P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalSinai-Grace Hospital Estimated FY2026 net: −$834K×

Hospital record · FY2026CCN 230024

1Hospital

Sinai-Grace Hospital

2Location

Detroit, MI (Michigan’s hospitals on the map and in the table) 48235

Wayne County

3Type

Major teaching · 991 beds · For-profit · Urban · Rural referral center

4Care Compare stars

1 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

0.7718

As CMS reports it

6Payment reduction

1% cut
CMS’s value: Yes

7Estimated cut

$560K estimate
Likely $427⁠–⁠704K; about $349 per traditional Medicare stay

Cut 1%

$560K

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

For fiscal year 2026, CMS reports a Total HAC Score of 0.7718 for Sinai-Grace Hospital and a payment reduction decision of Yes.

That is 1% of about $56.0M, 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 $349 per traditional Medicare stay.

Likely range $427–704K

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: 0.7718 This hospital 0.7718 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: 0.7718 This hospital 0.7718

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

Its record, fiscal years 2015 to 2026 Cut in 8 of 11 years

  1. 15No
  2. 16Cut
  3. 17Cut
  4. 18Cut
  5. 19Cut
  6. 20Cut
  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 0.3228. 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 5; 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 value1.5063

    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 94% of the other 2,181 hospitals

    CMS value1.522

    Z-score2.1242

    Part of score+0.3540

  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 84% of the other 2,354 hospitals

    CMS value0.093

    Z-score−1.0944

    Part of score−0.1824

  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 57% of the other 2,269 hospitals

    CMS value0.897

    Z-score0.0801

    Part of score+0.0134

  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 57% 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 value0.394

    Z-score0.0634

    Part of score+0.0106

  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 82% of the other 2,067 hospitals

    CMS value1.150

    Z-score0.9461

    Part of score+0.1577

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

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 901.50630.96232.5111+0.4185Worse than 97% of the other 2,808 hospitals
CLABSI1.5220.5592.1242+0.3540Worse than 94% of the other 2,181 hospitals
CAUTI0.0930.489−1.0944−0.1824Better than 84% of the other 2,354 hospitals
SSI0.8970.7950.0801+0.0134Worse than 57% of the other 2,269 hospitals
CDI0.3940.3460.0634+0.0106Worse than 57% of the other 2,766 hospitals
MRSA1.1500.6410.9461+0.1577Worse than 82% 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+2.1242CLABSI−1.0944CAUTI+0.0801SSI+0.0634CDI+0.9461MRSA)÷6measures=0.7718Total HAC Score

This hospital’s score is 0.3926 above 0.3792, the highest score CMS marked No. (This site recomputes.)

Figure 2. The parts add up to 0.7718, above CMS’s line.
1% cut PSI 90: z‑score 2.5111 divided by 6 = +0.4185PSI 90+0.4185 CLABSI: z‑score 2.1242 divided by 6 = +0.3540CLABSI+0.3540 CAUTI: z‑score −1.0944 divided by 6 = −0.1824CAUTI−0.1824 SSI: z‑score 0.0801 divided by 6 = +0.0134SSI+0.0134 CDI: z‑score 0.0634 divided by 6 = +0.0106CDI+0.0106 MRSA: z‑score 0.9461 divided by 6 = +0.1577MRSA+0.1577 Total HAC Score: 0.7718Score0.7718 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.20.40.60.8 1% cut PSI 90: z‑score 2.5111 divided by 6 = +0.4185PSI 90+0.4185 CLABSI: z‑score 2.1242 divided by 6 = +0.3540CLABSI+0.3540 CAUTI: z‑score −1.0944 divided by 6 = −0.1824CAUTI−0.1824 SSI: z‑score 0.0801 divided by 6 = +0.0134SSI+0.0134 CDI: z‑score 0.0634 divided by 6 = +0.0106CDI+0.0106 MRSA: z‑score 0.9461 divided by 6 = +0.1577MRSA+0.1577 Total HAC Score: 0.7718Score0.7718 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 902.5111+0.41850.4185
CLABSI2.1242+0.35400.7725
CAUTI−1.0944−0.18240.5901
SSI0.0801+0.01340.6035
CDI0.0634+0.01060.6141
MRSA0.9461+0.15770.7718
Total HAC Score0.7718
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, 0.3926 over the highest score CMS didn’t cut, costs it about $560K 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 $560K at any score from 0.3799 $0at any score up to 0.3792 $560K at any score from 0.3799 −1012 CMS’s highest score: 2.3133 This hospital: 0.7718 This hospital 0.7718 CMS’s line $0 at any score up to 0.3792 $560K at any score from 0.3799 $0at any score up to 0.3792 $560Kat 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: 0.7718 This hospital 0.7718

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−$560,150
This hospital0.7718−$560,150
CMS’s highest score2.3133−$560,150

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.

($35,853,541payment+$20,435,277teaching, MA stays−$40,941readmissions−$232,831value-based)×1%the cut=$560,150HAC cut

$560,150HAC cut÷1,605traditional Medicare stays=$349per traditional Medicare stay

Figure 4. This site estimates the HAC cut at $560K: 1% of the hospital’s whole inpatient payment, taken last. The readmissions and value-based adjustments, on the base alone, came to −$41K and −$233K.

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 $21,547,774
Teaching (indirect medical education) $7,702,898
Teaching on Medicare Advantage stays $20,435,277
Many low-income patients (disproportionate share) $2,014,501
Outliers: unusually costly stays $333,990
Capital: buildings and equipment $2,426,367
Uncompensated care $1,828,011
Total, before the three programs $56,288,818
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (0.9981 − 1) −$40,941
Value-based purchasing (HVBP) base × (0.9892 − 1) −$232,831
After these two $56,015,046
HAC Reduction Program 1% of everything above; likely $427⁠–⁠704K −$560,150
Net of the three programs likely −$980K to −$671K −$833,922

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)$21,547,774
Teaching (indirect medical education)$7,702,898
Teaching on Medicare Advantage stays$20,435,277
Many low-income patients (disproportionate share)$2,014,501
Outliers: unusually costly stays$333,990
Capital: buildings and equipment$2,426,367
Uncompensated care$1,828,011
Total, before the three programs$56,288,818
Readmissions (HRRP) (base × (0.9981 − 1))−$40,941
Value-based purchasing (HVBP) (base × (0.9892 − 1))−$232,831
After these two$56,015,046
HAC Reduction Program (1% of everything above; likely $427–704K)−$560,150
Net of the three programs (likely −$980K to −$671K)−$833,922

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 Score0.7718same
Payment reduction decisionYessame
Payment cut1%same
Estimated HAC cut estimate$560Ksame

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 0.7718 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 $560K, 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 901.0106 or lower
CLABSI0.506 or lower
CAUTInot possible with this measure alone
SSInot possible with this measure alone
CDInot possible with this measure alone
MRSA0.022 or lower

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 1.5063 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1164

CMS 1.522 · median 0.559 · cap 1.572 · each 0.1 = 0.0387

CMS 0.093 · median 0.489 · cap 1.537 · each 0.1 = 0.0402

CMS 0.897 · median 0.795 · cap 2.118 · each 0.1 = 0.0286

CMS 0.394 · median 0.346 · cap 0.944 · each 0.1 = 0.0645

CMS 1.150 · 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 0.7718 among its measured results: +0.4185.
  • PSI 90 +0.4185
  • CLABSI +0.3540
  • CAUTI −0.1824
  • SSI +0.0134
  • CDI +0.0106
  • MRSA +0.1577

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
CLABSI2.1242+0.3540same
CAUTI−1.0944−0.1824same
SSI0.0801+0.0134same
CDI0.0634+0.0106same
MRSA0.9461+0.1577same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/230024/

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 8 of the 11 years it made a decision.
highest middle lowest z‑scoresequal weights no scores FY2015: score 6.7500, higher than 70% of scores; not cutFY2016: score 8.5000, higher than 93% of scores; cutFY2017: score 8.1300, higher than 94% of scores; cutFY2018: score 0.9317, higher than 92% of scores; cutFY2019: score 0.7896, higher than 90% of scores; cutFY2020: score 0.5344, higher than 84% of scores; cutFY2021: score 0.1985, higher than 67% of scores; not cutFY2022: score 0.2207, higher than 70% of scores; not cutFY2024: score 0.9777, higher than 92% of scores; cutFY2025: score 1.0802, higher than 95% of scores; cutFY2026: score 0.7718, higher than 89% of scores; cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 6.7500, higher than 70% of scores; not cutFY2016: score 8.5000, higher than 93% of scores; cutFY2017: score 8.1300, higher than 94% of scores; cutFY2018: score 0.9317, higher than 92% of scores; cutFY2019: score 0.7896, higher than 90% of scores; cutFY2020: score 0.5344, higher than 84% of scores; cutFY2021: score 0.1985, higher than 67% of scores; not cutFY2022: score 0.2207, higher than 70% of scores; not cutFY2024: score 0.9777, higher than 92% of scores; cutFY2025: score 1.0802, higher than 95% of scores; cutFY2026: score 0.7718, higher than 89% of scores; cut 151617181920212223242526

● Red: a year CMS cut it ○ Hollow: a year it didn’t

This site recomputes · Source: CMS, HACRP hospital files for fiscal years 2015 to 2026 (Provider Data Catalog, its archives and, for the oldest years, the Internet Archive’s copies), and CMS’s cut lists for FY2015 and FY2016.

Show table
Fiscal yearTotal HAC ScoreHigher than this share of scoresPayment reduction
FY20156.750070.8%not cut
FY20168.500093.7%cut
FY20178.130094.3%cut
FY20180.931792.8%cut
FY20190.789690.9%cut
FY20200.534484.2%cut
FY20210.198567.6%not cut
FY20220.220770.5%not cut
FY2023no decision
FY20240.977792.4%cut
FY20251.080295.1%cut
FY20260.771889.2%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. 4 of its 6 infection measures ended lower than they started.
CLABSI 1.00 → 0.92 1as predicted 0 ’18’21’24 Nation’s middle CLABSI, 2017: 1.005CLABSI, 2018: 1.228CLABSI, 2019: 0.652CLABSI, 2021: 1.014CLABSI, 2022: 2.281CLABSI, 2023: 2.257CLABSI, 2024: 0.921 CAUTI 0.63 → 0.00 1 0 ’18’21’24 CAUTI, 2017: 0.630CAUTI, 2018: 0.461CAUTI, 2019: 0.422CAUTI, 2021: 0.155CAUTI, 2022: 0.617CAUTI, 2023: 0.225CAUTI, 2024: 0.000 SSI, colon 2.38 → 0.34 1 0 ’18’21’24 SSI, colon, 2017: 2.375SSI, colon, 2018: 1.218SSI, colon, 2019: 1.308SSI, colon, 2021: 1.070SSI, colon, 2022: 1.937SSI, colon, 2023: 0.857SSI, colon, 2024: 0.343 SSI, hysterectomy 1.17 → 1.44 1 0 ’18’21’24 SSI, hysterectomy, 2017: 1.168SSI, hysterectomy, 2018: 1.751SSI, hysterectomy, 2019: 1.270SSI, hysterectomy, 2021: 0.900SSI, hysterectomy, 2022: 1.444 MRSA 0.91 → 1.10 1 0 ’18’21’24 MRSA, 2017: 0.911MRSA, 2018: 0.798MRSA, 2019: 0.328MRSA, 2021: 1.462MRSA, 2022: 1.310MRSA, 2023: 1.217MRSA, 2024: 1.097 C. diff 1.00 → 0.40 1 0 ’18’21’24 C. diff, 2017: 0.999C. diff, 2018: 0.434C. diff, 2019: 0.440C. diff, 2021: 0.170C. diff, 2022: 0.526C. diff, 2023: 0.386C. diff, 2024: 0.400 CLABSI 1.00 → 0.92 1as predicted 0 ’18’20’22’24 Nation’s middle CLABSI, 2017: 1.005CLABSI, 2018: 1.228CLABSI, 2019: 0.652CLABSI, 2021: 1.014CLABSI, 2022: 2.281CLABSI, 2023: 2.257CLABSI, 2024: 0.921 CAUTI 0.63 → 0.00 1 0 ’18’20’22’24 CAUTI, 2017: 0.630CAUTI, 2018: 0.461CAUTI, 2019: 0.422CAUTI, 2021: 0.155CAUTI, 2022: 0.617CAUTI, 2023: 0.225CAUTI, 2024: 0.000 SSI, colon 2.38 → 0.34 1 0 ’18’20’22’24 SSI, colon, 2017: 2.375SSI, colon, 2018: 1.218SSI, colon, 2019: 1.308SSI, colon, 2021: 1.070SSI, colon, 2022: 1.937SSI, colon, 2023: 0.857SSI, colon, 2024: 0.343 SSI, hysterectomy 1.17 → 1.44 1 0 ’18’20’22’24 SSI, hysterectomy, 2017: 1.168SSI, hysterectomy, 2018: 1.751SSI, hysterectomy, 2019: 1.270SSI, hysterectomy, 2021: 0.900SSI, hysterectomy, 2022: 1.444 MRSA 0.91 → 1.10 1 0 ’18’20’22’24 MRSA, 2017: 0.911MRSA, 2018: 0.798MRSA, 2019: 0.328MRSA, 2021: 1.462MRSA, 2022: 1.310MRSA, 2023: 1.217MRSA, 2024: 1.097 C. diff 1.00 → 0.40 1 0 ’18’20’22’24 C. diff, 2017: 0.999C. diff, 2018: 0.434C. diff, 2019: 0.440C. diff, 2021: 0.170C. diff, 2022: 0.526C. diff, 2023: 0.386C. diff, 2024: 0.400

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
20171.0050.6302.3751.1680.9110.999
20181.2280.4611.2181.7510.7980.434
20190.6520.4221.3081.2700.3280.440
20211.0140.1551.0700.9001.4620.170
20222.2810.6171.9371.4441.3100.526
20232.2570.2250.8571.2170.386
20240.9210.0000.3431.0970.400

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 86% of the other 87 scored there.

In Detroit-Dearborn-Livonia, MI area, its score is higher than 84% 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 15% (For-profit) 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 500 beds and up: CMS cut 105 of 365 (29%); middle score 0.1323500 beds and up 365 hospitals29% cut For-profit: CMS cut 98 of 651 (15%); middle score −0.2590For-profit 651 hospitals15% 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: 0.7718 This hospital 0.7718 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 500 beds and up: CMS cut 105 of 365 (29%); middle score 0.1323500 beds and up365 hospitals29% cut For-profit: CMS cut 98 of 651 (15%); middle score −0.2590For-profit651 hospitals15% 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: 0.7718 This hospital 0.7718

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

Show table
GroupWith a decisionHospitals cutShare cutMiddle scoreHospital higher than
All hospitals2,88671825%−0.045389%
Midwest region68317425%−0.026889%
Michigan883034%0.020486%
Detroit-Dearborn-Livonia, MI area14857%0.517684%
Major teaching42413632%0.178088%
500 beds and up36510529%0.132389%
For-profit6519815%−0.259094%
Urban2,24151023%−0.057491%
This hospital0.7718
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 2 of the 8 nearest hospitals; the closest is 3 miles away.
5 mi8. Karmanos Cancer Center, Detroit: score 0.2902, not cut, 8 miles87. Beaumont Hospital - Farmington Hills, Farmington Hills: score 0.7600, cut, 7 miles76. Beaumont Hospital Royal Oak, Royal Oak: score 0.5415, cut, 7 miles65. Henry Ford Health Hospital, Detroit: score 0.1266, not cut, 6 miles54. Southeast Michigan Surgical Hospital LLC, Warren: score −0.0478, not cut, 5 miles43. Straith Hospital for Special Surgery, Southfield: score −1.4622, not cut, 5 miles32. Ascension Providence Hospital, Southfield and Novi, Southfield: score −0.4037, not cut, 3 miles21. Surgeons Choice Medical Center, Southfield: score −0.1976, not cut, 3 miles1This hospital: Sinai-Grace Hospital

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

Show table
HospitalMilesScoreDecision
Surgeons Choice Medical Center, Southfield, MI3−0.1976not cut
Ascension Providence Hospital, Southfield and Novi, Southfield, MI3−0.4037not cut
Straith Hospital for Special Surgery, Southfield, MI5−1.4622not cut
Southeast Michigan Surgical Hospital LLC, Warren, MI5−0.0478not cut
Henry Ford Health Hospital, Detroit, MI60.1266not cut
Beaumont Hospital Royal Oak, Royal Oak, MI70.5415cut
Beaumont Hospital - Farmington Hills, Farmington Hills, MI70.7600cut
Karmanos Cancer Center, Detroit, MI80.2902not cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1Surgeons Choice Medical CenterSouthfield, MI3−0.1976No cut$0Above the national median on 0 of 1 measures
2Ascension Providence Hospital, Southfield and NoviSouthfield, MI3−0.4037No cut$0Above the national median on 2 of 6 measures
3Straith Hospital for Special SurgerySouthfield, MI5−1.4622No cut$0Above the national median on 0 of 1 measures
4Southeast Michigan Surgical Hospital LLCWarren, MI5−0.0478No cut$0Above the national median on 1 of 1 measures
5Henry Ford Health HospitalDetroit, MI60.1266No cut$0Above the national median on 3 of 6 measures
6Beaumont Hospital Royal OakRoyal Oak, MI70.54151% cut$2.2MAbove the national median on 4 of 6 measures
7Beaumont Hospital - Farmington HillsFarmington Hills, MI70.76001% cut$595KAbove the national median on 6 of 6 measures
8Karmanos Cancer CenterDetroit, MI80.2902No cut$0Above the national median on 3 of 5 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. Sinai-Grace Hospital, Detroit, MI: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/230024/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.