P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalBrooks-TLC Hospital System, Inc Estimated FY2026 net: −$64K×

Hospital record · FY2026CCN 330229

1Hospital

Brooks-TLC Hospital System, Inc

2Location

Dunkirk, NY (New York’s hospitals on the map and in the table) 14048

Chautauqua County

3Type

Not a teaching hospital · 65 beds · Nonprofit · Rural · Sole community hospital

4Care Compare stars

1 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

1.0268

As CMS reports it

6Payment reduction

1% cut
CMS’s value: Yes

7Estimated cut

$50K estimate
Likely $36⁠–⁠57K; about $172 per traditional Medicare stay

Cut 1%

$50K

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

For fiscal year 2026, CMS reports a Total HAC Score of 1.0268 for Brooks-TLC Hospital System, Inc and a payment reduction decision of Yes.

That is 1% of about $5.0M, this site’s estimate of what traditional Medicare pays it for inpatient stays in a year: about $172 per traditional Medicare stay.

Likely range $36–57K

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 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: 1.0268 This hospital 1.0268 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: 1.0268 This hospital 1.0268

Higher than 94% of the other 2,928 scores CMS published (higher is worse).

Its record, fiscal years 2015 to 2026 Cut in 2 of 11 years

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

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 0.0091, to 1.0177. Try it in the what-if

Figure 1. Of its 2 measures with a value, this hospital is above the national median on 1.
  • 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 53% 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 value0.9688

    Z-score−0.1374

    Part of score−0.0275

  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

    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

  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

    CMS assigned this measure its worst possible score under the program’s rules; it is not a measured result. CMS’s footnote gives the reason.

    CMS footnote 11: There were discrepancies in the data collection process.

    CMS valueno value published

    Z-score2.1717

    Part of score+0.4343

  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

    CMS assigned this measure its worst possible score under the program’s rules; it is not a measured result. CMS’s footnote gives the reason.

    CMS footnote 11: There were discrepancies in the data collection process.

    CMS valueno value published

    Z-score2.1931

    Part of score+0.4386

  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

    CMS assigned this measure its worst possible score under the program’s rules; it is not a measured result. CMS’s footnote gives the reason.

    CMS footnote 11: There were discrepancies in the data collection process.

    CMS valueno value published

    Z-score2.2251

    Part of score+0.4450

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

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 900.96880.9623−0.1374−0.0275Worse than 53% of the other 2,808 hospitals
CLABSIno value published0.559no value publishedno value publishedNot scored on this measure
CAUTI0.0000.489−1.3186−0.2637Better than 85% of the other 2,354 hospitals
SSIno value published0.7952.1717+0.4343
CDIno value published0.3462.1931+0.4386
MRSAno value published0.6412.2251+0.4450

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.

(−0.1374PSI 90−1.3186CAUTI+2.1717SSI+2.1931CDI+2.2251MRSA)÷5measures=1.0268Total HAC Score

This hospital’s score is 0.6476 above 0.3792, the highest score CMS marked No. (This site recomputes.)

Figure 2. The parts add up to 1.0268, above CMS’s line.
1% cut PSI 90: z‑score −0.1374 divided by 5 = −0.0275PSI 90−0.0275 CAUTI: z‑score −1.3186 divided by 5 = −0.2637CAUTI−0.2637 SSI: z‑score 2.1717 divided by 5 = +0.4343SSI+0.4343 CDI: z‑score 2.1931 divided by 5 = +0.4386CDI+0.4386 MRSA: z‑score 2.2251 divided by 5 = +0.4450MRSA+0.4450 Total HAC Score: 1.0268Score1.0268 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.51.0 1% cut PSI 90: z‑score −0.1374 divided by 5 = −0.0275PSI 90−0.0275 CAUTI: z‑score −1.3186 divided by 5 = −0.2637CAUTI−0.2637 SSI: z‑score 2.1717 divided by 5 = +0.4343SSI+0.4343 CDI: z‑score 2.1931 divided by 5 = +0.4386CDI+0.4386 MRSA: z‑score 2.2251 divided by 5 = +0.4450MRSA+0.4450 Total HAC Score: 1.0268Score1.0268 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.51.0

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 90−0.1374−0.0275−0.0275
CAUTI−1.3186−0.2637−0.2912
SSI2.1717+0.43430.1431
CDI2.1931+0.43860.5817
MRSA2.2251+0.44501.0267
Total HAC Score1.0268
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, 0.6476 over the highest score CMS didn’t cut, costs it about $50K 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 $50K at any score from 0.3799 $0at any score up to 0.3792 $50K at any score from 0.3799 −1012 CMS’s highest score: 2.3133 This hospital: 1.0268 This hospital 1.0268 CMS’s line $0 at any score up to 0.3792 $50K at any score from 0.3799 $0at any score up to 0.3792 $50Kat 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: 1.0268 This hospital 1.0268

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−$50,427
This hospital1.0268−$50,427
CMS’s highest score2.3133−$50,427

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.

($5,056,365payment−$1,420readmissions−$12,246value-based)×1%the cut=$50,427HAC cut

$50,427HAC cut÷294traditional Medicare stays=$172per traditional Medicare stay

Figure 4. This site estimates the HAC cut at $50K: 1% of the hospital’s whole inpatient payment, taken last. The readmissions and value-based adjustments, on the base alone, came to −$1K and −$12K.

Estimated Medicare inpatient payments · FY2026 estimate

What traditional Medicare pays it for inpatient stays
DRG payments at the federal rates the base $3,550,126
Many low-income patients (disproportionate share) $39,442
Outliers: unusually costly stays $115,912
Low-volume adjustment $879,905
Capital: buildings and equipment $278,152
Uncompensated care $192,828
Total, before the three programs $5,056,365
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (0.9996 − 1) −$1,420
Value-based purchasing (HVBP) base × (0.9966 − 1) −$12,246
After these two $5,042,699
HAC Reduction Program 1% of everything above; likely $36⁠–⁠57K −$50,427
Net of the three programs likely −$68K to −$45K −$64,093

Not paid to this hospital: a Medicare-dependent hospital add-on, teaching payments, and a sole community hospital rate difference.

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)$3,550,126
Many low-income patients (disproportionate share)$39,442
Outliers: unusually costly stays$115,912
Low-volume adjustment$879,905
Capital: buildings and equipment$278,152
Uncompensated care$192,828
Total, before the three programs$5,056,365
Readmissions (HRRP) (base × (0.9996 − 1))−$1,420
Value-based purchasing (HVBP) (base × (0.9966 − 1))−$12,246
After these two$5,042,699
HAC Reduction Program (1% of everything above; likely $36–57K)−$50,427
Net of the three programs (likely −$68K to −$45K)−$64,093

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 Score1.0268same
Payment reduction decisionYessame
Payment cut1%same
Estimated HAC cut estimate$50Ksame

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 1.0268 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 $50K, 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 NoNote
PSI 90not possible with this measure alone
CAUTInot possible with this measure alone
SSICMS assigned this measure’s score, so there is no submitted value to solve for.
CDICMS assigned this measure’s score, so there is no submitted value to solve for.
MRSACMS assigned this measure’s score, so there is no submitted value to solve for.

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 0.9688 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1396

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

median 0.795 · cap 2.118 · each 0.1 = 0.0343

CMS assigned this measure’s score; CMS’s footnote in the table above gives the reason. Enter a value to see the score had it been submitted.

median 0.346 · cap 0.944 · each 0.1 = 0.0774

CMS assigned this measure’s score; CMS’s footnote in the table above gives the reason. Enter a value to see the score had it been submitted.

median 0.641 · cap 1.762 · each 0.1 = 0.0418

CMS assigned this measure’s score; CMS’s footnote in the table above gives the reason. Enter a value to see the score had it been submitted.

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Figure 5. Each bar is one measure’s part of this hospital’s Total HAC Score of 1.0268: its z‑score divided by 5, the number of measures scored.
  • PSI 90 −0.0275
  • CAUTI −0.2637
  • SSI (assigned by CMS) +0.4343
  • CDI (assigned by CMS) +0.4386
  • MRSA (assigned by CMS) +0.4450

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 90−0.1374−0.0275same
CAUTI−1.3186−0.2637same
SSI, assigned2.1717+0.4343same
CDI, assigned2.1931+0.4386same
MRSA, assigned2.2251+0.4450same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/330229/

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 2 years in a row.

Figure 6. CMS cut this hospital in 2 of the 11 years it made a decision.
highest middle lowest z‑scoresequal weights no scores FY2015: score 3.4500, higher than 18% of scores; not cutFY2016: score 3.7500, higher than 19% of scores; not cutFY2017: score 6.1250, higher than 66% of scores; not cutFY2018: score 0.1811, higher than 65% of scores; not cutFY2019: score −1.153, higher than 6% of scores; not cutFY2020: score −0.5065, higher than 19% of scores; not cutFY2021: score −0.4179, higher than 23% of scores; not cutFY2022: score −0.9673, higher than 3% of scores; not cutFY2024: score −0.0157, higher than 51% of scores; not cutFY2025: score 1.5754, higher than 98% of scores; cutFY2026: score 1.0268, higher than 94% of scores; cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 3.4500, higher than 18% of scores; not cutFY2016: score 3.7500, higher than 19% of scores; not cutFY2017: score 6.1250, higher than 66% of scores; not cutFY2018: score 0.1811, higher than 65% of scores; not cutFY2019: score −1.153, higher than 6% of scores; not cutFY2020: score −0.5065, higher than 19% of scores; not cutFY2021: score −0.4179, higher than 23% of scores; not cutFY2022: score −0.9673, higher than 3% of scores; not cutFY2024: score −0.0157, higher than 51% of scores; not cutFY2025: score 1.5754, higher than 98% of scores; cutFY2026: score 1.0268, higher than 94% 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
FY20153.450018.8%not cut
FY20163.750019.6%not cut
FY20176.125066.7%not cut
FY20180.181165.2%not cut
FY2019−1.1536.7%not cut
FY2020−0.506519.6%not cut
FY2021−0.417923.5%not cut
FY2022−0.96733.9%not cut
FY2023no decision
FY2024−0.015751.8%not cut
FY20251.575498.3%cut
FY20261.026894.1%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. 1 of its 2 infection measures ended lower than they started.
CAUTI 1.55 → 0.00 1as predicted 0 ’18’21’24 Nation’s middle CAUTI, 2021: 1.555CAUTI, 2022: 0.000 C. diff 0.23 → 2.04 1 0 ’18’21’24 C. diff, 2017: 0.232C. diff, 2018: 0.584C. diff, 2019: 0.000C. diff, 2021: 0.661C. diff, 2022: 0.963C. diff, 2023: 0.762C. diff, 2024: 2.042 CAUTI 1.55 → 0.00 1as predicted 0 ’18’20’22’24 Nation’s middle CAUTI, 2021: 1.555CAUTI, 2022: 0.000 C. diff 0.23 → 2.04 1 0 ’18’20’22’24 C. diff, 2017: 0.232C. diff, 2018: 0.584C. diff, 2019: 0.000C. diff, 2021: 0.661C. diff, 2022: 0.963C. diff, 2023: 0.762C. diff, 2024: 2.042

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 yearCAUTIC. diff
20170.232
20180.584
20190.000
20211.5550.661
20220.0000.963
20230.762
20242.042

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 York, its score is higher than 92% of the other 125 scored there.

Figure 8. Its score is above the middle in all 7 groups it belongs to; the share cut runs from 25% (All hospitals) to 36% (New York).
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 York: CMS cut 45 of 126 (36%); middle score 0.1614New York 126 hospitals36% cut Not teaching: CMS cut 389 of 1,563 (25%); middle score −0.1053Not teaching 1,563 hospitals25% cut Fewer than 100 beds: CMS cut 225 of 805 (28%); middle score −0.1154Fewer than 100 beds 805 hospitals28% cut Nonprofit: CMS cut 478 of 1,830 (26%); middle score −0.0134Nonprofit 1,830 hospitals26% cut Rural: CMS cut 196 of 619 (32%); middle score 0.0229Rural 619 hospitals32% cut CMS’s line: between 0.3792 and 0.3799 CMS’s line −1012 This hospital: 1.0268 This hospital 1.0268 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 York: CMS cut 45 of 126 (36%); middle score 0.1614New York126 hospitals36% cut Not teaching: CMS cut 389 of 1,563 (25%); middle score −0.1053Not teaching1,563 hospitals25% cut Fewer than 100 beds: CMS cut 225 of 805 (28%); middle score −0.1154Fewer than 100 beds805 hospitals28% cut Nonprofit: CMS cut 478 of 1,830 (26%); middle score −0.0134Nonprofit1,830 hospitals26% cut Rural: CMS cut 196 of 619 (32%); middle score 0.0229Rural619 hospitals32% 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: 1.0268 This hospital 1.0268

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%−0.045394%
Northeast region43612428%0.047894%
New York1264536%0.161492%
Not teaching1,56338925%−0.105392%
Fewer than 100 beds80522528%−0.115487%
Nonprofit1,83047826%−0.013495%
Rural61919632%0.022988%
This hospital1.0268
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 5 of the 8 nearest hospitals; the closest is 27 miles away.
5 mi10 mi25 mi8. Niagara Falls Memorial Medical Center, Niagara Falls: score 0.4693, cut, 45 miles87. Kenmore Mercy Hospital, Kenmore: score −0.1908, not cut, 41 miles76. Erie County Medical Center, Buffalo: score 0.5420, cut, 40 miles65. Sisters of Charity Hospital, Buffalo: score 0.4272, cut, 40 miles54. Kaleida Health, Buffalo: score 0.6550, cut, 37 miles43. Mercy Hospital of Buffalo, Buffalo: score −0.3449, not cut, 37 miles32. Bertrand Chaffee Hospital, Springville: score −0.7186, not cut, 34 miles21. UPMC Chautauqua at WCA, Jamestown: score 0.6136, cut, 27 miles1This hospital: Brooks-TLC Hospital System, Inc

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

Show table
HospitalMilesScoreDecision
UPMC Chautauqua at WCA, Jamestown, NY270.6136cut
Bertrand Chaffee Hospital, Springville, NY34−0.7186not cut
Mercy Hospital of Buffalo, Buffalo, NY37−0.3449not cut
Kaleida Health, Buffalo, NY370.6550cut
Sisters of Charity Hospital, Buffalo, NY400.4272cut
Erie County Medical Center, Buffalo, NY400.5420cut
Kenmore Mercy Hospital, Kenmore, NY41−0.1908not cut
Niagara Falls Memorial Medical Center, Niagara Falls, NY450.4693cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1UPMC Chautauqua at WCAJamestown, NY270.61361% cut$147KAbove the national median on 3 of 6 measures
2Bertrand Chaffee HospitalSpringville, NY34−0.7186No cut$0Above the national median on 1 of 2 measures
3Mercy Hospital of BuffaloBuffalo, NY37−0.3449No cut$0Above the national median on 2 of 6 measures
4Kaleida HealthBuffalo, NY370.65501% cut$2.0MAbove the national median on 5 of 6 measures
5Sisters of Charity HospitalBuffalo, NY400.42721% cut$236KAbove the national median on 4 of 6 measures
6Erie County Medical CenterBuffalo, NY400.54201% cut$677KAbove the national median on 4 of 6 measures
7Kenmore Mercy HospitalKenmore, NY41−0.1908No cut$0Above the national median on 1 of 6 measures
8Niagara Falls Memorial Medical CenterNiagara Falls, NY450.46931% cut$82KAbove the national median on 4 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.
11
There were discrepancies in the data collection process.

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. Brooks-TLC Hospital System, Inc, Dunkirk, NY: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/330229/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.