P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalSt Joe Mercy Hospital System Livonia Estimated FY2026 net: −$1.4M×

Hospital record · FY2026CCN 230002

1Hospital

St Joe Mercy Hospital System Livonia

2Location

Livonia, MI (Michigan’s hospitals on the map and in the table) 48154

Wayne County

3Type

Major teaching · 273 beds · Nonprofit · Urban

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

0.7145

As CMS reports it

6Payment reduction

1% cut
CMS’s value: Yes

7Estimated cut

$788K estimate
Likely $600⁠–⁠991K; about $186 per traditional Medicare stay

Cut 1%

$788K

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

For fiscal year 2026, CMS reports a Total HAC Score of 0.7145 for St Joe Mercy Hospital System Livonia and a payment reduction decision of Yes.

That is 1% of about $78.8M, 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 $186 per traditional Medicare stay.

Likely range $600–991K

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: 0.7145 This hospital 0.7145 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: 0.7145 This hospital 0.7145

Higher than 87% of the other 2,928 scores CMS published (higher is worse).

Its record, fiscal years 2015 to 2026 Cut in 6 of 11 years

  1. 15No
  2. 16No
  3. 17No
  4. 18Cut
  5. 19Cut
  6. 20Cut
  7. 21Cut
  8. 22Cut
  9. 23—
  10. 24No
  11. 25No
  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 CDI down to the national median (0.346) would lower the score the most: by 0.3362, to 0.3783. That change alone would put the score under CMS’s line. Try it in the what-if

Figure 1. Of its 6 measures with a value, this hospital is above the national median on 6; 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 59% 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 value0.9823

    Z-score−0.0431

    Part of score−0.0072

  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 82% of the other 2,181 hospitals

    CMS value1.006

    Z-score0.9272

    Part of score+0.1545

  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 67% of the other 2,354 hospitals

    CMS value0.657

    Z-score0.2651

    Part of score+0.0442

  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 80% of the other 2,269 hospitals

    CMS value1.353

    Z-score0.8612

    Part of score+0.1435

  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 92% 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 value0.867

    Z-score1.8949

    Part of score+0.3158

  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 69% of the other 2,067 hospitals

    CMS value0.880

    Z-score0.3818

    Part of score+0.0636

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

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 900.98230.9623−0.0431−0.0072Worse than 59% of the other 2,808 hospitals
CLABSI1.0060.5590.9272+0.1545Worse than 82% of the other 2,181 hospitals
CAUTI0.6570.4890.2651+0.0442Worse than 67% of the other 2,354 hospitals
SSI1.3530.7950.8612+0.1435Worse than 80% of the other 2,269 hospitals
CDI0.8670.3461.8949+0.3158Worse than 92% of the other 2,766 hospitals
MRSA0.8800.6410.3818+0.0636Worse than 69% 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.

(−0.0431PSI 90+0.9272CLABSI+0.2651CAUTI+0.8612SSI+1.8949CDI+0.3818MRSA)÷6measures=0.7145Total HAC Score

This hospital’s score is 0.3353 above 0.3792, the highest score CMS marked No. (This site recomputes.)

Figure 2. The parts add up to 0.7145, above CMS’s line.
1% cut PSI 90: z‑score −0.0431 divided by 6 = −0.0072PSI 90−0.0072 CLABSI: z‑score 0.9272 divided by 6 = +0.1545CLABSI+0.1545 CAUTI: z‑score 0.2651 divided by 6 = +0.0442CAUTI+0.0442 SSI: z‑score 0.8612 divided by 6 = +0.1435SSI+0.1435 CDI: z‑score 1.8949 divided by 6 = +0.3158CDI+0.3158 MRSA: z‑score 0.3818 divided by 6 = +0.0636MRSA+0.0636 Total HAC Score: 0.7145Score0.7145 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.20.40.60.8 1% cut PSI 90: z‑score −0.0431 divided by 6 = −0.0072PSI 90−0.0072 CLABSI: z‑score 0.9272 divided by 6 = +0.1545CLABSI+0.1545 CAUTI: z‑score 0.2651 divided by 6 = +0.0442CAUTI+0.0442 SSI: z‑score 0.8612 divided by 6 = +0.1435SSI+0.1435 CDI: z‑score 1.8949 divided by 6 = +0.3158CDI+0.3158 MRSA: z‑score 0.3818 divided by 6 = +0.0636MRSA+0.0636 Total HAC Score: 0.7145Score0.7145 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 90−0.0431−0.0072−0.0072
CLABSI0.9272+0.15450.1473
CAUTI0.2651+0.04420.1915
SSI0.8612+0.14350.3350
CDI1.8949+0.31580.6508
MRSA0.3818+0.06360.7144
Total HAC Score0.7145
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, 0.3353 over the highest score CMS didn’t cut, costs it about $788K 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 $788K at any score from 0.3799 $0at any score up to 0.3792 $788K at any score from 0.3799 −1012 CMS’s highest score: 2.3133 This hospital: 0.7145 This hospital 0.7145 CMS’s line $0 at any score up to 0.3792 $788K at any score from 0.3799 $0at any score up to 0.3792 $788Kat 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: 0.7145 This hospital 0.7145

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−$788,119
This hospital0.7145−$788,119
CMS’s highest score2.3133−$788,119

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.

($61,214,954payment+$18,225,736teaching, MA stays−$441,525readmissions−$187,286value-based)×1%the cut=$788,119HAC cut

$788,119HAC cut÷4,239traditional Medicare stays=$186per traditional Medicare stay

Figure 4. This site estimates the HAC cut at $788K: 1% of the hospital’s whole inpatient payment, taken last. The readmissions and value-based adjustments, on the base alone, came to −$442K and −$187K.

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 $42,866,468
Teaching (indirect medical education) $12,396,983
Teaching on Medicare Advantage stays $18,225,736
Many low-income patients (disproportionate share) $450,955
Outliers: unusually costly stays $40,294
Capital: buildings and equipment $4,095,030
Uncompensated care $1,365,224
Total, before the three programs $79,440,690
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (0.9897 − 1) −$441,525
Value-based purchasing (HVBP) base × (0.9956 − 1) −$187,286
After these two $78,811,879
HAC Reduction Program 1% of everything above; likely $600⁠–⁠991K −$788,119
Net of the three programs likely −$1.7M to −$1.1M −$1,416,930

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)$42,866,468
Teaching (indirect medical education)$12,396,983
Teaching on Medicare Advantage stays$18,225,736
Many low-income patients (disproportionate share)$450,955
Outliers: unusually costly stays$40,294
Capital: buildings and equipment$4,095,030
Uncompensated care$1,365,224
Total, before the three programs$79,440,690
Readmissions (HRRP) (base × (0.9897 − 1))−$441,525
Value-based purchasing (HVBP) (base × (0.9956 − 1))−$187,286
After these two$78,811,879
HAC Reduction Program (1% of everything above; likely $600–991K)−$788,119
Net of the three programs (likely −$1.7M to −$1.1M)−$1,416,930

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 Score0.7145same
Payment reduction decisionYessame
Payment cut1%same
Estimated HAC cut estimate$788Ksame

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 0.7145 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 $788K, 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
CLABSI0.138 or lower
CAUTInot possible with this measure alone
SSI0.178 or lower
CDI0.347 or lower
MRSAnot possible with this measure alone

Each measure weighs 1 ÷ 6 of the score.

Measure values

SIR 1.0 = as many infections as predicted · Lower is better

On each track the tick is the national median; shaded values score the same as the floor or cap, as this site fits them to CMS’s values.

CMS 0.9823 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1164

CMS 1.006 · median 0.559 · cap 1.572 · each 0.1 = 0.0387

CMS 0.657 · median 0.489 · cap 1.537 · each 0.1 = 0.0402

CMS 1.353 · median 0.795 · cap 2.118 · each 0.1 = 0.0286

CMS 0.867 · median 0.346 · cap 0.944 · each 0.1 = 0.0645

CMS 0.880 · median 0.641 · cap 1.762 · each 0.1 = 0.0348

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Figure 5. CDI added the most to this hospital’s Total HAC Score of 0.7145 among its measured results: +0.3158.
  • PSI 90 −0.0072
  • CLABSI +0.1545
  • CAUTI +0.0442
  • SSI +0.1435
  • CDI +0.3158
  • MRSA +0.0636

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 90−0.0431−0.0072same
CLABSI0.9272+0.1545same
CAUTI0.2651+0.0442same
SSI0.8612+0.1435same
CDI1.8949+0.3158same
MRSA0.3818+0.0636same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/230002/

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 5 years in a row.

Figure 6. CMS cut this hospital in 6 of the 11 years it made a decision.
highest middle lowest z‑scoresequal weights no scores FY2015: score 2.3000, higher than 7% of scores; not cutFY2016: score 2.7500, higher than 9% of scores; not cutFY2017: score 6.5300, higher than 75% of scores; not cutFY2018: score 0.7534, higher than 89% of scores; cutFY2019: score 0.4264, higher than 78% of scores; cutFY2020: score 0.4206, higher than 79% of scores; cutFY2021: score 0.5514, higher than 84% of scores; cutFY2022: score 0.6614, higher than 87% of scores; cutFY2024: score −0.1630, higher than 41% of scores; not cutFY2025: score 0.0653, higher than 57% of scores; not cutFY2026: score 0.7145, higher than 87% of scores; cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 2.3000, higher than 7% of scores; not cutFY2016: score 2.7500, higher than 9% of scores; not cutFY2017: score 6.5300, higher than 75% of scores; not cutFY2018: score 0.7534, higher than 89% of scores; cutFY2019: score 0.4264, higher than 78% of scores; cutFY2020: score 0.4206, higher than 79% of scores; cutFY2021: score 0.5514, higher than 84% of scores; cutFY2022: score 0.6614, higher than 87% of scores; cutFY2024: score −0.1630, higher than 41% of scores; not cutFY2025: score 0.0653, higher than 57% of scores; not cutFY2026: score 0.7145, higher than 87% 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
FY20152.30007.6%not cut
FY20162.75009.4%not cut
FY20176.530075.0%not cut
FY20180.753489.4%cut
FY20190.426478.7%cut
FY20200.420679.7%cut
FY20210.551484.8%cut
FY20220.661487.9%cut
FY2023no decision
FY2024−0.163041.0%not cut
FY20250.065357.1%not cut
FY20260.714587.7%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. 2 of its 6 infection measures ended lower than they started.
CLABSI 1.06 → 1.19 1as predicted 0 ’18’21’24 Nation’s middle CLABSI, 2017: 1.057CLABSI, 2018: 0.815CLABSI, 2019: 0.965CLABSI, 2021: 0.664CLABSI, 2022: 0.982CLABSI, 2023: 0.830CLABSI, 2024: 1.185 CAUTI 1.50 → 0.56 1 0 ’18’21’24 CAUTI, 2017: 1.500CAUTI, 2018: 0.995CAUTI, 2019: 0.647CAUTI, 2021: 1.033CAUTI, 2022: 0.875CAUTI, 2023: 0.749CAUTI, 2024: 0.564 SSI, colon 0.00 → 1.94 1 0 ’18’21’24 SSI, colon, 2017: 0.000SSI, colon, 2018: 1.286SSI, colon, 2019: 1.027SSI, colon, 2021: 0.835SSI, colon, 2022: 0.410SSI, colon, 2023: 1.047SSI, colon, 2024: 1.939 SSI, hysterectomy 0.79 → 0.85 1 0 ’18’21’24 SSI, hysterectomy, 2019: 0.789SSI, hysterectomy, 2024: 0.848 MRSA 1.74 → 0.00 1 0 ’18’21’24 MRSA, 2017: 1.739MRSA, 2018: 0.905MRSA, 2019: 0.961MRSA, 2021: 1.504MRSA, 2022: 0.620MRSA, 2023: 1.767MRSA, 2024: 0.000 C. diff 0.91 → 1.12 1 0 ’18’21’24 C. diff, 2017: 0.907C. diff, 2018: 1.258C. diff, 2019: 1.060C. diff, 2021: 0.748C. diff, 2022: 0.762C. diff, 2023: 0.666C. diff, 2024: 1.117 CLABSI 1.06 → 1.19 1as predicted 0 ’18’20’22’24 Nation’s middle CLABSI, 2017: 1.057CLABSI, 2018: 0.815CLABSI, 2019: 0.965CLABSI, 2021: 0.664CLABSI, 2022: 0.982CLABSI, 2023: 0.830CLABSI, 2024: 1.185 CAUTI 1.50 → 0.56 1 0 ’18’20’22’24 CAUTI, 2017: 1.500CAUTI, 2018: 0.995CAUTI, 2019: 0.647CAUTI, 2021: 1.033CAUTI, 2022: 0.875CAUTI, 2023: 0.749CAUTI, 2024: 0.564 SSI, colon 0.00 → 1.94 1 0 ’18’20’22’24 SSI, colon, 2017: 0.000SSI, colon, 2018: 1.286SSI, colon, 2019: 1.027SSI, colon, 2021: 0.835SSI, colon, 2022: 0.410SSI, colon, 2023: 1.047SSI, colon, 2024: 1.939 SSI, hysterectomy 0.79 → 0.85 1 0 ’18’20’22’24 SSI, hysterectomy, 2019: 0.789SSI, hysterectomy, 2024: 0.848 MRSA 1.74 → 0.00 1 0 ’18’20’22’24 MRSA, 2017: 1.739MRSA, 2018: 0.905MRSA, 2019: 0.961MRSA, 2021: 1.504MRSA, 2022: 0.620MRSA, 2023: 1.767MRSA, 2024: 0.000 C. diff 0.91 → 1.12 1 0 ’18’20’22’24 C. diff, 2017: 0.907C. diff, 2018: 1.258C. diff, 2019: 1.060C. diff, 2021: 0.748C. diff, 2022: 0.762C. diff, 2023: 0.666C. diff, 2024: 1.117

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
20171.0571.5000.0001.7390.907
20180.8150.9951.2860.9051.258
20190.9650.6471.0270.7890.9611.060
20210.6641.0330.8351.5040.748
20220.9820.8750.4100.6200.762
20230.8300.7491.0471.7670.666
20241.1850.5641.9390.8480.0001.117

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 Michigan, its score is higher than 81% of the other 87 scored there.

In Detroit-Dearborn-Livonia, MI area, its score is higher than 76% of the other 13 scored there.

Figure 8. Its score is above the middle in all 8 groups it belongs to; the share cut runs from 23% (Urban) to 57% (Detroit-Dearborn-Livonia, MI area).
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 Michigan: CMS cut 30 of 88 (34%); middle score 0.0204Michigan 88 hospitals34% cut Detroit-Dearborn-Livonia, MI area: CMS cut 8 of 14 (57%); middle score 0.5176Detroit-Dearborn-Livonia, MI area14 hospitals57% cut Major teaching: CMS cut 136 of 424 (32%); middle score 0.1780Major teaching 424 hospitals32% 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: 0.7145 This hospital 0.7145 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 Michigan: CMS cut 30 of 88 (34%); middle score 0.0204Michigan88 hospitals34% cut Detroit-Dearborn-Livonia, MI area: CMS cut 8 of 14 (57%); middle score 0.5176Detroit-Dearborn-Livonia, MI area14 hospitals57% cut Major teaching: CMS cut 136 of 424 (32%); middle score 0.1780Major teaching424 hospitals32% 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: 0.7145 This hospital 0.7145

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%−0.045387%
Midwest region68317425%−0.026887%
Michigan883034%0.020481%
Detroit-Dearborn-Livonia, MI area14857%0.517676%
Major teaching42413632%0.178086%
100 to 299 beds1,19327523%−0.073290%
Nonprofit1,83047826%−0.013487%
Urban2,24151023%−0.057489%
This hospital0.7145
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 3 of the 8 nearest hospitals; the closest is 4 miles away.
5 mi10 mi8. Henry Ford Health West Bloomfield Hospital, W Bloomfield: score −0.3287, not cut, 10 miles87. Sinai-Grace Hospital, Detroit: score 0.7718, cut, 10 miles76. Surgeons Choice Medical Center, Southfield: score −0.1976, not cut, 10 miles65. Ascension Providence Hospital, Southfield and Novi, Southfield: score −0.4037, not cut, 10 miles54. Corewell Health Wayne Hospital, Wayne: score 0.6506, cut, 9 miles43. Straith Hospital for Special Surgery, Southfield: score −1.4622, not cut, 7 miles32. Garden City Hospital, Garden City: score −0.8204, not cut, 5 miles21. Beaumont Hospital - Farmington Hills, Farmington Hills: score 0.7600, cut, 4 miles1This hospital: St Joe Mercy Hospital System Livonia

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

Show table
HospitalMilesScoreDecision
Beaumont Hospital - Farmington Hills, Farmington Hills, MI40.7600cut
Garden City Hospital, Garden City, MI5−0.8204not cut
Straith Hospital for Special Surgery, Southfield, MI7−1.4622not cut
Corewell Health Wayne Hospital, Wayne, MI90.6506cut
Ascension Providence Hospital, Southfield and Novi, Southfield, MI10−0.4037not cut
Surgeons Choice Medical Center, Southfield, MI10−0.1976not cut
Sinai-Grace Hospital, Detroit, MI100.7718cut
Henry Ford Health West Bloomfield Hospital, W Bloomfield, MI10−0.3287not cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1Beaumont Hospital - Farmington HillsFarmington Hills, MI40.76001% cut$595KAbove the national median on 6 of 6 measures
2Garden City HospitalGarden City, MI5−0.8204No cut$0Above the national median on 0 of 6 measures
3Straith Hospital for Special SurgerySouthfield, MI7−1.4622No cut$0Above the national median on 0 of 1 measures
4Corewell Health Wayne HospitalWayne, MI90.65061% cut$208KAbove the national median on 4 of 6 measures
5Ascension Providence Hospital, Southfield and NoviSouthfield, MI10−0.4037No cut$0Above the national median on 2 of 6 measures
6Surgeons Choice Medical CenterSouthfield, MI10−0.1976No cut$0Above the national median on 0 of 1 measures
7Sinai-Grace HospitalDetroit, MI100.77181% cut$560KAbove the national median on 5 of 6 measures
8Henry Ford Health West Bloomfield HospitalW Bloomfield, MI10−0.3287No cut$0Above the national median on 2 of 6 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. St Joe Mercy Hospital System Livonia, Livonia, MI: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/230002/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.