of scores; not cutFY2021: score 0.0267, higher than 54% of scores; not cutFY2022: score 0.0447, higher than 56% of scores; not cutFY2024: score 0.6468, higher than 84% of scores; cutFY2025: score 0.1531, higher than 62% of scores; not cutFY2026: score −0.1312, higher than 43% of scores; not cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 6.0500, higher than 60% of scores; not cutFY2016: score 5.2500, higher than 45% of scores; not cutFY2017: score 5.1500, higher than 45% of scores; not cutFY2018: score −0.2212, higher than 35% of scores; not cutFY2019: score −0.1045, higher than 44% of scores; not cutFY2020: score 0.0345, higher than 55% of scores; not cutFY2021: score 0.0267, higher than 54% of scores; not cutFY2022: score 0.0447, higher than 56% of scores; not cutFY2024: score 0.6468, higher than 84% of scores; cutFY2025: score 0.1531, higher than 62% of scores; not cutFY2026: score −0.1312, higher than 43% of scores; not 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
FY20156.050060.8%not cut
FY20165.250045.0%not cut
FY20175.150045.4%not cut
FY2018−0.221235.7%not cut
FY2019−0.104544.0%not cut
FY20200.034555.1%not cut
FY20210.026754.6%not cut
FY20220.044756.8%not cut
FY2023no decision
FY20240.646884.8%cut
FY20250.153162.9%not cut
FY2026−0.131243.8%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. 6 of its 6 infection measures ended lower than they started.
CLABSI 0.63 → 0.37 1as predicted 0 ’18’21’24 Nation’s middle CLABSI, 2017: 0.626CLABSI, 2018: 0.809CLABSI, 2019: 0.456CLABSI, 2021: 1.110CLABSI, 2022: 1.589CLABSI, 2023: 0.652CLABSI, 2024: 0.373 CAUTI 1.53 → 0.38 1 0 ’18’21’24 CAUTI, 2017: 1.528CAUTI, 2018: 0.798CAUTI, 2019: 1.085CAUTI, 2021: 1.012CAUTI, 2022: 0.749CAUTI, 2023: 0.351CAUTI, 2024: 0.379 SSI, colon 0.44 → 0.20 1 0 ’18’21’24 SSI, colon, 2017: 0.437SSI, colon, 2018: 0.938SSI, colon, 2019: 1.140SSI, colon, 2021: 0.554SSI, colon, 2022: 0.758SSI, colon, 2023: 0.403SSI, colon, 2024: 0.201 SSI, hysterectomy 0.71 → 0.00 1 0 ’18’21’24 SSI, hysterectomy, 2017: 0.709SSI, hysterectomy, 2018: 0.283SSI, hysterectomy, 2019: 0.521SSI, hysterectomy, 2021: 0.790SSI, hysterectomy, 2022: 0.504SSI, hysterectomy, 2023: 0.916SSI, hysterectomy, 2024: 0.000 MRSA 1.15 → 0.80 1 0 ’18’21’24 MRSA, 2017: 1.153MRSA, 2018: 0.332MRSA, 2019: 0.539MRSA, 2021: 1.227MRSA, 2022: 1.028MRSA, 2023: 0.516MRSA, 2024: 0.797 C. diff 0.88 → 0.52 1 0 ’18’21’24 C. diff, 2017: 0.876C. diff, 2018: 0.635C. diff, 2019: 0.696C. diff, 2021: 0.654C. diff, 2022: 0.744C. diff, 2023: 0.580C. diff, 2024: 0.521 CLABSI 0.63 → 0.37 1as predicted 0 ’18’20’22’24 Nation’s middle CLABSI, 2017: 0.626CLABSI, 2018: 0.809CLABSI, 2019: 0.456CLABSI, 2021: 1.110CLABSI, 2022: 1.589CLABSI, 2023: 0.652CLABSI, 2024: 0.373 CAUTI 1.53 → 0.38 1 0 ’18’20’22’24 CAUTI, 2017: 1.528CAUTI, 2018: 0.798CAUTI, 2019: 1.085CAUTI, 2021: 1.012CAUTI, 2022: 0.749CAUTI, 2023: 0.351CAUTI, 2024: 0.379 SSI, colon 0.44 → 0.20 1 0 ’18’20’22’24 SSI, colon, 2017: 0.437SSI, colon, 2018: 0.938SSI, colon, 2019: 1.140SSI, colon, 2021: 0.554SSI, colon, 2022: 0.758SSI, colon, 2023: 0.403SSI, colon, 2024: 0.201 SSI, hysterectomy 0.71 → 0.00 1 0 ’18’20’22’24 SSI, hysterectomy, 2017: 0.709SSI, hysterectomy, 2018: 0.283SSI, hysterectomy, 2019: 0.521SSI, hysterectomy, 2021: 0.790SSI, hysterectomy, 2022: 0.504SSI, hysterectomy, 2023: 0.916SSI, hysterectomy, 2024: 0.000 MRSA 1.15 → 0.80 1 0 ’18’20’22’24 MRSA, 2017: 1.153MRSA, 2018: 0.332MRSA, 2019: 0.539MRSA, 2021: 1.227MRSA, 2022: 1.028MRSA, 2023: 0.516MRSA, 2024: 0.797 C. diff 0.88 → 0.52 1 0 ’18’20’22’24 C. diff, 2017: 0.876C. diff, 2018: 0.635C. diff, 2019: 0.696C. diff, 2021: 0.654C. diff, 2022: 0.744C. diff, 2023: 0.580C. diff, 2024: 0.521

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
20170.6261.5280.4370.7091.1530.876
20180.8090.7980.9380.2830.3320.635
20190.4561.0851.1400.5210.5390.696
20211.1101.0120.5540.7901.2270.654
20221.5890.7490.7580.5041.0280.744
20230.6520.3510.4030.9160.5160.580
20240.3730.3790.2010.0000.7970.521

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 24% of the other 29 scored there.

Figure 8. Its score is below 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 500 beds and up: CMS cut 105 of 365 (29%); middle score 0.1323500 beds and up 365 hospitals29% 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: −0.1312 This hospital −0.1312 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 500 beds and up: CMS cut 105 of 365 (29%); middle score 0.1323500 beds and up365 hospitals29% 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: −0.1312 This hospital −0.1312

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%−0.045343%
Midwest region68317425%−0.026841%
Iowa301653%0.397024%
Minor teaching87318121%−0.056743%
500 beds and up36510529%0.132328%
Nonprofit1,83047826%−0.013441%
Urban2,24151023%−0.057444%
This hospital−0.1312
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.
10 mi25 mi50 mi8. Ottumwa Regional Health Center, Ottumwa: score −0.5825, not cut, 75 miles87. Trinity Regional Medical Center, Fort Dodge: score 0.8681, cut, 68 miles76. UnityPoint Health - Marshalltown, Marshalltown: score 0.8756, cut, 49 miles65. Grinnell Regional Medical Center, Grinnell: score 1.3968, cut, 48 miles54. MercyOne Newton Medical Center, Newton: score 2.1931, cut, 31 miles43. Mary Greeley Medical Center, Ames: score 0.5064, cut, 31 miles32. Broadlawns Medical Center, Des Moines: score 0.2689, not cut, 2 miles21. MercyOne Des Moines Medical Center, Des Moines: score 0.0690, not cut, less than a mile1This hospital: UnityPoint Health - Des Moines Iowa Methodist Medi

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

Show table
HospitalMilesScoreDecision
MercyOne Des Moines Medical Center, Des Moines, IAunder 10.0690not cut
Broadlawns Medical Center, Des Moines, IA20.2689not cut
Mary Greeley Medical Center, Ames, IA310.5064cut
MercyOne Newton Medical Center, Newton, IA312.1931cut
Grinnell Regional Medical Center, Grinnell, IA481.3968cut
UnityPoint Health - Marshalltown, Marshalltown, IA490.8756cut
Trinity Regional Medical Center, Fort Dodge, IA680.8681cut
Ottumwa Regional Health Center, Ottumwa, IA75−0.5825not cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1MercyOne Des Moines Medical CenterDes Moines, IAunder 10.0690No cut$0Above the national median on 3 of 6 measures
2Broadlawns Medical CenterDes Moines, IA20.2689No cut$0Above the national median on 3 of 6 measures
3Mary Greeley Medical CenterAmes, IA310.50641% cut$295KAbove the national median on 4 of 6 measures
4MercyOne Newton Medical CenterNewton, IA312.19311% cut$24KAbove the national median on 1 of 1 measures
5Grinnell Regional Medical CenterGrinnell, IA481.39681% cut$39KAbove the national median on 2 of 2 measures
6UnityPoint Health - MarshalltownMarshalltown, IA490.87561% cut$51KAbove the national median on 1 of 2 measures
7Trinity Regional Medical CenterFort Dodge, IA680.86811% cut$155KAbove the national median on 4 of 6 measures
8Ottumwa Regional Health CenterOttumwa, IA75−0.5825No cut$0Above the national median on 1 of 3 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. UnityPoint Health - Des Moines Iowa Methodist Medi, Des Moines, IA: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/160082/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.