P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalMosaic Life Care at St Joseph Estimated FY2026 net: −$1.0M×

Hospital record · FY2026CCN 260006

1Hospital

Mosaic Life Care at St Joseph

2Location

Saint Joseph, MO (Missouri’s hospitals on the map and in the table) 64506

Buchanan County

3Type

Not a teaching hospital · 353 beds · Nonprofit · Urban · Sole community hospital

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

0.5018

As CMS reports it

6Payment reduction

1% cut
CMS’s value: Yes

7Estimated cut

$932K estimate
Likely $758K⁠–⁠$1.0M; about $178 per traditional Medicare stay

Cut 1%

$932K

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

For fiscal year 2026, CMS reports a Total HAC Score of 0.5018 for Mosaic Life Care at St Joseph and a payment reduction decision of Yes.

That is 1% of about $93.2M, this site’s estimate of what traditional Medicare pays it for inpatient stays in a year: about $178 per traditional Medicare stay.

Likely range $758K–$1.0M

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: 0.5018 This hospital 0.5018 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: 0.5018 This hospital 0.5018

Higher than 80% of the other 2,928 scores CMS published (higher is worse).

Its record, fiscal years 2015 to 2026 Cut in 3 of 11 years

  1. 15No
  2. 16No
  3. 17No
  4. 18No
  5. 19No
  6. 20No
  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 0.1876, to 0.3142. 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; CLABSI 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 83% 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 value1.1235

    Z-score0.9423

    Part of score+0.1571

  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.

    added the most

    Central line–associated bloodstream infections

    Worse than 83% of the other 2,181 hospitals

    CMS value1.021

    Z-score0.9620

    Part of score+0.1603

  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 70% of the other 2,354 hospitals

    CMS value0.698

    Z-score0.3639

    Part of score+0.0607

  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 77% of the other 2,269 hospitals

    CMS value1.273

    Z-score0.7242

    Part of score+0.1207

  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 value0.300

    Z-score−0.3005

    Part of score−0.0501

  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 67% of the other 2,067 hospitals

    CMS value0.850

    Z-score0.3191

    Part of score+0.0532

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

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 901.12350.96230.9423+0.1571Worse than 83% of the other 2,808 hospitals
CLABSI1.0210.5590.9620+0.1603Worse than 83% of the other 2,181 hospitals
CAUTI0.6980.4890.3639+0.0607Worse than 70% of the other 2,354 hospitals
SSI1.2730.7950.7242+0.1207Worse than 77% of the other 2,269 hospitals
CDI0.3000.346−0.3005−0.0501Better than 57% of the other 2,766 hospitals
MRSA0.8500.6410.3191+0.0532Worse than 67% 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.

(0.9423PSI 90+0.9620CLABSI+0.3639CAUTI+0.7242SSI−0.3005CDI+0.3191MRSA)÷6measures=0.5018Total HAC Score

This hospital’s score is 0.1226 above 0.3792, the highest score CMS marked No. (This site recomputes.)

Figure 2. The parts add up to 0.5018, above CMS’s line.
1% cut PSI 90: z‑score 0.9423 divided by 6 = +0.1571PSI 90+0.1571 CLABSI: z‑score 0.9620 divided by 6 = +0.1603CLABSI+0.1603 CAUTI: z‑score 0.3639 divided by 6 = +0.0607CAUTI+0.0607 SSI: z‑score 0.7242 divided by 6 = +0.1207SSI+0.1207 CDI: z‑score −0.3005 divided by 6 = −0.0501CDI−0.0501 MRSA: z‑score 0.3191 divided by 6 = +0.0532MRSA+0.0532 Total HAC Score: 0.5018Score0.5018 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.10.20.30.40.5 1% cut PSI 90: z‑score 0.9423 divided by 6 = +0.1571PSI 90+0.1571 CLABSI: z‑score 0.9620 divided by 6 = +0.1603CLABSI+0.1603 CAUTI: z‑score 0.3639 divided by 6 = +0.0607CAUTI+0.0607 SSI: z‑score 0.7242 divided by 6 = +0.1207SSI+0.1207 CDI: z‑score −0.3005 divided by 6 = −0.0501CDI−0.0501 MRSA: z‑score 0.3191 divided by 6 = +0.0532MRSA+0.0532 Total HAC Score: 0.5018Score0.5018 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.10.20.30.40.5

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

Show table
MeasureZ-scorePart of the scoreRunning total
PSI 900.9423+0.15710.1571
CLABSI0.9620+0.16030.3174
CAUTI0.3639+0.06070.3781
SSI0.7242+0.12070.4988
CDI−0.3005−0.05010.4487
MRSA0.3191+0.05320.5019
Total HAC Score0.5018
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; 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, 0.1226 over the highest score CMS didn’t cut, costs it about $932K 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 $932K at any score from 0.3799 $0at any score up to 0.3792 $932K at any score from 0.3799 −1012 CMS’s highest score: 2.3133 This hospital: 0.5018 This hospital 0.5018 CMS’s line $0 at any score up to 0.3792 $932K at any score from 0.3799 $0at any score up to 0.3792 $932Kat 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: 0.5018 This hospital 0.5018

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−$931,504
This hospital0.5018−$931,504
CMS’s highest score2.3133−$931,504

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.

($93,263,611payment−$105,985readmissions−$7,263value-based)×1%the cut=$931,504HAC cut

$931,504HAC cut÷5,223traditional Medicare stays=$178per traditional Medicare stay

Figure 4. This site estimates the HAC cut at $932K: 1% of the hospital’s whole inpatient payment, taken last. The readmissions and value-based adjustments, on the base alone, came to −$106K and −$7K.

Estimated Medicare inpatient payments · FY2026 estimate

What traditional Medicare pays it for inpatient stays
DRG payments at the federal rates the base $62,344,374
Many low-income patients (disproportionate share) $1,870,331
Outliers: unusually costly stays $1,230,678
Sole community hospital rate difference $22,625,166
Capital: buildings and equipment $5,193,062
Total, before the three programs $93,263,611
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (0.9983 − 1) −$105,985
Value-based purchasing (HVBP) base × (0.9999 − 1) −$7,263
After these two $93,150,363
HAC Reduction Program 1% of everything above; likely $758K⁠–⁠$1.0M −$931,504
Net of the three programs likely −$1.1M to −$883K −$1,044,752

Not paid to this hospital: a Medicare-dependent hospital add-on, teaching payments, a low-volume adjustment, 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)$62,344,374
Many low-income patients (disproportionate share)$1,870,331
Outliers: unusually costly stays$1,230,678
Sole community hospital rate difference$22,625,166
Capital: buildings and equipment$5,193,062
Total, before the three programs$93,263,611
Readmissions (HRRP) (base × (0.9983 − 1))−$105,985
Value-based purchasing (HVBP) (base × (0.9999 − 1))−$7,263
After these two$93,150,363
HAC Reduction Program (1% of everything above; likely $758K–$1.0M)−$931,504
Net of the three programs (likely −$1.1M to −$883K)−$1,044,752

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 Score0.5018same
Payment reduction decisionYessame
Payment cut1%same
Estimated HAC cut estimate$932Ksame

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 0.5018 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 $932K, 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 901.0180 or lower
CLABSI0.703 or lower
CAUTI0.392 or lower
SSI0.843 or lower
CDI0.109 or lower
MRSA0.497 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 1.1235 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1164

CMS 1.021 · median 0.559 · cap 1.572 · each 0.1 = 0.0387

CMS 0.698 · median 0.489 · cap 1.537 · each 0.1 = 0.0402

CMS 1.273 · median 0.795 · cap 2.118 · each 0.1 = 0.0286

CMS 0.300 · median 0.346 · cap 0.944 · each 0.1 = 0.0645

CMS 0.850 · median 0.641 · cap 1.762 · each 0.1 = 0.0348

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Figure 5. CLABSI added the most to this hospital’s Total HAC Score of 0.5018 among its measured results: +0.1603.
  • PSI 90 +0.1571
  • CLABSI +0.1603
  • CAUTI +0.0607
  • SSI +0.1207
  • CDI −0.0501
  • MRSA +0.0532

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

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

Show table
MeasureZ-scorePart of the scoreHypothetical
PSI 900.9423+0.1571same
CLABSI0.9620+0.1603same
CAUTI0.3639+0.0607same
SSI0.7242+0.1207same
CDI−0.3005−0.0501same
MRSA0.3191+0.0532same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/260006/

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 3 years in a row.

Figure 6. CMS cut this hospital in 3 of the 11 years it made a decision.
highest middle lowest z‑scoresequal weights no scores FY2015: score 4.6000, higher than 34% of scores; not cutFY2016: score 4.0000, higher than 22% of scores; not cutFY2017: score 4.9100, higher than 40% of scores; not cutFY2018: score −0.1515, higher than 40% of scores; not cutFY2019: score −0.1809, higher than 39% of scores; not cutFY2020: score 0.1690, higher than 65% of scores; not cutFY2021: score 0.0317, higher than 55% of scores; not cutFY2022: score −0.2236, higher than 35% of scores; not cutFY2024: score 0.6448, higher than 84% of scores; cutFY2025: score 0.7199, higher than 88% of scores; cutFY2026: score 0.5018, higher than 80% of scores; cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 4.6000, higher than 34% of scores; not cutFY2016: score 4.0000, higher than 22% of scores; not cutFY2017: score 4.9100, higher than 40% of scores; not cutFY2018: score −0.1515, higher than 40% of scores; not cutFY2019: score −0.1809, higher than 39% of scores; not cutFY2020: score 0.1690, higher than 65% of scores; not cutFY2021: score 0.0317, higher than 55% of scores; not cutFY2022: score −0.2236, higher than 35% of scores; not cutFY2024: score 0.6448, higher than 84% of scores; cutFY2025: score 0.7199, higher than 88% of scores; cutFY2026: score 0.5018, higher than 80% 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
FY20154.600034.7%not cut
FY20164.000022.1%not cut
FY20174.910040.3%not cut
FY2018−0.151540.1%not cut
FY2019−0.180939.0%not cut
FY20200.169065.3%not cut
FY20210.031755.1%not cut
FY2022−0.223635.7%not cut
FY2023no decision
FY20240.644884.6%cut
FY20250.719988.7%cut
FY20260.501880.4%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. 3 of its 5 infection measures ended lower than they started.
CLABSI 0.64 → 0.51 1as predicted 0 ’18’21’24 Nation’s middle CLABSI, 2017: 0.640CLABSI, 2018: 1.552CLABSI, 2019: 0.891CLABSI, 2021: 2.100CLABSI, 2022: 1.670CLABSI, 2023: 1.550CLABSI, 2024: 0.505 CAUTI 1.05 → 0.60 1 0 ’18’21’24 CAUTI, 2017: 1.049CAUTI, 2018: 0.817CAUTI, 2019: 0.102CAUTI, 2021: 0.646CAUTI, 2022: 0.884CAUTI, 2023: 0.786CAUTI, 2024: 0.598 SSI, colon 0.69 → 1.37 1 0 ’18’21’24 SSI, colon, 2017: 0.689SSI, colon, 2018: 0.188SSI, colon, 2019: 0.788SSI, colon, 2021: 2.082SSI, colon, 2022: 1.052SSI, colon, 2023: 1.353SSI, colon, 2024: 1.372 MRSA 0.28 → 0.41 1 0 ’18’21’24 MRSA, 2017: 0.283MRSA, 2018: 1.835MRSA, 2019: 0.476MRSA, 2021: 0.477MRSA, 2022: 0.815MRSA, 2023: 1.314MRSA, 2024: 0.413 C. diff 1.27 → 0.27 1 0 ’18’21’24 C. diff, 2017: 1.266C. diff, 2018: 0.966C. diff, 2019: 1.091C. diff, 2021: 0.238C. diff, 2022: 0.336C. diff, 2023: 0.342C. diff, 2024: 0.272 CLABSI 0.64 → 0.51 1as predicted 0 ’18’20’22’24 Nation’s middle CLABSI, 2017: 0.640CLABSI, 2018: 1.552CLABSI, 2019: 0.891CLABSI, 2021: 2.100CLABSI, 2022: 1.670CLABSI, 2023: 1.550CLABSI, 2024: 0.505 CAUTI 1.05 → 0.60 1 0 ’18’20’22’24 CAUTI, 2017: 1.049CAUTI, 2018: 0.817CAUTI, 2019: 0.102CAUTI, 2021: 0.646CAUTI, 2022: 0.884CAUTI, 2023: 0.786CAUTI, 2024: 0.598 SSI, colon 0.69 → 1.37 1 0 ’18’20’22’24 SSI, colon, 2017: 0.689SSI, colon, 2018: 0.188SSI, colon, 2019: 0.788SSI, colon, 2021: 2.082SSI, colon, 2022: 1.052SSI, colon, 2023: 1.353SSI, colon, 2024: 1.372 MRSA 0.28 → 0.41 1 0 ’18’20’22’24 MRSA, 2017: 0.283MRSA, 2018: 1.835MRSA, 2019: 0.476MRSA, 2021: 0.477MRSA, 2022: 0.815MRSA, 2023: 1.314MRSA, 2024: 0.413 C. diff 1.27 → 0.27 1 0 ’18’20’22’24 C. diff, 2017: 1.266C. diff, 2018: 0.966C. diff, 2019: 1.091C. diff, 2021: 0.238C. diff, 2022: 0.336C. diff, 2023: 0.342C. diff, 2024: 0.272

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
20170.6401.0490.6890.2831.266
20181.5520.8170.1881.8350.966
20190.8910.1020.7880.4761.091
20212.1000.6462.0820.4770.238
20221.6700.8841.0520.8150.336
20231.5500.7861.3531.3140.342
20240.5050.5981.3720.4130.272

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 Missouri, its score is higher than 90% of the other 61 scored there.

Figure 8. Its score is above the middle in all 7 groups it belongs to; the share cut runs from 15% (Missouri) to 26% (Nonprofit).
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 Missouri: CMS cut 9 of 62 (15%); middle score 0.0016Missouri 62 hospitals15% cut Not teaching: CMS cut 389 of 1,563 (25%); middle score −0.1053Not teaching 1,563 hospitals25% cut 300 to 499 beds: CMS cut 113 of 523 (22%); middle score −0.0384300 to 499 beds 523 hospitals22% 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: 0.5018 This hospital 0.5018 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 Missouri: CMS cut 9 of 62 (15%); middle score 0.0016Missouri62 hospitals15% cut Not teaching: CMS cut 389 of 1,563 (25%); middle score −0.1053Not teaching1,563 hospitals25% cut 300 to 499 beds: CMS cut 113 of 523 (22%); middle score −0.0384300 to 499 beds523 hospitals22% 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: 0.5018 This hospital 0.5018

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%−0.045380%
Midwest region68317425%−0.026879%
Missouri62915%0.001690%
Not teaching1,56338925%−0.105379%
300 to 499 beds52311322%−0.038485%
Nonprofit1,83047826%−0.013479%
Urban2,24151023%−0.057482%
This hospital0.5018
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 4 of the 8 nearest hospitals; the closest is 29 miles away.
10 mi25 mi50 mi8. University of Kansas Hospital, Kansas City: score −0.0513, not cut, 50 miles87. Truman Medical Center Hospital Hill, Kansas City: score 0.4370, cut, 48 miles76. NKC Health, North Kansas City: score 0.5940, cut, 44 miles65. Providence Medical Center, Kansas City: score 0.8049, cut, 44 miles54. Liberty Hospital, Liberty: score −0.5430, not cut, 39 miles43. Saint Lukes North Hospital, Kansas City: score 0.1635, not cut, 37 miles32. Saint John Hospital, Leavenworth: score 1.0547, cut, 34 miles21. Cameron Regional Medical Center, Cameron: score −0.1950, not cut, 29 miles1This hospital: Mosaic Life Care at St Joseph

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

Show table
HospitalMilesScoreDecision
Cameron Regional Medical Center, Cameron, MO29−0.1950not cut
Saint John Hospital, Leavenworth, KS341.0547cut
Saint Lukes North Hospital, Kansas City, MO370.1635not cut
Liberty Hospital, Liberty, MO39−0.5430not cut
Providence Medical Center, Kansas City, KS440.8049cut
NKC Health, North Kansas City, MO440.5940cut
Truman Medical Center Hospital Hill, Kansas City, MO480.4370cut
University of Kansas Hospital, Kansas City, KS50−0.0513not cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1Cameron Regional Medical CenterCameron, MO29−0.1950No cut$0Above the national median on 1 of 3 measures
2Saint John HospitalLeavenworth, KS341.05471% cut$37KAbove the national median on 1 of 1 measures
3Saint Lukes North HospitalKansas City, MO370.1635No cut$0Above the national median on 3 of 6 measures
4Liberty HospitalLiberty, MO39−0.5430No cut$0Above the national median on 1 of 6 measures
5Providence Medical CenterKansas City, KS440.80491% cut$171KAbove the national median on 3 of 6 measures
6NKC HealthNorth Kansas City, MO440.59401% cut$763KAbove the national median on 3 of 6 measures
7Truman Medical Center Hospital HillKansas City, MO480.43701% cut$315KAbove the national median on 5 of 6 measures
8University of Kansas HospitalKansas City, KS50−0.0513No cut$0Above the national median on 3 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. Mosaic Life Care at St Joseph, Saint Joseph, MO: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/260006/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.