P&P, Paid & Penalized

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HospitalTawas St Joseph Hospital Estimated FY2026 net: −$14K×

Hospital record · FY2026CCN 230100

1Hospital

Tawas St Joseph Hospital

2Location

Tawas City, MI (Michigan’s hospitals on the map and in the table) 48764

Iosco County

3Type

Not a teaching hospital · 60 beds · Government · Rural · Sole community hospital

4Care Compare stars

3 of 5 stars

Overall rating, CMS Care Compare data of July 22, 2026
CMS footnote 29: This measure was calculated using partial performance period data due to a CMS-approved exception.
Open on Care Compare (opens in a new tab)

5Total HAC Score

No score published

6Payment reduction

No cut
CMS’s value: No

7Estimated cut

$0
A cut would have been $38K, likely $27⁠–⁠42K estimate

No score

$0

from this program

For fiscal year 2026, CMS reports no Total HAC Score for Tawas St Joseph Hospital and a payment reduction decision of No.

A cut would have taken about $38K estimate 1% of about $3.8M, this site’s estimate of what traditional Medicare pays it for inpatient stays in a year.

Likely range $27–42K

Its record, fiscal years 2015 to 2026 Cut in 5 of 11 years

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

In FY2026, CMS reports a payment reduction decision for this hospital but no Total HAC Score.

CMS’s note on the score: Results are not available for this reporting period.

Where the score came from

CMS scored this hospital on 0 of the 6 measures. On every measure a lower value is better. Each row puts the hospital among every hospital with a value: the gray columns are those hospitals, the tall tick is the national median, and the hatched ends score the same as CMS’s floor or cap.

Figure 1. CMS published no measure values for this hospital.
  • 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

    Not scored on this measure

    CMS footnote 13: Results cannot be calculated for this reporting period.

    CMS footnote 5: Results are not available for this reporting period.

    CMS valueno value published

    Z-scoreno value published

    Part of scoreno value published

  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

    Not scored on this measure

    CMS footnote 13: Results cannot be calculated for this reporting period.

    CMS footnote 5: Results are not available for this reporting period.

    CMS valueno value published

    Z-scoreno value published

    Part of scoreno value published

  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

    Not scored on this measure

    CMS footnote 13: Results cannot be calculated for this reporting period.

    CMS footnote 5: Results are not available for this reporting period.

    CMS valueno value published

    Z-scoreno value published

    Part of scoreno value published

  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

    Not scored on this measure

    CMS footnote 13: Results cannot be calculated for this reporting period.

    CMS footnote 5: Results are not available for this reporting period.

    CMS valueno value published

    Z-scoreno value published

    Part of scoreno value published

  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

    Not scored on this measure

    CMS footnote 13: Results cannot be calculated for this reporting period.

    CMS footnote 5: Results are not available for this reporting period.

    CMS valueno value published

    Z-scoreno value published

    Part of scoreno value published

  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

    Not scored on this measure

    CMS footnote 13: Results cannot be calculated for this reporting period.

    CMS footnote 5: Results are not available for this reporting period.

    CMS valueno value published

    Z-scoreno value published

    Part of scoreno value published

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

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 90no value published0.9623no value publishedno value publishedNot scored on this measure
CLABSIno value published0.559no value publishedno value publishedNot scored on this measure
CAUTIno value published0.489no value publishedno value publishedNot scored on this measure
SSIno value published0.795no value publishedno value publishedNot scored on this measure
CDIno value published0.346no value publishedno value publishedNot scored on this measure
MRSAno value published0.641no value publishedno value publishedNot scored on this measure

The money, line by line

This site estimates what traditional Medicare pays the hospital for a year of inpatient stays, from CMS’s FY2026 payment files, then applies Medicare’s three hospital quality programs: the readmissions and value-based adjustments to the base payment, and the HAC cut last, as the law sets.

The readmissions and value-based programs adjust only the base payment: the DRG rates times the hospital’s cases, and a Medicare-dependent hospital’s add-on. The HAC cut comes last and takes 1% of everything left, teaching, low-income-patient, outlier, capital and uncompensated care payments included.

($3,777,333payment−$13,965readmissions+$0value-based)×1%the cut=$37,634at stake

$37,634at stake÷317traditional Medicare stays=$119per traditional Medicare stay

Figure 2. No HAC cut this year; 1% of the hospital’s whole inpatient payment would have been about $38K by this site’s estimate. The readmissions and value-based adjustments, on the base alone, came to −$14K and $0.

Estimated Medicare inpatient payments · FY2026 estimate

What traditional Medicare pays it for inpatient stays
DRG payments at the federal rates the base $2,634,845
Many low-income patients (disproportionate share) $60,259
Sole community hospital rate difference $265,534
Low-volume adjustment $612,773
Capital: buildings and equipment $203,922
Total, before the three programs $3,777,333
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (0.9947 − 1) −$13,965
Value-based purchasing (HVBP) not in CMS’s value-based factors: no adjustment $0
After these two $3,763,368
HAC Reduction Program no cut; 1% would have been $37,634 $0
Net of the three programs likely −$15K to −$10K −$13,965

Not paid to this hospital: a Medicare-dependent hospital add-on, teaching payments, outlier payments, 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)$2,634,845
Many low-income patients (disproportionate share)$60,259
Sole community hospital rate difference$265,534
Low-volume adjustment$612,773
Capital: buildings and equipment$203,922
Total, before the three programs$3,777,333
Readmissions (HRRP) (base × (0.9947 − 1))−$13,965
Value-based purchasing (HVBP) (not in CMS’s value-based factors: no adjustment)$0
After these two$3,763,368
HAC Reduction Program (no cut; 1% would have been $37,634)$0
Net of the three programs (likely −$15K to −$10K)−$13,965

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 2 years in a row.

Figure 3. CMS cut this hospital in 5 of the 11 years it made a decision.
highest middle lowest z‑scoresequal weights no scores FY2015: score 2.0000, higher than 4% of scores; not cutFY2016: score 8.7500, higher than 95% of scores; cutFY2017: score 4.8500, higher than 38% of scores; not cutFY2018: score 1.0090, higher than 93% of scores; cutFY2019: score 0.4546, higher than 79% of scores; cutFY2020: score 0.1779, higher than 65% of scores; not cutFY2021: score 0.9778, higher than 95% of scores; cutFY2022: score 0.5282, higher than 84% of scores; cutFY2024: score 0.2112, higher than 66% of scores; not cutFY2025: score −0.0550, higher than 48% of scores; not cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 2.0000, higher than 4% of scores; not cutFY2016: score 8.7500, higher than 95% of scores; cutFY2017: score 4.8500, higher than 38% of scores; not cutFY2018: score 1.0090, higher than 93% of scores; cutFY2019: score 0.4546, higher than 79% of scores; cutFY2020: score 0.1779, higher than 65% of scores; not cutFY2021: score 0.9778, higher than 95% of scores; cutFY2022: score 0.5282, higher than 84% of scores; cutFY2024: score 0.2112, higher than 66% of scores; not cutFY2025: score −0.0550, higher than 48% 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
FY20152.00004.7%not cut
FY20168.750095.1%cut
FY20174.850038.7%not cut
FY20181.009093.9%cut
FY20190.454679.6%cut
FY20200.177965.8%not cut
FY20210.977895.9%cut
FY20220.528284.4%cut
FY2023no decision
FY20240.211266.8%not cut
FY2025−0.055048.2%not cut
FY2026N/Anot cut, with no score published

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 4. 1 of its 1 infection measures ended lower than they started.
C. diff 0.85 → 0.68 1as predicted 0 ’18’21’24 Nation’s middle C. diff, 2019: 0.847C. diff, 2021: 0.000C. diff, 2022: 0.680 C. diff 0.85 → 0.68 1as predicted 0 ’18’20’22’24 Nation’s middle C. diff, 2019: 0.847C. diff, 2021: 0.000C. diff, 2022: 0.680

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 yearC. diff
2017
2018
20190.847
20210.000
20220.680
2023
2024

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

CMS’s footnotes on this page

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

How the program works, and how to find another hospital

A penalty reflects how CMS’s formula scored relative performance; it is not a verdict on the quality of care.

Cite this page

Paid & Penalized. Tawas St Joseph Hospital, Tawas City, MI: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/230100/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.