P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalUniversity of Michigan Health - West Estimated FY2026 net: −$331K×

Hospital record · FY2026CCN 230236

1Hospital

University of Michigan Health - West

2Location

Wyoming, MI (Michigan’s hospitals on the map and in the table) 49519

Kent County

3Type

Major teaching · 208 beds · Nonprofit · Urban · Rural referral center

4Care Compare stars

4 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

0.6243

As CMS reports it

6Payment reduction

1% cut
CMS’s value: Yes

7Estimated cut

$322K estimate
Likely $245⁠–⁠405K; about $256 per traditional Medicare stay

Cut 1%

$322K

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

For fiscal year 2026, CMS reports a Total HAC Score of 0.6243 for University of Michigan Health - West and a payment reduction decision of Yes.

That is 1% of about $32.2M, 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 $256 per traditional Medicare stay.

Likely range $245–405K

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: 0.6243 This hospital 0.6243 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: 0.6243 This hospital 0.6243

Higher than 84% of the other 2,928 scores CMS published (higher is worse).

Its record, fiscal years 2015 to 2026 Cut in 7 of 11 years

  1. 15No
  2. 16No
  3. 17No
  4. 18Cut
  5. 19Cut
  6. 20Cut
  7. 21Cut
  8. 22Cut
  9. 23—
  10. 24No
  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 CAUTI down to the national median (0.489) would lower the score the most: by 0.4210, to 0.2033. 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 4; CAUTI 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

    Better than 87% 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 value0.8413

    Z-score−1.0275

    Part of score−0.1713

  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 value1.009

    Z-score0.9342

    Part of score+0.1557

  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.

    added the most

    Catheter-associated urinary tract infections

    Worse than 97% of the other 2,354 hospitals

    CMS value1.890

    Z-score2.3863

    Part of score+0.3977

  4. SSI (what it counts)

    Deep infections at the site of colon surgery or an abdominal hysterectomy, within a month of the operation, pooled into one measure. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    Surgical site infections after colon surgery or abdominal hysterectomy

    Worse than 86% of the other 2,269 hospitals

    CMS value1.575

    Z-score1.2415

    Part of score+0.2069

  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

    Better 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 value0.299

    Z-score−0.3044

    Part of score−0.0507

  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 73% of the other 2,067 hospitals

    CMS value0.944

    Z-score0.5156

    Part of score+0.0859

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

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 900.84130.9623−1.0275−0.1713Better than 87% of the other 2,808 hospitals
CLABSI1.0090.5590.9342+0.1557Worse than 82% of the other 2,181 hospitals
CAUTI1.8900.4892.3863+0.3977Worse than 97% of the other 2,354 hospitals
SSI1.5750.7951.2415+0.2069Worse than 86% of the other 2,269 hospitals
CDI0.2990.346−0.3044−0.0507Better than 57% of the other 2,766 hospitals
MRSA0.9440.6410.5156+0.0859Worse than 73% 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.

(−1.0275PSI 90+0.9342CLABSI+2.3863CAUTI+1.2415SSI−0.3044CDI+0.5156MRSA)÷6measures=0.6243Total HAC Score

This hospital’s score is 0.2451 above 0.3792, the highest score CMS marked No. (This site recomputes.)

Figure 2. The parts add up to 0.6243, above CMS’s line.
1% cut PSI 90: z‑score −1.0275 divided by 6 = −0.1713PSI 90−0.1713 CLABSI: z‑score 0.9342 divided by 6 = +0.1557CLABSI+0.1557 CAUTI: z‑score 2.3863 divided by 6 = +0.3977CAUTI+0.3977 SSI: z‑score 1.2415 divided by 6 = +0.2069SSI+0.2069 CDI: z‑score −0.3044 divided by 6 = −0.0507CDI−0.0507 MRSA: z‑score 0.5156 divided by 6 = +0.0859MRSA+0.0859 Total HAC Score: 0.6243Score0.6243 CMS’s line: between 0.3792 and 0.3799 CMS’s line −0.20.00.20.40.6 1% cut PSI 90: z‑score −1.0275 divided by 6 = −0.1713PSI 90−0.1713 CLABSI: z‑score 0.9342 divided by 6 = +0.1557CLABSI+0.1557 CAUTI: z‑score 2.3863 divided by 6 = +0.3977CAUTI+0.3977 SSI: z‑score 1.2415 divided by 6 = +0.2069SSI+0.2069 CDI: z‑score −0.3044 divided by 6 = −0.0507CDI−0.0507 MRSA: z‑score 0.5156 divided by 6 = +0.0859MRSA+0.0859 Total HAC Score: 0.6243Score0.6243 CMS’s line: between 0.3792 and 0.3799 CMS’s line −0.20.00.20.40.6

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 90−1.0275−0.1713−0.1713
CLABSI0.9342+0.1557−0.0156
CAUTI2.3863+0.39770.3821
SSI1.2415+0.20690.5890
CDI−0.3044−0.05070.5383
MRSA0.5156+0.08590.6242
Total HAC Score0.6243
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, 0.2451 over the highest score CMS didn’t cut, costs it about $322K 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 $322K at any score from 0.3799 $0at any score up to 0.3792 $322K at any score from 0.3799 −1012 CMS’s highest score: 2.3133 This hospital: 0.6243 This hospital 0.6243 CMS’s line $0 at any score up to 0.3792 $322K at any score from 0.3799 $0at any score up to 0.3792 $322Kat 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: 0.6243 This hospital 0.6243

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−$322,167
This hospital0.6243−$322,167
CMS’s highest score2.3133−$322,167

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.

($24,005,139payment+$8,220,338teaching, MA stays+$0readmissions−$8,789value-based)×1%the cut=$322,167HAC cut

$322,167HAC cut÷1,259traditional Medicare stays=$256per traditional Medicare stay

Figure 4. This site estimates the HAC cut at $322K: 1% of the hospital’s whole inpatient payment, taken last. The readmissions and value-based adjustments, on the base alone, came to $0 and −$9K.

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 $16,942,072
Teaching (indirect medical education) $2,972,148
Teaching on Medicare Advantage stays $8,220,338
Many low-income patients (disproportionate share) $621,266
Outliers: unusually costly stays $418,130
Capital: buildings and equipment $1,740,291
Uncompensated care $1,311,232
Total, before the three programs $32,225,477
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (1.0000 − 1) $0
Value-based purchasing (HVBP) base × (0.9995 − 1) −$8,789
After these two $32,216,688
HAC Reduction Program 1% of everything above; likely $245⁠–⁠405K −$322,167
Net of the three programs likely −$389K to −$266K −$330,956

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)$16,942,072
Teaching (indirect medical education)$2,972,148
Teaching on Medicare Advantage stays$8,220,338
Many low-income patients (disproportionate share)$621,266
Outliers: unusually costly stays$418,130
Capital: buildings and equipment$1,740,291
Uncompensated care$1,311,232
Total, before the three programs$32,225,477
Readmissions (HRRP) (base × (1.0000 − 1))$0
Value-based purchasing (HVBP) (base × (0.9995 − 1))−$8,789
After these two$32,216,688
HAC Reduction Program (1% of everything above; likely $245–405K)−$322,167
Net of the three programs (likely −$389K to −$266K)−$330,956

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 Score0.6243same
Payment reduction decisionYessame
Payment cut1%same
Estimated HAC cut estimate$322Ksame

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 0.6243 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 $322K, 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
CLABSI0.375 or lower
CAUTI0.926 or lower
SSI0.716 or lower
CDInot possible with this measure alone
MRSA0.240 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 0.8413 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1164

CMS 1.009 · median 0.559 · cap 1.572 · each 0.1 = 0.0387

CMS 1.890 · median 0.489 · cap 1.537 · each 0.1 = 0.0402

CMS 1.575 · median 0.795 · cap 2.118 · each 0.1 = 0.0286

CMS 0.299 · median 0.346 · cap 0.944 · each 0.1 = 0.0645

CMS 0.944 · 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. CAUTI added the most to this hospital’s Total HAC Score of 0.6243 among its measured results: +0.3977.
  • PSI 90 −0.1713
  • CLABSI +0.1557
  • CAUTI +0.3977
  • SSI +0.2069
  • CDI −0.0507
  • MRSA +0.0859

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 90−1.0275−0.1713same
CLABSI0.9342+0.1557same
CAUTI2.3863+0.3977same
SSI1.2415+0.2069same
CDI−0.3044−0.0507same
MRSA0.5156+0.0859same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/230236/

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 7 of the 11 years it made a decision.
highest middle lowest z‑scoresequal weights no scores FY2015: score 5.4250, higher than 49% of scores; not cutFY2016: score 4.5000, higher than 30% of scores; not cutFY2017: score 5.9200, higher than 61% of scores; not cutFY2018: score 0.5872, higher than 85% of scores; cutFY2019: score 0.8746, higher than 92% of scores; cutFY2020: score 0.9300, higher than 94% of scores; cutFY2021: score 0.6235, higher than 88% of scores; cutFY2022: score 0.4563, higher than 81% of scores; cutFY2024: score 0.0391, higher than 56% of scores; not cutFY2025: score 0.3664, higher than 75% of scores; cutFY2026: score 0.6243, higher than 84% of scores; cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 5.4250, higher than 49% of scores; not cutFY2016: score 4.5000, higher than 30% of scores; not cutFY2017: score 5.9200, higher than 61% of scores; not cutFY2018: score 0.5872, higher than 85% of scores; cutFY2019: score 0.8746, higher than 92% of scores; cutFY2020: score 0.9300, higher than 94% of scores; cutFY2021: score 0.6235, higher than 88% of scores; cutFY2022: score 0.4563, higher than 81% of scores; cutFY2024: score 0.0391, higher than 56% of scores; not cutFY2025: score 0.3664, higher than 75% of scores; cutFY2026: score 0.6243, higher than 84% 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
FY20155.425049.7%not cut
FY20164.500030.4%not cut
FY20175.920061.2%not cut
FY20180.587285.2%cut
FY20190.874692.5%cut
FY20200.930094.6%cut
FY20210.623588.1%cut
FY20220.456381.9%cut
FY2023no decision
FY20240.039156.2%not cut
FY20250.366475.0%cut
FY20260.624384.6%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 5 infection measures ended lower than they started.
CLABSI 0.79 → 0.28 1as predicted 0 ’18’21’24 Nation’s middle CLABSI, 2017: 0.787CLABSI, 2018: 0.625CLABSI, 2019: 0.289CLABSI, 2021: 2.089CLABSI, 2022: 0.260CLABSI, 2023: 1.776CLABSI, 2024: 0.281 CAUTI 0.51 → 2.69 1 0 ’18’21’24 CAUTI, 2017: 0.510CAUTI, 2018: 0.863CAUTI, 2019: 1.751CAUTI, 2021: 1.758CAUTI, 2022: 1.008CAUTI, 2023: 1.083CAUTI, 2024: 2.694 SSI, colon 2.93 → 2.52 1 0 ’18’21’24 SSI, colon, 2017: 2.931SSI, colon, 2018: 2.410SSI, colon, 2019: 0.574SSI, colon, 2021: 0.910SSI, colon, 2022: 0.000SSI, colon, 2023: 0.000SSI, colon, 2024: 2.518 MRSA 3.46 → 1.17 1 0 ’18’21’24 MRSA, 2017: 3.465MRSA, 2018: 0.000MRSA, 2019: 0.759MRSA, 2021: 0.713MRSA, 2022: 0.676MRSA, 2023: 0.597MRSA, 2024: 1.170 C. diff 0.52 → 0.26 1 0 ’18’21’24 C. diff, 2017: 0.519C. diff, 2018: 0.925C. diff, 2019: 0.784C. diff, 2021: 0.645C. diff, 2022: 0.460C. diff, 2023: 0.344C. diff, 2024: 0.259 CLABSI 0.79 → 0.28 1as predicted 0 ’18’20’22’24 Nation’s middle CLABSI, 2017: 0.787CLABSI, 2018: 0.625CLABSI, 2019: 0.289CLABSI, 2021: 2.089CLABSI, 2022: 0.260CLABSI, 2023: 1.776CLABSI, 2024: 0.281 CAUTI 0.51 → 2.69 1 0 ’18’20’22’24 CAUTI, 2017: 0.510CAUTI, 2018: 0.863CAUTI, 2019: 1.751CAUTI, 2021: 1.758CAUTI, 2022: 1.008CAUTI, 2023: 1.083CAUTI, 2024: 2.694 SSI, colon 2.93 → 2.52 1 0 ’18’20’22’24 SSI, colon, 2017: 2.931SSI, colon, 2018: 2.410SSI, colon, 2019: 0.574SSI, colon, 2021: 0.910SSI, colon, 2022: 0.000SSI, colon, 2023: 0.000SSI, colon, 2024: 2.518 MRSA 3.46 → 1.17 1 0 ’18’20’22’24 MRSA, 2017: 3.465MRSA, 2018: 0.000MRSA, 2019: 0.759MRSA, 2021: 0.713MRSA, 2022: 0.676MRSA, 2023: 0.597MRSA, 2024: 1.170 C. diff 0.52 → 0.26 1 0 ’18’20’22’24 C. diff, 2017: 0.519C. diff, 2018: 0.925C. diff, 2019: 0.784C. diff, 2021: 0.645C. diff, 2022: 0.460C. diff, 2023: 0.344C. diff, 2024: 0.259

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, colonMRSAC. diff
20170.7870.5102.9313.4650.519
20180.6250.8632.4100.0000.925
20190.2891.7510.5740.7590.784
20212.0891.7580.9100.7130.645
20220.2601.0080.0000.6760.460
20231.7761.0830.0000.5970.344
20240.2812.6942.5181.1700.259

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 74% of the other 87 scored there.

In Grand Rapids-Wyoming-Kentwood, MI area, its score is higher than 71% of the other 7 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 38% (Grand Rapids-Wyoming-Kentwood, 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 Grand Rapids-Wyoming-Kentwood, MI area: CMS cut 3 of 8 (38%); middle score −0.1355Grand Rapids-Wyoming-Kentwood, MI area8 hospitals38% 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: 0.6243 This hospital 0.6243 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 Grand Rapids-Wyoming-Kentwood, MI area: CMS cut 3 of 8 (38%); middle score −0.1355Grand Rapids-Wyoming-Kentwood, MI area8 hospitals38% 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: 0.6243 This hospital 0.6243

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%−0.045384%
Midwest region68317425%−0.026883%
Michigan883034%0.020474%
Grand Rapids-Wyoming-Kentwood, MI area8338%−0.135571%
Major teaching42413632%0.178080%
100 to 299 beds1,19327523%−0.073286%
Nonprofit1,83047826%−0.013484%
Urban2,24151023%−0.057486%
This hospital0.6243
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 8 miles away.
5 mi10 mi25 mi8. Borgess Medical Center, Kalamazoo: score −0.5367, not cut, 39 miles87. Trinity Health Muskegon Hospital, Muskegon: score 0.9366, cut, 34 miles76. Spectrum Health United Hospital, Greenville: score −0.1918, not cut, 32 miles65. Trinity Health Grand Haven Hospital, Grand Haven: score −0.3556, not cut, 29 miles54. Holland Hospital, Holland: score 1.0617, cut, 21 miles43. Corewell Health Zeeland Hospital, Zeeland: score −0.5801, not cut, 14 miles32. Spectrum Health, Grand Rapids: score −0.0792, not cut, 8 miles21. Mercy Health Saint Mary's, Grand Rapids: score 0.6625, cut, 8 miles1This hospital: University of Michigan Health - West

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

Show table
HospitalMilesScoreDecision
Mercy Health Saint Mary's, Grand Rapids, MI80.6625cut
Spectrum Health, Grand Rapids, MI8−0.0792not cut
Corewell Health Zeeland Hospital, Zeeland, MI14−0.5801not cut
Holland Hospital, Holland, MI211.0617cut
Trinity Health Grand Haven Hospital, Grand Haven, MI29−0.3556not cut
Spectrum Health United Hospital, Greenville, MI32−0.1918not cut
Trinity Health Muskegon Hospital, Muskegon, MI340.9366cut
Borgess Medical Center, Kalamazoo, MI39−0.5367not cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1Mercy Health Saint Mary'sGrand Rapids, MI80.66251% cut$475KAbove the national median on 5 of 6 measures
2Spectrum HealthGrand Rapids, MI8−0.0792No cut$0Above the national median on 3 of 6 measures
3Corewell Health Zeeland HospitalZeeland, MI14−0.5801No cut$0Above the national median on 1 of 3 measures
4Holland HospitalHolland, MI211.06171% cut$116KAbove the national median on 4 of 5 measures
5Trinity Health Grand Haven HospitalGrand Haven, MI29−0.3556No cut$0Above the national median on 1 of 2 measures
6Spectrum Health United HospitalGreenville, MI32−0.1918No cut$0Above the national median on 2 of 3 measures
7Trinity Health Muskegon HospitalMuskegon, MI340.93661% cut$599KAbove the national median on 5 of 6 measures
8Borgess Medical CenterKalamazoo, MI39−0.5367No 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. University of Michigan Health - West, Wyoming, MI: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/230236/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.