P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalSt Joseph Hospital Estimated FY2026 net: −$69K×

Hospital record · FY2026CCN 300011

1Hospital

St Joseph Hospital

2Location

Nashua, NH (New Hampshire’s hospitals on the map and in the table) 03060

Hillsborough County

3Type

Not a teaching hospital · 208 beds · Nonprofit · Urban

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

−0.6098

As CMS reports it

6Payment reduction

No cut
CMS’s value: No

7Estimated cut

$0
A cut would have been $220K, likely $167⁠–⁠276K estimate

No cut

$0

from this program

For fiscal year 2026, CMS reports a Total HAC Score of −0.6098 for St Joseph Hospital and a payment reduction decision of No.

A cut would have taken about $220K estimate 1% of about $22.0M, this site’s estimate of what traditional Medicare pays it for inpatient stays in a year. Its score was 0.9897 under 0.3799, the lowest score CMS cut.

Likely range $167–276K

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: −0.6098 This hospital −0.6098 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: −0.6098 This hospital −0.6098

Higher than 15% of the other 2,928 scores CMS published (higher is worse).

Its record, fiscal years 2015 to 2026 Cut in 1 of 11 years

  1. 15No
  2. 16No
  3. 17No
  4. 18No
  5. 19No
  6. 20No
  7. 21No
  8. 22Cut
  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 MRSA down to the national median (0.641) would lower the score the most: by 0.1000, to −0.7098. Try it in the what-if

Figure 1. Of its 6 measures with a value, this hospital is above the national median on 1; MRSA 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 65% 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 value0.9244

    Z-score−0.4472

    Part of score−0.0745

  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 82% of the other 2,181 hospitals

    CMS value0.169

    Z-score−1.0144

    Part of score−0.1691

  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 82% of the other 2,354 hospitals

    CMS value0.148

    Z-score−0.9619

    Part of score−0.1603

  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

    Better than 80% of the other 2,269 hospitals

    CMS value0.317

    Z-score−0.9135

    Part of score−0.1523

  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 77% 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 value0.170

    Z-score−0.8039

    Part of score−0.1340

  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.

    added the most

    MRSA bloodstream infections

    Worse than 72% of the other 2,067 hospitals

    CMS value0.928

    Z-score0.4822

    Part of score+0.0804

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

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 900.92440.9623−0.4472−0.0745Better than 65% of the other 2,808 hospitals
CLABSI0.1690.559−1.0144−0.1691Better than 82% of the other 2,181 hospitals
CAUTI0.1480.489−0.9619−0.1603Better than 82% of the other 2,354 hospitals
SSI0.3170.795−0.9135−0.1523Better than 80% of the other 2,269 hospitals
CDI0.1700.346−0.8039−0.1340Better than 77% of the other 2,766 hospitals
MRSA0.9280.6410.4822+0.0804Worse than 72% 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.

(−0.4472PSI 90−1.0144CLABSI−0.9619CAUTI−0.9135SSI−0.8039CDI+0.4822MRSA)÷6measures=−0.6098Total HAC Score

Added from the rounded z‑scores CMS published, the parts make −0.6098; CMS reports −0.6098. The small difference is rounding.

This hospital’s score is 0.9897 below 0.3799, the lowest score CMS marked Yes. (This site recomputes.)

Figure 2. The parts add up to −0.6098, below CMS’s line.
1% cut PSI 90: z‑score −0.4472 divided by 6 = −0.0745PSI 90−0.0745 CLABSI: z‑score −1.0144 divided by 6 = −0.1691CLABSI−0.1691 CAUTI: z‑score −0.9619 divided by 6 = −0.1603CAUTI−0.1603 SSI: z‑score −0.9135 divided by 6 = −0.1523SSI−0.1523 CDI: z‑score −0.8039 divided by 6 = −0.1340CDI−0.1340 MRSA: z‑score 0.4822 divided by 6 = +0.0804MRSA+0.0804 Total HAC Score: −0.6098Score−0.6098 CMS’s line: between 0.3792 and 0.3799 CMS’s line −0.8−0.6−0.4−0.20.00.20.4 1% cut PSI 90: z‑score −0.4472 divided by 6 = −0.0745PSI 90−0.0745 CLABSI: z‑score −1.0144 divided by 6 = −0.1691CLABSI−0.1691 CAUTI: z‑score −0.9619 divided by 6 = −0.1603CAUTI−0.1603 SSI: z‑score −0.9135 divided by 6 = −0.1523SSI−0.1523 CDI: z‑score −0.8039 divided by 6 = −0.1340CDI−0.1340 MRSA: z‑score 0.4822 divided by 6 = +0.0804MRSA+0.0804 Total HAC Score: −0.6098Score−0.6098 CMS’s line: between 0.3792 and 0.3799 CMS’s line −0.8−0.6−0.4−0.20.00.20.4

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 90−0.4472−0.0745−0.0745
CLABSI−1.0144−0.1691−0.2436
CAUTI−0.9619−0.1603−0.4039
SSI−0.9135−0.1523−0.5562
CDI−0.8039−0.1340−0.6902
MRSA0.4822+0.0804−0.6098
Total HAC Score−0.6098
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, 0.9897 under the lowest score CMS cut, costs it nothing; 0.9897 higher, the cut would have been about $220K 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 $220K at any score from 0.3799 $0at any score up to 0.3792 $220K at any score from 0.3799 −1012 CMS’s highest score: 2.3133 CMS’s highest score 2.3133 This hospital: −0.6098 This hospital −0.6098 CMS’s line $0 at any score up to 0.3792 $220K at any score from 0.3799 $0at any score up to 0.3792 $220Kat 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: −0.6098 This hospital −0.6098

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−$219,512
This hospital−0.6098$0
CMS’s highest score2.3133−$219,512

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.

($22,020,216payment−$9,886readmissions−$59,118value-based)×1%the cut=$219,512at stake

$219,512at stake÷1,816traditional Medicare stays=$121per traditional Medicare stay

Figure 4. No HAC cut this year; 1% of the hospital’s whole inpatient payment would have been about $220K by this site’s estimate. The readmissions and value-based adjustments, on the base alone, came to −$10K and −$59K.

Estimated Medicare inpatient payments · FY2026 estimate

What traditional Medicare pays it for inpatient stays
DRG payments at the federal rates the base $19,772,965
Outliers: unusually costly stays $648,553
Capital: buildings and equipment $1,598,698
Total, before the three programs $22,020,216
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (0.9995 − 1) −$9,886
Value-based purchasing (HVBP) base × (0.9970 − 1) −$59,118
After these two $21,951,212
HAC Reduction Program no cut; 1% would have been $219,512 $0
Net of the three programs likely −$81K to −$56K −$69,004

Not paid to this hospital: a Medicare-dependent hospital add-on, teaching payments, low-income-patient payments, a sole community hospital rate difference, 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)$19,772,965
Outliers: unusually costly stays$648,553
Capital: buildings and equipment$1,598,698
Total, before the three programs$22,020,216
Readmissions (HRRP) (base × (0.9995 − 1))−$9,886
Value-based purchasing (HVBP) (base × (0.9970 − 1))−$59,118
After these two$21,951,212
HAC Reduction Program (no cut; 1% would have been $219,512)$0
Net of the three programs (likely −$81K to −$56K)−$69,004

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−0.6098same
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 −0.6098 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 $220K 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 0.9244 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1164

CMS 0.169 · median 0.559 · cap 1.572 · each 0.1 = 0.0387

CMS 0.148 · median 0.489 · cap 1.537 · each 0.1 = 0.0402

CMS 0.317 · median 0.795 · cap 2.118 · each 0.1 = 0.0286

CMS 0.170 · median 0.346 · cap 0.944 · each 0.1 = 0.0645

CMS 0.928 · median 0.641 · cap 1.762 · each 0.1 = 0.0348

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Figure 5. MRSA added the most to this hospital’s Total HAC Score of −0.6098 among its measured results: +0.0804.
  • PSI 90 −0.0745
  • CLABSI −0.1691
  • CAUTI −0.1603
  • SSI −0.1523
  • CDI −0.1340
  • MRSA +0.0804

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 90−0.4472−0.0745same
CLABSI−1.0144−0.1691same
CAUTI−0.9619−0.1603same
SSI−0.9135−0.1523same
CDI−0.8039−0.1340same
MRSA0.4822+0.0804same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/300011/

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 cut this hospital in 1 of the 11 years it made a decision.
highest middle lowest z‑scoresequal weights no scores FY2015: score 6.4250, higher than 65% of scores; not cutFY2016: score 4.7500, higher than 33% of scores; not cutFY2017: score 6.4700, higher than 74% of scores; not cutFY2018: score 0.0552, higher than 57% of scores; not cutFY2019: score −0.3021, higher than 30% of scores; not cutFY2020: score −0.4121, higher than 24% of scores; not cutFY2021: score 0.0556, higher than 57% of scores; not cutFY2022: score 0.3114, higher than 75% of scores; cutFY2024: score −0.6041, higher than 14% of scores; not cutFY2025: score −0.5960, higher than 15% of scores; not cutFY2026: score −0.6098, higher than 15% of scores; not cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 6.4250, higher than 65% of scores; not cutFY2016: score 4.7500, higher than 33% of scores; not cutFY2017: score 6.4700, higher than 74% of scores; not cutFY2018: score 0.0552, higher than 57% of scores; not cutFY2019: score −0.3021, higher than 30% of scores; not cutFY2020: score −0.4121, higher than 24% of scores; not cutFY2021: score 0.0556, higher than 57% of scores; not cutFY2022: score 0.3114, higher than 75% of scores; cutFY2024: score −0.6041, higher than 14% of scores; not cutFY2025: score −0.5960, higher than 15% of scores; not cutFY2026: score −0.6098, higher than 15% 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
FY20156.425065.9%not cut
FY20164.750033.4%not cut
FY20176.470074.3%not cut
FY20180.055257.2%not cut
FY2019−0.302130.8%not cut
FY2020−0.412124.2%not cut
FY20210.055657.0%not cut
FY20220.311475.5%cut
FY2023no decision
FY2024−0.604114.8%not cut
FY2025−0.596015.9%not cut
FY2026−0.609815.1%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. 2 of its 5 infection measures ended lower than they started.
CLABSI 0.00 → 0.00 1as predicted 0 ’18’21’24 Nation’s middle CLABSI, 2017: 0.000CLABSI, 2018: 0.000CLABSI, 2019: 1.121CLABSI, 2021: 0.000CLABSI, 2022: 0.000CLABSI, 2023: 0.336CLABSI, 2024: 0.000 CAUTI 0.31 → 0.00 1 0 ’18’21’24 CAUTI, 2017: 0.313CAUTI, 2018: 0.315CAUTI, 2019: 0.861CAUTI, 2021: 0.682CAUTI, 2022: 1.042CAUTI, 2023: 0.299CAUTI, 2024: 0.000 SSI, colon 0.00 → 0.66 1 0 ’18’21’24 SSI, colon, 2017: 0.000SSI, colon, 2018: 0.000SSI, colon, 2019: 0.978SSI, colon, 2021: 0.000SSI, colon, 2022: 0.000SSI, colon, 2023: 0.000SSI, colon, 2024: 0.656 MRSA 0.00 → 0.47 1 0 ’18’21’24 MRSA, 2018: 0.000MRSA, 2019: 0.893MRSA, 2021: 0.000MRSA, 2022: 0.000MRSA, 2023: 1.364MRSA, 2024: 0.473 C. diff 1.01 → 0.24 1 0 ’18’21’24 C. diff, 2017: 1.013C. diff, 2018: 1.099C. diff, 2019: 0.816C. diff, 2021: 0.271C. diff, 2022: 0.285C. diff, 2023: 0.090C. diff, 2024: 0.242 CLABSI 0.00 → 0.00 1as predicted 0 ’18’20’22’24 Nation’s middle CLABSI, 2017: 0.000CLABSI, 2018: 0.000CLABSI, 2019: 1.121CLABSI, 2021: 0.000CLABSI, 2022: 0.000CLABSI, 2023: 0.336CLABSI, 2024: 0.000 CAUTI 0.31 → 0.00 1 0 ’18’20’22’24 CAUTI, 2017: 0.313CAUTI, 2018: 0.315CAUTI, 2019: 0.861CAUTI, 2021: 0.682CAUTI, 2022: 1.042CAUTI, 2023: 0.299CAUTI, 2024: 0.000 SSI, colon 0.00 → 0.66 1 0 ’18’20’22’24 SSI, colon, 2017: 0.000SSI, colon, 2018: 0.000SSI, colon, 2019: 0.978SSI, colon, 2021: 0.000SSI, colon, 2022: 0.000SSI, colon, 2023: 0.000SSI, colon, 2024: 0.656 MRSA 0.00 → 0.47 1 0 ’18’20’22’24 MRSA, 2018: 0.000MRSA, 2019: 0.893MRSA, 2021: 0.000MRSA, 2022: 0.000MRSA, 2023: 1.364MRSA, 2024: 0.473 C. diff 1.01 → 0.24 1 0 ’18’20’22’24 C. diff, 2017: 1.013C. diff, 2018: 1.099C. diff, 2019: 0.816C. diff, 2021: 0.271C. diff, 2022: 0.285C. diff, 2023: 0.090C. diff, 2024: 0.242

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
20170.0000.3130.0001.013
20180.0000.3150.0000.0001.099
20191.1210.8610.9780.8930.816
20210.0000.6820.0000.0000.271
20220.0001.0420.0000.0000.285
20230.3360.2990.0001.3640.090
20240.0000.0000.6560.4730.242

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 New Hampshire, its score is higher than 8% of the other 12 scored there.

Figure 8. Its score is below the middle in all 7 groups it belongs to; the share cut runs from 23% (Urban) to 38% (New Hampshire).
All hospitals: CMS cut 718 of 2,886 (25%); middle score −0.0453All hospitals 2,886 hospitals25% cut Northeast region: CMS cut 124 of 436 (28%); middle score 0.0478Northeast region 436 hospitals28% cut New Hampshire: CMS cut 5 of 13 (38%); middle score −0.0970New Hampshire 13 hospitals38% cut Not teaching: CMS cut 389 of 1,563 (25%); middle score −0.1053Not teaching 1,563 hospitals25% 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: −0.6098 This hospital −0.6098 All hospitals: CMS cut 718 of 2,886 (25%); middle score −0.0453All hospitals2,886 hospitals25% cut Northeast region: CMS cut 124 of 436 (28%); middle score 0.0478Northeast region436 hospitals28% cut New Hampshire: CMS cut 5 of 13 (38%); middle score −0.0970New Hampshire13 hospitals38% cut Not teaching: CMS cut 389 of 1,563 (25%); middle score −0.1053Not teaching1,563 hospitals25% 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: −0.6098 This hospital −0.6098

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%−0.045315%
Northeast region43612428%0.047811%
New Hampshire13538%−0.09708%
Not teaching1,56338925%−0.105320%
100 to 299 beds1,19327523%−0.073215%
Nonprofit1,83047826%−0.013411%
Urban2,24151023%−0.057414%
This hospital−0.6098
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 about a mile away.
5 mi10 mi8. Catholic Medical Center, Manchester: score 0.8005, cut, 18 miles87. Merrimack Health Lawrence Hospital, Lawrence: score −0.2448, not cut, 17 miles76. Elliot Hospital, Manchester: score 0.6443, cut, 16 miles65. Holy Family Hospital, Methuen: score −0.0166, not cut, 16 miles54. Nashoba Valley Medical Center, Ayer: score 0.3424, not cut, 14 miles43. Parkland Medical Center, Derry: score −0.1871, not cut, 12 miles32. Lowell General Hospital, Lowell: score 1.0519, cut, 10 miles21. Southern NH Medical Center, Nashua: score 0.3958, cut, about a mile1This hospital: St Joseph Hospital

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

Show table
HospitalMilesScoreDecision
Southern NH Medical Center, Nashua, NH10.3958cut
Lowell General Hospital, Lowell, MA101.0519cut
Parkland Medical Center, Derry, NH12−0.1871not cut
Nashoba Valley Medical Center, Ayer, MA140.3424not cut
Holy Family Hospital, Methuen, MA16−0.0166not cut
Elliot Hospital, Manchester, NH160.6443cut
Merrimack Health Lawrence Hospital, Lawrence, MA17−0.2448not cut
Catholic Medical Center, Manchester, NH180.8005cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1Southern NH Medical CenterNashua, NH10.39581% cut$312KAbove the national median on 5 of 6 measures
2Lowell General HospitalLowell, MA101.05191% cut$735KAbove the national median on 5 of 6 measures
3Parkland Medical CenterDerry, NH12−0.1871No cut$0Above the national median on 2 of 5 measures
4Nashoba Valley Medical CenterAyer, MA140.3424No cut$0Above the national median on 2 of 2 measures
5Holy Family HospitalMethuen, MA16−0.0166No cut$0Above the national median on 3 of 6 measures
6Elliot HospitalManchester, NH160.64431% cut$461KAbove the national median on 4 of 6 measures
7Merrimack Health Lawrence HospitalLawrence, MA17−0.2448No cut$0Above the national median on 2 of 6 measures
8Catholic Medical CenterManchester, NH180.80051% cut$665KAbove the national median on 5 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. St Joseph Hospital, Nashua, NH: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/300011/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.