P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalDeborah Heart and Lung Center Estimated FY2026 net: −$241K×

Hospital record · FY2026CCN 310031

1Hospital

Deborah Heart and Lung Center

2Location

Browns Mills, NJ (New Jersey’s hospitals on the map and in the table) 08015

Burlington County

3Type

Major teaching · 161 beds · Nonprofit · Urban · Medicare-dependent hospital

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

−0.1407

As CMS reports it

6Payment reduction

No cut
CMS’s value: No

7Estimated cut

$0
A cut would have been $447K, likely $320⁠–⁠501K estimate

No cut

$0

from this program

For fiscal year 2026, CMS reports a Total HAC Score of −0.1407 for Deborah Heart and Lung Center and a payment reduction decision of No.

A cut would have taken about $447K estimate 1% of about $44.7M, 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 0.5206 under 0.3799, the lowest score CMS cut.

Likely range $320–501K

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: −0.1407 This hospital −0.1407 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: −0.1407 This hospital −0.1407

Higher than 43% 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. 19Cut
  6. 20Cut
  7. 21Cut
  8. 22No
  9. 23—
  10. 24No
  11. 25No
  12. 26No

Where the score came from

CMS scored this hospital on 5 of the 6 measures. On every measure a lower value is better. Each row puts the hospital among every hospital with a value: the gray columns are those hospitals, the tall tick is the national median, and the hatched ends score the same as CMS’s floor or cap.

Bringing PSI 90 down to the national median (0.9623) would lower the score the most: by 0.5388, to −0.6795. Try it in the what-if

Figure 1. Of its 5 measures with a value, this hospital is above the national median on 1; PSI 90 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.

    added the most

    Patient safety and adverse events composite

    Worse than 98% 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 value1.6271

    Z-score2.5111

    Part of score+0.5022

  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 52% of the other 2,181 hospitals

    CMS value0.535

    Z-score−0.1654

    Part of score−0.0331

  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−0.2637

  4. SSI (what it counts)

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

    Surgical site infections after colon surgery or abdominal hysterectomy

    Not scored on this measure

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

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

    CMS valueno value published

    Z-scoreno value published

    Part of scoreno value published

  5. CDI (what it counts)

    C. diff infections, which cause diarrhea and inflammation of the colon, found by a lab test and starting in the hospital. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    Clostridioides difficile (C. diff) infections

    Better than 56% 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 value0.307

    Z-score−0.2734

    Part of score−0.0547

  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 87% of the other 2,067 hospitals

    CMS value0.000

    Z-score−1.4573

    Part of score−0.2915

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

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 901.62710.96232.5111+0.5022Worse than 98% of the other 2,808 hospitals
CLABSI0.5350.559−0.1654−0.0331Better than 52% of the other 2,181 hospitals
CAUTI0.0000.489−1.3186−0.2637Better than 85% of the other 2,354 hospitals
SSIno value published0.795no value publishedno value publishedNot scored on this measure
CDI0.3070.346−0.2734−0.0547Better than 56% of the other 2,766 hospitals
MRSA0.0000.641−1.4573−0.2915Better than 87% 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 5; a bar right of zero raised the score and one left of zero lowered it.

(2.5111PSI 90−0.1654CLABSI−1.3186CAUTI−0.2734CDI−1.4573MRSA)÷5measures=−0.1407Total HAC Score

Added from the rounded z‑scores CMS published, the parts make −0.1407; CMS reports −0.1407. The small difference is rounding.

This hospital’s score is 0.5206 below 0.3799, the lowest score CMS marked Yes. (This site recomputes.)

Figure 2. The parts add up to −0.1407, below CMS’s line.
1% cut PSI 90: z‑score 2.5111 divided by 5 = +0.5022PSI 90+0.5022 CLABSI: z‑score −0.1654 divided by 5 = −0.0331CLABSI−0.0331 CAUTI: z‑score −1.3186 divided by 5 = −0.2637CAUTI−0.2637 CDI: z‑score −0.2734 divided by 5 = −0.0547CDI−0.0547 MRSA: z‑score −1.4573 divided by 5 = −0.2915MRSA−0.2915 Total HAC Score: −0.1407Score−0.1407 CMS’s line: between 0.3792 and 0.3799 CMS’s line −0.20.00.20.40.6 1% cut PSI 90: z‑score 2.5111 divided by 5 = +0.5022PSI 90+0.5022 CLABSI: z‑score −0.1654 divided by 5 = −0.0331CLABSI−0.0331 CAUTI: z‑score −1.3186 divided by 5 = −0.2637CAUTI−0.2637 CDI: z‑score −0.2734 divided by 5 = −0.0547CDI−0.0547 MRSA: z‑score −1.4573 divided by 5 = −0.2915MRSA−0.2915 Total HAC Score: −0.1407Score−0.1407 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 902.5111+0.50220.5022
CLABSI−0.1654−0.03310.4691
CAUTI−1.3186−0.26370.2054
CDI−0.2734−0.05470.1507
MRSA−1.4573−0.2915−0.1408
Total HAC Score−0.1407
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, 0.5206 under the lowest score CMS cut, costs it nothing; 0.5206 higher, the cut would have been about $447K 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 $447K at any score from 0.3799 $0at any score up to 0.3792 $447K at any score from 0.3799 −1012 CMS’s highest score: 2.3133 CMS’s highest score 2.3133 This hospital: −0.1407 This hospital −0.1407 CMS’s line $0 at any score up to 0.3792 $447K at any score from 0.3799 $0at any score up to 0.3792 $447Kat 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: −0.1407 This hospital −0.1407

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−$446,701
This hospital−0.1407$0
CMS’s highest score2.3133−$446,701

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.

($41,025,847payment+$3,885,658teaching, MA stays−$360,160readmissions+$118,765value-based)×1%the cut=$446,701at stake

$446,701at stake÷1,239traditional Medicare stays=$361per traditional Medicare stay

Figure 4. No HAC cut this year; 1% of the hospital’s whole inpatient payment would have been about $447K by this site’s estimate. The readmissions and value-based adjustments, on the base alone, came to −$360K and +$119K.

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 $26,700,093
Medicare-dependent hospital add-on $6,648,049
Base payment the base $33,348,142
Teaching (indirect medical education) $4,573,993
Teaching on Medicare Advantage stays $3,885,658
Outliers: unusually costly stays $676,847
Capital: buildings and equipment $2,426,865
Total, before the three programs $44,911,505
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (0.9892 − 1) −$360,160
Value-based purchasing (HVBP) base × (1.0036 − 1) +$118,765
After these two $44,670,110
HAC Reduction Program no cut; 1% would have been $446,701 $0
Net of the three programs likely −$256K to −$168K −$241,395

Not paid to this hospital: 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$26,700,093
Medicare-dependent hospital add-on$6,648,049
Base payment (the base)$33,348,142
Teaching (indirect medical education)$4,573,993
Teaching on Medicare Advantage stays$3,885,658
Outliers: unusually costly stays$676,847
Capital: buildings and equipment$2,426,865
Total, before the three programs$44,911,505
Readmissions (HRRP) (base × (0.9892 − 1))−$360,160
Value-based purchasing (HVBP) (base × (1.0036 − 1))+$118,765
After these two$44,670,110
HAC Reduction Program (no cut; 1% would have been $446,701)$0
Net of the three programs (likely −$256K to −$168K)−$241,395

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−0.1407same
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 −0.1407 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 $447K 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
CAUTIup to 1.078
CDIany value: every CDI value past the cap (0.944) scores the same
MRSAup to 1.243

Each measure weighs 1 ÷ 5 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 1.6271 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1396

CMS 0.535 · median 0.559 · cap 1.572 · each 0.1 = 0.0464

CMS 0.000 · median 0.489 · cap 1.537 · each 0.1 = 0.0482

CMS 0.307 · median 0.346 · cap 0.944 · each 0.1 = 0.0774

CMS 0.000 · median 0.641 · cap 1.762 · each 0.1 = 0.0418

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Figure 5. PSI 90 added the most to this hospital’s Total HAC Score of −0.1407 among its measured results: +0.5022.
  • PSI 90 +0.5022
  • CLABSI −0.0331
  • CAUTI −0.2637
  • CDI −0.0547
  • MRSA −0.2915

A measure adds its z‑score divided by 5, 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 902.5111+0.5022same
CLABSI−0.1654−0.0331same
CAUTI−1.3186−0.2637same
CDI−0.2734−0.0547same
MRSA−1.4573−0.2915same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/310031/

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 2.9500, higher than 11% of scores; not cutFY2016: score 3.6250, higher than 19% of scores; not cutFY2017: score 5.0375, higher than 43% of scores; not cutFY2018: score −0.0449, higher than 47% of scores; not cutFY2019: score 0.3466, higher than 74% of scores; cutFY2020: score 0.6336, higher than 87% of scores; cutFY2021: score 0.4549, higher than 80% of scores; cutFY2022: score −0.1753, higher than 39% of scores; not cutFY2024: score −0.3548, higher than 28% of scores; not cutFY2025: score −0.2973, higher than 30% of scores; not cutFY2026: score −0.1407, higher than 43% of scores; not cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 2.9500, higher than 11% of scores; not cutFY2016: score 3.6250, higher than 19% of scores; not cutFY2017: score 5.0375, higher than 43% of scores; not cutFY2018: score −0.0449, higher than 47% of scores; not cutFY2019: score 0.3466, higher than 74% of scores; cutFY2020: score 0.6336, higher than 87% of scores; cutFY2021: score 0.4549, higher than 80% of scores; cutFY2022: score −0.1753, higher than 39% of scores; not cutFY2024: score −0.3548, higher than 28% of scores; not cutFY2025: score −0.2973, higher than 30% of scores; not cutFY2026: score −0.1407, higher than 43% of scores; not cut 151617181920212223242526

● Red: a year CMS cut it ○ Hollow: a year it didn’t

This site recomputes · Source: CMS, HACRP hospital files for fiscal years 2015 to 2026 (Provider Data Catalog, its archives and, for the oldest years, the Internet Archive’s copies), and CMS’s cut lists for FY2015 and FY2016.

Show table
Fiscal yearTotal HAC ScoreHigher than this share of scoresPayment reduction
FY20152.950011.5%not cut
FY20163.625019.3%not cut
FY20175.037543.1%not cut
FY2018−0.044947.2%not cut
FY20190.346674.9%cut
FY20200.633687.1%cut
FY20210.454980.5%cut
FY2022−0.175339.0%not cut
FY2023no decision
FY2024−0.354828.1%not cut
FY2025−0.297330.8%not cut
FY2026−0.140743.4%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. 3 of its 3 infection measures ended lower than they started.
CLABSI 0.69 → 0.56 1as predicted 0 ’18’21’24 Nation’s middle CLABSI, 2017: 0.686CLABSI, 2018: 2.854CLABSI, 2019: 0.640CLABSI, 2021: 0.784CLABSI, 2022: 0.525CLABSI, 2023: 0.517CLABSI, 2024: 0.555 CAUTI 0.55 → 0.00 1 0 ’18’21’24 CAUTI, 2017: 0.546CAUTI, 2018: 1.007CAUTI, 2019: 0.314CAUTI, 2021: 0.341CAUTI, 2022: 0.000CAUTI, 2023: 0.000CAUTI, 2024: 0.000 C. diff 1.08 → 0.39 1 0 ’18’21’24 C. diff, 2017: 1.076C. diff, 2018: 0.690C. diff, 2019: 0.657C. diff, 2021: 0.313C. diff, 2022: 0.223C. diff, 2023: 0.233C. diff, 2024: 0.389 CLABSI 0.69 → 0.56 1as predicted 0 ’18’20’22’24 Nation’s middle CLABSI, 2017: 0.686CLABSI, 2018: 2.854CLABSI, 2019: 0.640CLABSI, 2021: 0.784CLABSI, 2022: 0.525CLABSI, 2023: 0.517CLABSI, 2024: 0.555 CAUTI 0.55 → 0.00 1 0 ’18’20’22’24 CAUTI, 2017: 0.546CAUTI, 2018: 1.007CAUTI, 2019: 0.314CAUTI, 2021: 0.341CAUTI, 2022: 0.000CAUTI, 2023: 0.000CAUTI, 2024: 0.000 C. diff 1.08 → 0.39 1 0 ’18’20’22’24 C. diff, 2017: 1.076C. diff, 2018: 0.690C. diff, 2019: 0.657C. diff, 2021: 0.313C. diff, 2022: 0.223C. diff, 2023: 0.233C. diff, 2024: 0.389

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 yearCLABSICAUTIC. diff
20170.6860.5461.076
20182.8541.0070.690
20190.6400.3140.657
20210.7840.3410.313
20220.5250.0000.223
20230.5170.0000.233
20240.5550.0000.389

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 Jersey, its score is higher than 53% of the other 60 scored there.

In Camden, NJ area, its score is higher than 50% of the other 6 scored there.

Figure 8. Its score is above the middle in 1 of the 8 groups it belongs to; the share cut runs from 8% (New Jersey) to 32% (Major teaching).
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 Jersey: CMS cut 5 of 61 (8%); middle score −0.1613New Jersey 61 hospitals8% cut Camden, NJ area: CMS cut 1 of 7 (14%); middle score −0.1407Camden, NJ area 7 hospitals14% 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: −0.1407 This hospital −0.1407 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 Jersey: CMS cut 5 of 61 (8%); middle score −0.1613New Jersey61 hospitals8% cut Camden, NJ area: CMS cut 1 of 7 (14%); middle score −0.1407Camden, NJ area7 hospitals14% 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: −0.1407 This hospital −0.1407

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%−0.045343%
Northeast region43612428%0.047837%
New Jersey6158%−0.161353%
Camden, NJ area7114%−0.140750%
Major teaching42413632%0.178027%
100 to 299 beds1,19327523%−0.073245%
Nonprofit1,83047826%−0.013440%
Urban2,24151023%−0.057444%
This hospital−0.1407
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 none of the 8 nearest hospitals; the closest is 11 miles away.
5 mi10 mi8. Monmouth Medical Center-Southern Campus, Lakewood: score −0.5546, not cut, 21 miles87. West Jersey Hospital, Voorhees: score −0.3827, not cut, 20 miles76. Capital Health Regional Medical Center, Trenton: score 0.2805, not cut, 20 miles65. Community Medical Center, Toms River: score −0.5852, not cut, 20 miles54. Robert Wood Johnson University Hospital at Hamilton, Hamilton: score −0.5491, not cut, 17 miles43. Lower Bucks Hospital, Bristol: score −0.9388, not cut, 17 miles32. Virtua Willingboro Hospital, Willingboro: score 0.3684, not cut, 16 miles21. Virtua Mount Holly Hospital, Mount Holly: score −0.2206, not cut, 11 miles1This hospital: Deborah Heart and Lung Center

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

Show table
HospitalMilesScoreDecision
Virtua Mount Holly Hospital, Mount Holly, NJ11−0.2206not cut
Virtua Willingboro Hospital, Willingboro, NJ160.3684not cut
Lower Bucks Hospital, Bristol, PA17−0.9388not cut
Robert Wood Johnson University Hospital at Hamilton, Hamilton, NJ17−0.5491not cut
Community Medical Center, Toms River, NJ20−0.5852not cut
Capital Health Regional Medical Center, Trenton, NJ200.2805not cut
West Jersey Hospital, Voorhees, NJ20−0.3827not cut
Monmouth Medical Center-Southern Campus, Lakewood, NJ21−0.5546not cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1Virtua Mount Holly HospitalMount Holly, NJ11−0.2206No cut$0Above the national median on 3 of 6 measures
2Virtua Willingboro HospitalWillingboro, NJ160.3684No cut$0Above the national median on 2 of 5 measures
3Lower Bucks HospitalBristol, PA17−0.9388No cut$0Above the national median on 0 of 3 measures
4Robert Wood Johnson University Hospital at HamiltonHamilton, NJ17−0.5491No cut$0Above the national median on 2 of 6 measures
5Community Medical CenterToms River, NJ20−0.5852No cut$0Above the national median on 2 of 6 measures
6Capital Health Regional Medical CenterTrenton, NJ200.2805No cut$0Above the national median on 3 of 6 measures
7West Jersey HospitalVoorhees, NJ20−0.3827No cut$0Above the national median on 2 of 6 measures
8Monmouth Medical Center-Southern CampusLakewood, NJ21−0.5546No cut$0Above the national median on 2 of 6 measures

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

CMS’s footnotes on this page

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

How the program works, and how to find another hospital

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

Cite this page

Paid & Penalized. Deborah Heart and Lung Center, Browns Mills, NJ: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/310031/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.