P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalSt John's Episcopal Hospital at South Shore Estimated FY2026 net: −$1.2M×

Hospital record · FY2026CCN 330395

1Hospital

St John's Episcopal Hospital at South Shore

2Location

Far Rockaway, NY (New York’s hospitals on the map and in the table) 11691

Queens County

3Type

Major teaching · 257 beds · Nonprofit · Urban · Rural referral center

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

1.4565

As CMS reports it

6Payment reduction

1% cut
CMS’s value: Yes

7Estimated cut

$599K estimate
Likely $456⁠–⁠753K; about $279 per traditional Medicare stay

Cut 1%

$599K

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

For fiscal year 2026, CMS reports a Total HAC Score of 1.4565 for St John's Episcopal Hospital at South Shore and a payment reduction decision of Yes.

That is 1% of about $59.9M, 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: about $279 per traditional Medicare stay.

Likely range $456–753K

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: 1.4565 This hospital 1.4565 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: 1.4565 This hospital 1.4565

Higher than 97% of the other 2,928 scores CMS published (higher is worse).

Its record, fiscal years 2015 to 2026 Cut in 10 of 11 years

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

Where the score came from

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

Bringing CAUTI down to the national median (0.489) would lower the score the most: by 0.4090, to 1.0475. Try it in the what-if

Figure 1. Of its 6 measures with a value, this hospital is above the national median on 5; CAUTI added the most to its score.
  • This hospital
  • National median
  • Scores the same as CMS’s floor or cap
  1. PSI 90 (what it counts)

    Safety problems such as serious bedsores, falls that break a bone and blood clots after surgery, found by CMS in traditional Medicare claims. A value of 1 matches the national composite value.

    Patient safety and adverse events composite

    Worse than 93% 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 value1.2831

    Z-score2.0568

    Part of score+0.3428

  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

    Worse than 99% of the other 2,181 hospitals

    CMS value3.408

    Z-score2.2402

    Part of score+0.3734

  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.

    added the most

    Catheter-associated urinary tract infections

    Worse than 94% of the other 2,354 hospitals

    CMS value1.507

    Z-score2.3140

    Part of score+0.3857

  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 65% of the other 2,269 hospitals

    CMS value0.568

    Z-score−0.4835

    Part of score−0.0806

  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

    Worse than 89% 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 value0.758

    Z-score1.4729

    Part of score+0.2455

  6. MRSA (what it counts)

    Bloodstream infections with MRSA, a germ that resists several antibiotics, found by a lab test and starting in the hospital. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    MRSA bloodstream infections

    Worse than 86% of the other 2,067 hospitals

    CMS value1.242

    Z-score1.1384

    Part of score+0.1897

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

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 901.28310.96232.0568+0.3428Worse than 93% of the other 2,808 hospitals
CLABSI3.4080.5592.2402+0.3734Worse than 99% of the other 2,181 hospitals
CAUTI1.5070.4892.3140+0.3857Worse than 94% of the other 2,354 hospitals
SSI0.5680.795−0.4835−0.0806Better than 65% of the other 2,269 hospitals
CDI0.7580.3461.4729+0.2455Worse than 89% of the other 2,766 hospitals
MRSA1.2420.6411.1384+0.1897Worse than 86% 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.

(2.0568PSI 90+2.2402CLABSI+2.3140CAUTI−0.4835SSI+1.4729CDI+1.1384MRSA)÷6measures=1.4565Total HAC Score

This hospital’s score is 1.0773 above 0.3792, the highest score CMS marked No. (This site recomputes.)

Figure 2. The parts add up to 1.4565, above CMS’s line.
1% cut PSI 90: z‑score 2.0568 divided by 6 = +0.3428PSI 90+0.3428 CLABSI: z‑score 2.2402 divided by 6 = +0.3734CLABSI+0.3734 CAUTI: z‑score 2.3140 divided by 6 = +0.3857CAUTI+0.3857 SSI: z‑score −0.4835 divided by 6 = −0.0806SSI−0.0806 CDI: z‑score 1.4729 divided by 6 = +0.2455CDI+0.2455 MRSA: z‑score 1.1384 divided by 6 = +0.1897MRSA+0.1897 Total HAC Score: 1.4565Score1.4565 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.51.01.5 1% cut PSI 90: z‑score 2.0568 divided by 6 = +0.3428PSI 90+0.3428 CLABSI: z‑score 2.2402 divided by 6 = +0.3734CLABSI+0.3734 CAUTI: z‑score 2.3140 divided by 6 = +0.3857CAUTI+0.3857 SSI: z‑score −0.4835 divided by 6 = −0.0806SSI−0.0806 CDI: z‑score 1.4729 divided by 6 = +0.2455CDI+0.2455 MRSA: z‑score 1.1384 divided by 6 = +0.1897MRSA+0.1897 Total HAC Score: 1.4565Score1.4565 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.51.01.5

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

Show table
MeasureZ-scorePart of the scoreRunning total
PSI 902.0568+0.34280.3428
CLABSI2.2402+0.37340.7162
CAUTI2.3140+0.38571.1019
SSI−0.4835−0.08061.0213
CDI1.4729+0.24551.2668
MRSA1.1384+0.18971.4565
Total HAC Score1.4565
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, 1.0773 over the highest score CMS didn’t cut, costs it about $599K 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 $599K at any score from 0.3799 $0at any score up to 0.3792 $599K at any score from 0.3799 −1012 CMS’s highest score: 2.3133 This hospital: 1.4565 This hospital 1.4565 CMS’s line $0 at any score up to 0.3792 $599K at any score from 0.3799 $0at any score up to 0.3792 $599Kat any score from 0.3799 −1.0−0.50.00.51.01.52.0 CMS’s highest score: 2.3133 This hospital: 1.4565 This hospital 1.4565

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−$598,919
This hospital1.4565−$598,919
CMS’s highest score2.3133−$598,919

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.

($50,480,033payment+$9,974,807teaching, MA stays−$562,950readmissions+$0value-based)×1%the cut=$598,919HAC cut

$598,919HAC cut÷2,143traditional Medicare stays=$279per traditional Medicare stay

Figure 4. This site estimates the HAC cut at $599K: 1% of the hospital’s whole inpatient payment, taken last. The readmissions and value-based adjustments, on the base alone, came to −$563K and $0.

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 $28,869,250
Teaching (indirect medical education) $12,963,736
Teaching on Medicare Advantage stays $9,974,807
Many low-income patients (disproportionate share) $3,135,489
Outliers: unusually costly stays $1,336,069
Capital: buildings and equipment $3,342,471
Uncompensated care $833,018
Total, before the three programs $60,454,840
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (0.9805 − 1) −$562,950
Value-based purchasing (HVBP) not in CMS’s value-based factors: no adjustment $0
After these two $59,891,890
HAC Reduction Program 1% of everything above; likely $456⁠–⁠753K −$598,919
Net of the three programs likely −$1.4M to −$936K −$1,161,869

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)$28,869,250
Teaching (indirect medical education)$12,963,736
Teaching on Medicare Advantage stays$9,974,807
Many low-income patients (disproportionate share)$3,135,489
Outliers: unusually costly stays$1,336,069
Capital: buildings and equipment$3,342,471
Uncompensated care$833,018
Total, before the three programs$60,454,840
Readmissions (HRRP) (base × (0.9805 − 1))−$562,950
Value-based purchasing (HVBP) (not in CMS’s value-based factors: no adjustment)$0
After these two$59,891,890
HAC Reduction Program (1% of everything above; likely $456–753K)−$598,919
Net of the three programs (likely −$1.4M to −$936K)−$1,161,869

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 Score1.4565same
Payment reduction decisionYessame
Payment cut1%same
Estimated HAC cut estimate$599Ksame

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 1.4565 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 $599K, this site estimates: the whole cut, however far under the score lands.

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

MeasureValue that would read No
PSI 90not possible with this measure alone
CLABSInot possible with this measure alone
CAUTInot possible with this measure alone
SSInot possible with this measure alone
CDInot possible with this measure alone
MRSAnot possible with this measure alone

Each measure weighs 1 ÷ 6 of the score.

Measure values

SIR 1.0 = as many infections as predicted · Lower is better

On each track the tick is the national median; shaded values score the same as the floor or cap, as this site fits them to CMS’s values.

CMS 1.2831 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1164

CMS 3.408 · median 0.559 · cap 1.572 · each 0.1 = 0.0387

CMS 1.507 · median 0.489 · cap 1.537 · each 0.1 = 0.0402

CMS 0.568 · median 0.795 · cap 2.118 · each 0.1 = 0.0286

CMS 0.758 · median 0.346 · cap 0.944 · each 0.1 = 0.0645

CMS 1.242 · median 0.641 · cap 1.762 · each 0.1 = 0.0348

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Figure 5. CAUTI added the most to this hospital’s Total HAC Score of 1.4565 among its measured results: +0.3857.
  • PSI 90 +0.3428
  • CLABSI +0.3734
  • CAUTI +0.3857
  • SSI −0.0806
  • CDI +0.2455
  • MRSA +0.1897

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 902.0568+0.3428same
CLABSI2.2402+0.3734same
CAUTI2.3140+0.3857same
SSI−0.4835−0.0806same
CDI1.4729+0.2455same
MRSA1.1384+0.1897same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/330395/

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 7 years in a row.

Figure 6. CMS cut this hospital in 10 of the 11 years it made a decision.
highest middle lowest z‑scoresequal weights no scores FY2015: score 7.7250, higher than 86% of scores; cutFY2016: score 7.7500, higher than 86% of scores; cutFY2017: score 6.9800, higher than 82% of scores; cutFY2018: score 1.0371, higher than 94% of scores; cutFY2019: score 1.0506, higher than 94% of scores; cutFY2020: score 1.2386, higher than 98% of scores; cutFY2021: score 0.8670, higher than 93% of scores; cutFY2022: score 0.1053, higher than 63% of scores; not cutFY2024: score 1.2666, higher than 96% of scores; cutFY2025: score 1.1815, higher than 96% of scores; cutFY2026: score 1.4565, higher than 97% of scores; cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 7.7250, higher than 86% of scores; cutFY2016: score 7.7500, higher than 86% of scores; cutFY2017: score 6.9800, higher than 82% of scores; cutFY2018: score 1.0371, higher than 94% of scores; cutFY2019: score 1.0506, higher than 94% of scores; cutFY2020: score 1.2386, higher than 98% of scores; cutFY2021: score 0.8670, higher than 93% of scores; cutFY2022: score 0.1053, higher than 63% of scores; not cutFY2024: score 1.2666, higher than 96% of scores; cutFY2025: score 1.1815, higher than 96% of scores; cutFY2026: score 1.4565, higher than 97% 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
FY20157.725086.8%cut
FY20167.750086.8%cut
FY20176.980082.6%cut
FY20181.037194.2%cut
FY20191.050694.9%cut
FY20201.238698.0%cut
FY20210.867093.7%cut
FY20220.105363.4%not cut
FY2023no decision
FY20241.266696.0%cut
FY20251.181596.3%cut
FY20261.456597.7%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 4 infection measures ended lower than they started.
CLABSI 1.77 → 4.19 1as predicted 0 ’18’21’24 Nation’s middle CLABSI, 2017: 1.768CLABSI, 2018: 2.935CLABSI, 2019: 0.887CLABSI, 2021: 1.616CLABSI, 2022: 3.107CLABSI, 2023: 2.521CLABSI, 2024: 4.189 CAUTI 1.13 → 1.70 1 0 ’18’21’24 CAUTI, 2017: 1.131CAUTI, 2018: 0.208CAUTI, 2019: 0.533CAUTI, 2021: 1.836CAUTI, 2022: 0.671CAUTI, 2023: 1.341CAUTI, 2024: 1.695 MRSA 2.43 → 0.70 1 0 ’18’21’24 MRSA, 2017: 2.426MRSA, 2018: 1.836MRSA, 2019: 1.175MRSA, 2021: 2.558MRSA, 2022: 2.887MRSA, 2023: 1.801MRSA, 2024: 0.699 C. diff 0.62 → 0.88 1 0 ’18’21’24 C. diff, 2017: 0.616C. diff, 2018: 0.524C. diff, 2019: 0.474C. diff, 2021: 0.259C. diff, 2022: 0.974C. diff, 2023: 0.632C. diff, 2024: 0.876 CLABSI 1.77 → 4.19 1as predicted 0 ’18’20’22’24 Nation’s middle CLABSI, 2017: 1.768CLABSI, 2018: 2.935CLABSI, 2019: 0.887CLABSI, 2021: 1.616CLABSI, 2022: 3.107CLABSI, 2023: 2.521CLABSI, 2024: 4.189 CAUTI 1.13 → 1.70 1 0 ’18’20’22’24 CAUTI, 2017: 1.131CAUTI, 2018: 0.208CAUTI, 2019: 0.533CAUTI, 2021: 1.836CAUTI, 2022: 0.671CAUTI, 2023: 1.341CAUTI, 2024: 1.695 MRSA 2.43 → 0.70 1 0 ’18’20’22’24 MRSA, 2017: 2.426MRSA, 2018: 1.836MRSA, 2019: 1.175MRSA, 2021: 2.558MRSA, 2022: 2.887MRSA, 2023: 1.801MRSA, 2024: 0.699 C. diff 0.62 → 0.88 1 0 ’18’20’22’24 C. diff, 2017: 0.616C. diff, 2018: 0.524C. diff, 2019: 0.474C. diff, 2021: 0.259C. diff, 2022: 0.974C. diff, 2023: 0.632C. diff, 2024: 0.876

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 yearCLABSICAUTIMRSAC. diff
20171.7681.1312.4260.616
20182.9350.2081.8360.524
20190.8870.5331.1750.474
20211.6161.8362.5580.259
20223.1070.6712.8870.974
20232.5211.3411.8010.632
20244.1891.6950.6990.876

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 97% of the other 125 scored there.

In New York-Jersey City-White Plains, NY-NJ area, its score is higher than 100% of the other 58 scored there.

Figure 8. Its score is above the middle in all 8 groups it belongs to; the share cut runs from 23% (Urban) 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 New York-Jersey City-White Plains, NY-NJ area: CMS cut 17 of 59 (29%); middle score 0.0745New York-Jersey City-White Plains, NY-NJ area59 hospitals29% 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: 1.4565 This hospital 1.4565 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 New York-Jersey City-White Plains, NY-NJ area: CMS cut 17 of 59 (29%); middle score 0.0745New York-Jersey City-White Plains, NY-NJ area59 hospitals29% 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: 1.4565 This hospital 1.4565

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%−0.045397%
Northeast region43612428%0.047898%
New York1264536%0.161497%
New York-Jersey City-White Plains, NY-NJ area591729%0.0745100%
Major teaching42413632%0.178098%
100 to 299 beds1,19327523%−0.073298%
Nonprofit1,83047826%−0.013498%
Urban2,24151023%−0.057498%
This hospital1.4565
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 7 miles away.
5 mi10 mi8. Long Island Jewish Medical Center, New Hyde Park: score −0.2262, not cut, 11 miles87. SUNY/Downstate University Hospital of Brooklyn, Brooklyn: score 0.4482, cut, 11 miles76. Kings County Hospital Center, Brooklyn: score 1.1861, cut, 11 miles65. New York Community Hospital of Brooklyn, Inc., Brooklyn: score 0.3480, not cut, 10 miles54. Brookdale Hospital Medical Center, Brooklyn: score 0.4264, cut, 9 miles43. Queens Hospital Center, Jamaica: score −0.3295, not cut, 9 miles32. Jamaica Hospital Medical Center, Jamaica: score 0.4707, cut, 8 miles21. Mount Sinai South Nassau, Oceanside: score −0.5667, not cut, 7 miles1This hospital: St John's Episcopal Hospital at South Shore

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

Show table
HospitalMilesScoreDecision
Mount Sinai South Nassau, Oceanside, NY7−0.5667not cut
Jamaica Hospital Medical Center, Jamaica, NY80.4707cut
Queens Hospital Center, Jamaica, NY9−0.3295not cut
Brookdale Hospital Medical Center, Brooklyn, NY90.4264cut
New York Community Hospital of Brooklyn, Inc., Brooklyn, NY100.3480not cut
Kings County Hospital Center, Brooklyn, NY111.1861cut
SUNY/Downstate University Hospital of Brooklyn, Brooklyn, NY110.4482cut
Long Island Jewish Medical Center, New Hyde Park, NY11−0.2262not cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1Mount Sinai South NassauOceanside, NY7−0.5667No cut$0Above the national median on 1 of 6 measures
2Jamaica Hospital Medical CenterJamaica, NY80.47071% cut$624KAbove the national median on 4 of 6 measures
3Queens Hospital CenterJamaica, NY9−0.3295No cut$0Above the national median on 3 of 6 measures
4Brookdale Hospital Medical CenterBrooklyn, NY90.42641% cut$969KAbove the national median on 4 of 6 measures
5New York Community Hospital of Brooklyn, Inc.Brooklyn, NY100.3480No cut$0Above the national median on 2 of 4 measures
6Kings County Hospital CenterBrooklyn, NY111.18611% cut$878KAbove the national median on 6 of 6 measures
7SUNY/Downstate University Hospital of BrooklynBrooklyn, NY110.44821% cut$441KAbove the national median on 4 of 6 measures
8Long Island Jewish Medical CenterNew Hyde Park, NY11−0.2262No cut$0Above the national median on 1 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 John's Episcopal Hospital at South Shore, Far Rockaway, NY: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/330395/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.