P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalCHI Health Immanuel Estimated FY2026 net: −$34K×

Hospital record · FY2026CCN 280081

1Hospital

CHI Health Immanuel

2Location

Omaha, NE (Nebraska’s hospitals on the map and in the table) 68122

Douglas County

3Type

Minor teaching · 356 beds · Nonprofit · Urban

4Care Compare stars

3 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

−0.3776

As CMS reports it

6Payment reduction

No cut
CMS’s value: No

7Estimated cut

$0
A cut would have been $228K, likely $174⁠–⁠287K estimate

No cut

$0

from this program

For fiscal year 2026, CMS reports a Total HAC Score of −0.3776 for CHI Health Immanuel and a payment reduction decision of No.

A cut would have taken about $228K estimate 1% of about $22.8M, this site’s estimate of what traditional Medicare pays it for inpatient stays in a year plus the teaching payments Medicare makes on its Medicare Advantage patients’ stays. Its score was 0.7575 under 0.3799, the lowest score CMS cut.

Likely range $174–287K

Its score was at or below CMS’s line, so this program did not cut its Medicare payments 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.

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: −0.3776 This hospital −0.3776 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: −0.3776 This hospital −0.3776

Higher than 27% of the other 2,928 scores CMS published (higher is worse).

Its record, fiscal years 2015 to 2026 Never cut in 11 years

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

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 SSI down to the national median (0.795) would lower the score the most: by 0.3609, to −0.7385. Try it in the what-if

Figure 1. Of its 6 measures with a value, this hospital is above the national median on 1; SSI 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 value0.8394

    Z-score−1.0404

    Part of score−0.1734

  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

    Better than 57% of the other 2,181 hospitals

    CMS value0.479

    Z-score−0.2953

    Part of score−0.0492

  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 85% of the other 2,354 hospitals

    CMS value0.000

    Z-score−1.3186

    Part of score−0.2198

  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.

    added the most

    Surgical site infections after colon surgery or abdominal hysterectomy

    Worse than 94% of the other 2,269 hospitals

    CMS value2.059

    Z-score2.0706

    Part of score+0.3451

  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 80% 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 value0.148

    Z-score−0.8891

    Part of score−0.1482

  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

    Better than 78% of the other 2,067 hospitals

    CMS value0.318

    Z-score−0.7927

    Part of score−0.1321

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

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 900.83940.9623−1.0404−0.1734Better than 87% of the other 2,808 hospitals
CLABSI0.4790.559−0.2953−0.0492Better than 57% of the other 2,181 hospitals
CAUTI0.0000.489−1.3186−0.2198Better than 85% of the other 2,354 hospitals
SSI2.0590.7952.0706+0.3451Worse than 94% of the other 2,269 hospitals
CDI0.1480.346−0.8891−0.1482Better than 80% of the other 2,766 hospitals
MRSA0.3180.641−0.7927−0.1321Better than 78% 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.

(−1.0404PSI 90−0.2953CLABSI−1.3186CAUTI+2.0706SSI−0.8891CDI−0.7927MRSA)÷6measures=−0.3776Total HAC Score

Added from the rounded z‑scores CMS published, the parts make −0.3776; CMS reports −0.3776. The small difference is rounding.

This hospital’s score is 0.7575 below 0.3799, the lowest score CMS marked Yes. (This site recomputes.)

Figure 2. The parts add up to −0.3776, below CMS’s line.
1% cut PSI 90: z‑score −1.0404 divided by 6 = −0.1734PSI 90−0.1734 CLABSI: z‑score −0.2953 divided by 6 = −0.0492CLABSI−0.0492 CAUTI: z‑score −1.3186 divided by 6 = −0.2198CAUTI−0.2198 SSI: z‑score 2.0706 divided by 6 = +0.3451SSI+0.3451 CDI: z‑score −0.8891 divided by 6 = −0.1482CDI−0.1482 MRSA: z‑score −0.7927 divided by 6 = −0.1321MRSA−0.1321 Total HAC Score: −0.3776Score−0.3776 CMS’s line: between 0.3792 and 0.3799 CMS’s line −0.4−0.20.00.20.4 1% cut PSI 90: z‑score −1.0404 divided by 6 = −0.1734PSI 90−0.1734 CLABSI: z‑score −0.2953 divided by 6 = −0.0492CLABSI−0.0492 CAUTI: z‑score −1.3186 divided by 6 = −0.2198CAUTI−0.2198 SSI: z‑score 2.0706 divided by 6 = +0.3451SSI+0.3451 CDI: z‑score −0.8891 divided by 6 = −0.1482CDI−0.1482 MRSA: z‑score −0.7927 divided by 6 = −0.1321MRSA−0.1321 Total HAC Score: −0.3776Score−0.3776 CMS’s line: between 0.3792 and 0.3799 CMS’s line −0.4−0.20.00.20.4

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 90−1.0404−0.1734−0.1734
CLABSI−0.2953−0.0492−0.2226
CAUTI−1.3186−0.2198−0.4424
SSI2.0706+0.3451−0.0973
CDI−0.8891−0.1482−0.2455
MRSA−0.7927−0.1321−0.3776
Total HAC Score−0.3776
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, 0.7575 under the lowest score CMS cut, costs it nothing; 0.7575 higher, the cut would have been about $228K by this site’s estimate, the same as at CMS’s highest score, 2.3133.
CMS’s line $0 at any score up to 0.3792 $228K at any score from 0.3799 $0at any score up to 0.3792 $228K at any score from 0.3799 −1012 CMS’s highest score: 2.3133 CMS’s highest score 2.3133 This hospital: −0.3776 This hospital −0.3776 CMS’s line $0 at any score up to 0.3792 $228K at any score from 0.3799 $0at any score up to 0.3792 $228Kat 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: −0.3776 This hospital −0.3776

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−$227,943
This hospital−0.3776$0
CMS’s highest score2.3133−$227,943

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.

($22,154,671payment+$673,632teaching, MA stays−$16,715readmissions−$17,316value-based)×1%the cut=$227,943at stake

$227,943at stake÷1,404traditional Medicare stays=$162per traditional Medicare stay

Figure 4. No HAC cut this year; 1% of the hospital’s whole inpatient payment would have been about $228K by this site’s estimate. The readmissions and value-based adjustments, on the base alone, came to −$17K and −$17K.

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 $16,714,737
Teaching (indirect medical education) $471,690
Teaching on Medicare Advantage stays $673,632
Many low-income patients (disproportionate share) $1,108,187
Outliers: unusually costly stays $542,059
Capital: buildings and equipment $1,482,274
Uncompensated care $1,835,724
Total, before the three programs $22,828,303
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (0.9990 − 1) −$16,715
Value-based purchasing (HVBP) base × (0.9990 − 1) −$17,316
After these two $22,794,272
HAC Reduction Program no cut; 1% would have been $227,943 $0
Net of the three programs likely −$40K to −$27K −$34,031

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)$16,714,737
Teaching (indirect medical education)$471,690
Teaching on Medicare Advantage stays$673,632
Many low-income patients (disproportionate share)$1,108,187
Outliers: unusually costly stays$542,059
Capital: buildings and equipment$1,482,274
Uncompensated care$1,835,724
Total, before the three programs$22,828,303
Readmissions (HRRP) (base × (0.9990 − 1))−$16,715
Value-based purchasing (HVBP) (base × (0.9990 − 1))−$17,316
After these two$22,794,272
HAC Reduction Program (no cut; 1% would have been $227,943)$0
Net of the three programs (likely −$40K to −$27K)−$34,031

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 Score−0.3776same
Payment reduction decisionNosame
Payment cut0%same
Estimated HAC cut estimate$0same

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 −0.3776 and a payment reduction decision of No.

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.

How much cushion?

Staying at or under CMS’s line keeps about $228K out of this program’s cut, this site estimates: a score a hair over would cost all of it.

From CMS’s values, one measure at a time, with every other measure held at CMS’s value.

MeasureHighest value that keeps No
PSI 90any value: every PSI 90 value past the cap (1.3482) scores the same
CLABSIany value: every CLABSI value past the cap (1.572) scores the same
CAUTIany value: every CAUTI value past the cap (1.537) scores the same
SSIany value: every SSI value past the cap (2.118) scores the same
CDIany value: every CDI value past the cap (0.944) scores the same
MRSAany value: every MRSA value past the cap (1.762) scores the same

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 0.8394 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1164

CMS 0.479 · median 0.559 · cap 1.572 · each 0.1 = 0.0387

CMS 0.000 · median 0.489 · cap 1.537 · each 0.1 = 0.0402

CMS 2.059 · median 0.795 · cap 2.118 · each 0.1 = 0.0286

CMS 0.148 · median 0.346 · cap 0.944 · each 0.1 = 0.0645

CMS 0.318 · median 0.641 · cap 1.762 · each 0.1 = 0.0348

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Figure 5. SSI added the most to this hospital’s Total HAC Score of −0.3776 among its measured results: +0.3451.
  • PSI 90 −0.1734
  • CLABSI −0.0492
  • CAUTI −0.2198
  • SSI +0.3451
  • CDI −0.1482
  • MRSA −0.1321

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 90−1.0404−0.1734same
CLABSI−0.2953−0.0492same
CAUTI−1.3186−0.2198same
SSI2.0706+0.3451same
CDI−0.8891−0.1482same
MRSA−0.7927−0.1321same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/280081/

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.

Figure 6. CMS made a decision on this hospital in 11 years and never cut it.
highest middle lowest z‑scoresequal weights no scores FY2015: score 6.5250, higher than 66% of scores; not cutFY2016: score 3.5000, higher than 16% of scores; not cutFY2017: score 2.6000, higher than 11% of scores; not cutFY2018: score −0.7011, higher than 13% of scores; not cutFY2019: score 0.0488, higher than 55% of scores; not cutFY2020: score −0.2834, higher than 31% of scores; not cutFY2021: score −0.6909, higher than 12% of scores; not cutFY2022: score −0.2493, higher than 34% of scores; not cutFY2024: score −0.5870, higher than 15% of scores; not cutFY2025: score −0.3847, higher than 25% of scores; not cutFY2026: score −0.3776, higher than 27% of scores; not cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 6.5250, higher than 66% of scores; not cutFY2016: score 3.5000, higher than 16% of scores; not cutFY2017: score 2.6000, higher than 11% of scores; not cutFY2018: score −0.7011, higher than 13% of scores; not cutFY2019: score 0.0488, higher than 55% of scores; not cutFY2020: score −0.2834, higher than 31% of scores; not cutFY2021: score −0.6909, higher than 12% of scores; not cutFY2022: score −0.2493, higher than 34% of scores; not cutFY2024: score −0.5870, higher than 15% of scores; not cutFY2025: score −0.3847, higher than 25% of scores; not cutFY2026: score −0.3776, higher than 27% 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
FY20156.525066.5%not cut
FY20163.500016.7%not cut
FY20172.600011.8%not cut
FY2018−0.701113.7%not cut
FY20190.048855.8%not cut
FY2020−0.283431.5%not cut
FY2021−0.690912.7%not cut
FY2022−0.249334.4%not cut
FY2023no decision
FY2024−0.587015.2%not cut
FY2025−0.384725.9%not cut
FY2026−0.377627.5%not 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 1.89 → 0.00 1as predicted 0 ’18’21’24 Nation’s middle CLABSI, 2017: 1.894CLABSI, 2018: 0.323CLABSI, 2019: 0.291CLABSI, 2021: 0.000CLABSI, 2022: 0.331CLABSI, 2023: 0.960CLABSI, 2024: 0.000 CAUTI 1.06 → 0.00 1 0 ’18’21’24 CAUTI, 2017: 1.058CAUTI, 2018: 0.362CAUTI, 2019: 0.649CAUTI, 2021: 0.663CAUTI, 2022: 0.978CAUTI, 2023: 0.000CAUTI, 2024: 0.000 SSI, colon 0.00 → 1.91 1 0 ’18’21’24 SSI, colon, 2017: 0.000SSI, colon, 2018: 0.000SSI, colon, 2022: 0.590SSI, colon, 2023: 2.063SSI, colon, 2024: 1.910 MRSA 2.45 → 0.30 1 0 ’18’21’24 MRSA, 2017: 2.452MRSA, 2018: 0.000MRSA, 2019: 0.455MRSA, 2021: 1.374MRSA, 2022: 0.000MRSA, 2023: 0.340MRSA, 2024: 0.299 C. diff 0.50 → 0.14 1 0 ’18’21’24 C. diff, 2017: 0.497C. diff, 2018: 0.235C. diff, 2019: 0.211C. diff, 2021: 0.337C. diff, 2022: 0.237C. diff, 2023: 0.154C. diff, 2024: 0.143 CLABSI 1.89 → 0.00 1as predicted 0 ’18’20’22’24 Nation’s middle CLABSI, 2017: 1.894CLABSI, 2018: 0.323CLABSI, 2019: 0.291CLABSI, 2021: 0.000CLABSI, 2022: 0.331CLABSI, 2023: 0.960CLABSI, 2024: 0.000 CAUTI 1.06 → 0.00 1 0 ’18’20’22’24 CAUTI, 2017: 1.058CAUTI, 2018: 0.362CAUTI, 2019: 0.649CAUTI, 2021: 0.663CAUTI, 2022: 0.978CAUTI, 2023: 0.000CAUTI, 2024: 0.000 SSI, colon 0.00 → 1.91 1 0 ’18’20’22’24 SSI, colon, 2017: 0.000SSI, colon, 2018: 0.000SSI, colon, 2022: 0.590SSI, colon, 2023: 2.063SSI, colon, 2024: 1.910 MRSA 2.45 → 0.30 1 0 ’18’20’22’24 MRSA, 2017: 2.452MRSA, 2018: 0.000MRSA, 2019: 0.455MRSA, 2021: 1.374MRSA, 2022: 0.000MRSA, 2023: 0.340MRSA, 2024: 0.299 C. diff 0.50 → 0.14 1 0 ’18’20’22’24 C. diff, 2017: 0.497C. diff, 2018: 0.235C. diff, 2019: 0.211C. diff, 2021: 0.337C. diff, 2022: 0.237C. diff, 2023: 0.154C. diff, 2024: 0.143

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
20171.8941.0580.0002.4520.497
20180.3230.3620.0000.0000.235
20190.2910.6490.4550.211
20210.0000.6631.3740.337
20220.3310.9780.5900.0000.237
20230.9600.0002.0630.3400.154
20240.0000.0001.9100.2990.143

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 Nebraska, its score is higher than 34% of the other 23 scored there.

In Omaha, NE-IA area, its score is higher than 45% of the other 11 scored there.

Figure 8. Its score is below the middle in all 8 groups it belongs to; the share cut runs from 21% (Minor teaching) 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 Nebraska: CMS cut 6 of 24 (25%); middle score −0.0063Nebraska 24 hospitals25% cut Omaha, NE-IA area: CMS cut 3 of 12 (25%); middle score −0.2822Omaha, NE-IA area 12 hospitals25% cut Minor teaching: CMS cut 181 of 873 (21%); middle score −0.0567Minor teaching 873 hospitals21% 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: −0.3776 This hospital −0.3776 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 Nebraska: CMS cut 6 of 24 (25%); middle score −0.0063Nebraska24 hospitals25% cut Omaha, NE-IA area: CMS cut 3 of 12 (25%); middle score −0.2822Omaha, NE-IA area12 hospitals25% cut Minor teaching: CMS cut 181 of 873 (21%); middle score −0.0567Minor teaching873 hospitals21% 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: −0.3776 This hospital −0.3776

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%−0.045327%
Midwest region68317425%−0.026825%
Nebraska24625%−0.006334%
Omaha, NE-IA area12325%−0.282245%
Minor teaching87318121%−0.056723%
300 to 499 beds52311322%−0.038420%
Nonprofit1,83047826%−0.013423%
Urban2,24151023%−0.057426%
This hospital−0.3776
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 less than a mile away.
5 mi10 mi8. CHI Health Mercy Council Bluffs, Council Bluffs: score −0.0259, not cut, 13 miles87. CHI Health Lakeside, Omaha: score −0.4107, not cut, 11 miles76. Nebraska Orthopaedic Hospital, Omaha: score −0.1867, not cut, 10 miles65. CHI Health Bergan Mercy, Omaha: score −0.5216, not cut, 9 miles54. Midwest Surgical Hospital LLC, Omaha: score −0.7399, not cut, 7 miles43. The Nebraska Medical Center, Omaha: score 0.1187, not cut, 7 miles32. The Nebraska Methodist Hospital, Omaha: score 0.3984, cut, 7 miles21. Nebraska Spine Hospital, LLC, Omaha: score 1.0027, cut, less than a mile1This hospital: CHI Health Immanuel

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

Show table
HospitalMilesScoreDecision
Nebraska Spine Hospital, LLC, Omaha, NEunder 11.0027cut
The Nebraska Methodist Hospital, Omaha, NE70.3984cut
The Nebraska Medical Center, Omaha, NE70.1187not cut
Midwest Surgical Hospital LLC, Omaha, NE7−0.7399not cut
CHI Health Bergan Mercy, Omaha, NE9−0.5216not cut
Nebraska Orthopaedic Hospital, Omaha, NE10−0.1867not cut
CHI Health Lakeside, Omaha, NE11−0.4107not cut
CHI Health Mercy Council Bluffs, Council Bluffs, IA13−0.0259not cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1Nebraska Spine Hospital, LLCOmaha, NEunder 11.00271% cut$103KAbove the national median on 1 of 1 measures
2The Nebraska Methodist HospitalOmaha, NE70.39841% cut$946KAbove the national median on 5 of 6 measures
3The Nebraska Medical CenterOmaha, NE70.1187No cut$0Above the national median on 3 of 6 measures
4Midwest Surgical Hospital LLCOmaha, NE7−0.7399No cut$0Above the national median on 0 of 1 measures
5CHI Health Bergan MercyOmaha, NE9−0.5216No cut$0Above the national median on 1 of 6 measures
6Nebraska Orthopaedic HospitalOmaha, NE10−0.1867No cut$0Above the national median on 0 of 1 measures
7CHI Health LakesideOmaha, NE11−0.4107No cut$0Above the national median on 2 of 6 measures
8CHI Health Mercy Council BluffsCouncil Bluffs, IA13−0.0259No 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. CHI Health Immanuel, Omaha, NE: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/280081/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.