P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalAtrium Health Union Estimated FY2026 net: +$80K×

Hospital record · FY2026CCN 340130

1Hospital

Atrium Health Union

2Location

Monroe, NC (North Carolina’s hospitals on the map and in the table) 28112

Union County

3Type

Minor teaching · 157 beds · Government · 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

0.0437

As CMS reports it

6Payment reduction

No cut
CMS’s value: No

7Estimated cut

$0
A cut would have been $340K, likely $259⁠–⁠427K estimate

No cut

$0

from this program

For fiscal year 2026, CMS reports a Total HAC Score of 0.0437 for Atrium Health Union and a payment reduction decision of No.

A cut would have taken about $340K estimate 1% of about $34.0M, 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 0.3362 under 0.3799, the lowest score CMS cut.

Likely range $259–427K

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.

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: 0.0437 This hospital 0.0437 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: 0.0437 This hospital 0.0437

Higher than 55% 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. 20No
  7. 21No
  8. 22No
  9. 23—
  10. 24Cut
  11. 25Cut
  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 PSI 90 down to the national median (0.9623) would lower the score the most: by 0.2499, to −0.2062. Try it in the what-if

Figure 1. Of its 6 measures with a value, this hospital is above the national median on 3; 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 88% 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 value1.1771

    Z-score1.3169

    Part of score+0.2195

  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 56% of the other 2,181 hospitals

    CMS value0.485

    Z-score−0.2814

    Part of score−0.0469

  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 69% of the other 2,354 hospitals

    CMS value0.307

    Z-score−0.5786

    Part of score−0.0964

  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

    Worse than 60% of the other 2,269 hospitals

    CMS value0.949

    Z-score0.1692

    Part of score+0.0282

  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 62% 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 value0.266

    Z-score−0.4322

    Part of score−0.0720

  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 58% of the other 2,067 hospitals

    CMS value0.730

    Z-score0.0684

    Part of score+0.0114

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

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 901.17710.96231.3169+0.2195Worse than 88% of the other 2,808 hospitals
CLABSI0.4850.559−0.2814−0.0469Better than 56% of the other 2,181 hospitals
CAUTI0.3070.489−0.5786−0.0964Better than 69% of the other 2,354 hospitals
SSI0.9490.7950.1692+0.0282Worse than 60% of the other 2,269 hospitals
CDI0.2660.346−0.4322−0.0720Better than 62% of the other 2,766 hospitals
MRSA0.7300.6410.0684+0.0114Worse than 58% of the other 2,067 hospitals

How the parts add up

CMS adds the z‑scores and divides by the number of measures scored, so each measure counts the same. Each bar below is one z‑score divided by 6; a bar right of zero raised the score and one left of zero lowered it.

(1.3169PSI 90−0.2814CLABSI−0.5786CAUTI+0.1692SSI−0.4322CDI+0.0684MRSA)÷6measures=0.0437Total HAC Score

This hospital’s score is 0.3362 below 0.3799, the lowest score CMS marked Yes. (This site recomputes.)

Figure 2. The parts add up to 0.0437, below CMS’s line.
1% cut PSI 90: z‑score 1.3169 divided by 6 = +0.2195PSI 90+0.2195 CLABSI: z‑score −0.2814 divided by 6 = −0.0469CLABSI−0.0469 CAUTI: z‑score −0.5786 divided by 6 = −0.0964CAUTI−0.0964 SSI: z‑score 0.1692 divided by 6 = +0.0282SSI+0.0282 CDI: z‑score −0.4322 divided by 6 = −0.0720CDI−0.0720 MRSA: z‑score 0.0684 divided by 6 = +0.0114MRSA+0.0114 Total HAC Score: 0.0437Score0.0437 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.10.20.30.4 1% cut PSI 90: z‑score 1.3169 divided by 6 = +0.2195PSI 90+0.2195 CLABSI: z‑score −0.2814 divided by 6 = −0.0469CLABSI−0.0469 CAUTI: z‑score −0.5786 divided by 6 = −0.0964CAUTI−0.0964 SSI: z‑score 0.1692 divided by 6 = +0.0282SSI+0.0282 CDI: z‑score −0.4322 divided by 6 = −0.0720CDI−0.0720 MRSA: z‑score 0.0684 divided by 6 = +0.0114MRSA+0.0114 Total HAC Score: 0.0437Score0.0437 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.10.20.30.4

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 901.3169+0.21950.2195
CLABSI−0.2814−0.04690.1726
CAUTI−0.5786−0.09640.0762
SSI0.1692+0.02820.1044
CDI−0.4322−0.07200.0324
MRSA0.0684+0.01140.0438
Total HAC Score0.0437
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, 0.3362 under the lowest score CMS cut, costs it nothing; 0.3362 higher, the cut would have been about $340K 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 $340K at any score from 0.3799 $0at any score up to 0.3792 $340K at any score from 0.3799 −1012 CMS’s highest score: 2.3133 CMS’s highest score 2.3133 This hospital: 0.0437 This hospital 0.0437 CMS’s line $0 at any score up to 0.3792 $340K at any score from 0.3799 $0at any score up to 0.3792 $340Kat 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: 0.0437 This hospital 0.0437

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−$339,908
This hospital0.0437$0
CMS’s highest score2.3133−$339,908

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.

($33,444,177payment+$467,044teaching, MA stays−$100,087readmissions+$179,701value-based)×1%the cut=$339,908at stake

$339,908at stake÷2,691traditional Medicare stays=$126per traditional Medicare stay

Figure 4. No HAC cut this year; 1% of the hospital’s whole inpatient payment would have been about $340K by this site’s estimate. The readmissions and value-based adjustments, on the base alone, came to −$100K and +$180K.

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 $25,021,804
Teaching (indirect medical education) $326,034
Teaching on Medicare Advantage stays $467,044
Many low-income patients (disproportionate share) $562,490
Outliers: unusually costly stays $821,966
Capital: buildings and equipment $2,137,998
Uncompensated care $4,573,885
Total, before the three programs $33,911,221
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (0.9960 − 1) −$100,087
Value-based purchasing (HVBP) base × (1.0072 − 1) +$179,701
After these two $33,990,835
HAC Reduction Program no cut; 1% would have been $339,908 $0
Net of the three programs likely $64⁠–⁠94K +$79,614

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)$25,021,804
Teaching (indirect medical education)$326,034
Teaching on Medicare Advantage stays$467,044
Many low-income patients (disproportionate share)$562,490
Outliers: unusually costly stays$821,966
Capital: buildings and equipment$2,137,998
Uncompensated care$4,573,885
Total, before the three programs$33,911,221
Readmissions (HRRP) (base × (0.9960 − 1))−$100,087
Value-based purchasing (HVBP) (base × (1.0072 − 1))+$179,701
After these two$33,990,835
HAC Reduction Program (no cut; 1% would have been $339,908)$0
Net of the three programs (likely $64–94K)+$79,614

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 Score0.0437same
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 0.0437 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 $340K 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
CLABSIup to 1.352
CAUTIup to 1.142
SSIany value: every SSI value past the cap (2.118) scores the same
CDIup to 0.785
MRSAup to 1.693

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 1.1771 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1164

CMS 0.485 · median 0.559 · cap 1.572 · each 0.1 = 0.0387

CMS 0.307 · median 0.489 · cap 1.537 · each 0.1 = 0.0402

CMS 0.949 · median 0.795 · cap 2.118 · each 0.1 = 0.0286

CMS 0.266 · median 0.346 · cap 0.944 · each 0.1 = 0.0645

CMS 0.730 · median 0.641 · cap 1.762 · each 0.1 = 0.0348

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Figure 5. PSI 90 added the most to this hospital’s Total HAC Score of 0.0437 among its measured results: +0.2195.
  • PSI 90 +0.2195
  • CLABSI −0.0469
  • CAUTI −0.0964
  • SSI +0.0282
  • CDI −0.0720
  • MRSA +0.0114

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 901.3169+0.2195same
CLABSI−0.2814−0.0469same
CAUTI−0.5786−0.0964same
SSI0.1692+0.0282same
CDI−0.4322−0.0720same
MRSA0.0684+0.0114same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/340130/

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 3 of the 11 years it made a decision.
highest middle lowest z‑scoresequal weights no scores FY2015: score 4.9000, higher than 38% of scores; not cutFY2016: score 5.5000, higher than 48% of scores; not cutFY2017: score 5.9400, higher than 61% of scores; not cutFY2018: score 0.3563, higher than 75% of scores; not cutFY2019: score 0.5295, higher than 82% of scores; cutFY2020: score 0.3030, higher than 73% of scores; not cutFY2021: score 0.3054, higher than 73% of scores; not cutFY2022: score −0.0140, higher than 51% of scores; not cutFY2024: score 0.6116, higher than 83% of scores; cutFY2025: score 0.3791, higher than 75% of scores; cutFY2026: score 0.0437, higher than 55% of scores; not cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 4.9000, higher than 38% of scores; not cutFY2016: score 5.5000, higher than 48% of scores; not cutFY2017: score 5.9400, higher than 61% of scores; not cutFY2018: score 0.3563, higher than 75% of scores; not cutFY2019: score 0.5295, higher than 82% of scores; cutFY2020: score 0.3030, higher than 73% of scores; not cutFY2021: score 0.3054, higher than 73% of scores; not cutFY2022: score −0.0140, higher than 51% of scores; not cutFY2024: score 0.6116, higher than 83% of scores; cutFY2025: score 0.3791, higher than 75% of scores; cutFY2026: score 0.0437, higher than 55% 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
FY20154.900038.2%not cut
FY20165.500048.7%not cut
FY20175.940061.9%not cut
FY20180.356375.3%not cut
FY20190.529582.4%cut
FY20200.303073.0%not cut
FY20210.305473.3%not cut
FY2022−0.014051.3%not cut
FY2023no decision
FY20240.611683.6%cut
FY20250.379175.9%cut
FY20260.043755.5%not cut

Its infections, year by year

This hospital’s infection rate against prediction for each calendar year Care Compare published one, on each measure with at least two years of results (black), over the nation’s middle hospital (gray). Below the dashed line at one, fewer infections than predicted. Each year is measured against the same fixed baseline, not against other hospitals, so unlike the score they can all improve at once.

Figure 7. 3 of its 5 infection measures ended lower than they started.
CLABSI 2.04 → 0.61 1as predicted 0 ’18’21’24 Nation’s middle CLABSI, 2017: 2.037CLABSI, 2018: 0.939CLABSI, 2019: 0.907CLABSI, 2021: 1.319CLABSI, 2022: 3.601CLABSI, 2023: 0.342CLABSI, 2024: 0.613 CAUTI 0.00 → 0.35 1 0 ’18’21’24 CAUTI, 2017: 0.000CAUTI, 2018: 0.422CAUTI, 2019: 0.000CAUTI, 2021: 0.280CAUTI, 2022: 0.263CAUTI, 2023: 0.245CAUTI, 2024: 0.352 SSI, colon 0.00 → 0.89 1 0 ’18’21’24 SSI, colon, 2017: 0.000SSI, colon, 2018: 1.423SSI, colon, 2019: 1.007SSI, colon, 2021: 0.455SSI, colon, 2022: 1.654SSI, colon, 2023: 1.292SSI, colon, 2024: 0.885 MRSA 1.46 → 1.11 1 0 ’18’21’24 MRSA, 2017: 1.462MRSA, 2018: 2.394MRSA, 2019: 0.603MRSA, 2021: 3.570MRSA, 2022: 1.557MRSA, 2023: 0.307MRSA, 2024: 1.112 C. diff 0.59 → 0.27 1 0 ’18’21’24 C. diff, 2017: 0.586C. diff, 2018: 0.286C. diff, 2019: 0.298C. diff, 2021: 0.269C. diff, 2022: 0.466C. diff, 2023: 0.266C. diff, 2024: 0.266 CLABSI 2.04 → 0.61 1as predicted 0 ’18’20’22’24 Nation’s middle CLABSI, 2017: 2.037CLABSI, 2018: 0.939CLABSI, 2019: 0.907CLABSI, 2021: 1.319CLABSI, 2022: 3.601CLABSI, 2023: 0.342CLABSI, 2024: 0.613 CAUTI 0.00 → 0.35 1 0 ’18’20’22’24 CAUTI, 2017: 0.000CAUTI, 2018: 0.422CAUTI, 2019: 0.000CAUTI, 2021: 0.280CAUTI, 2022: 0.263CAUTI, 2023: 0.245CAUTI, 2024: 0.352 SSI, colon 0.00 → 0.89 1 0 ’18’20’22’24 SSI, colon, 2017: 0.000SSI, colon, 2018: 1.423SSI, colon, 2019: 1.007SSI, colon, 2021: 0.455SSI, colon, 2022: 1.654SSI, colon, 2023: 1.292SSI, colon, 2024: 0.885 MRSA 1.46 → 1.11 1 0 ’18’20’22’24 MRSA, 2017: 1.462MRSA, 2018: 2.394MRSA, 2019: 0.603MRSA, 2021: 3.570MRSA, 2022: 1.557MRSA, 2023: 0.307MRSA, 2024: 1.112 C. diff 0.59 → 0.27 1 0 ’18’20’22’24 C. diff, 2017: 0.586C. diff, 2018: 0.286C. diff, 2019: 0.298C. diff, 2021: 0.269C. diff, 2022: 0.466C. diff, 2023: 0.266C. diff, 2024: 0.266

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
20172.0370.0000.0001.4620.586
20180.9390.4221.4232.3940.286
20190.9070.0001.0070.6030.298
20211.3190.2800.4553.5700.269
20223.6010.2631.6541.5570.466
20230.3420.2451.2920.3070.266
20240.6130.3520.8851.1120.266

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 North Carolina, its score is higher than 48% of the other 78 scored there.

In Charlotte-Concord-Gastonia, NC-SC area, its score is higher than 72% of the other 18 scored there.

Figure 8. Its score is above the middle in 6 of the 8 groups it belongs to; the share cut runs from 5% (Charlotte-Concord-Gastonia, NC-SC area) to 35% (Government).
All hospitals: CMS cut 718 of 2,886 (25%); middle score −0.0453All hospitals 2,886 hospitals25% cut South region: CMS cut 263 of 1,174 (22%); middle score −0.1056South region 1,174 hospitals22% cut North Carolina: CMS cut 20 of 79 (25%); middle score 0.0502North Carolina 79 hospitals25% cut Charlotte-Concord-Gastonia, NC-SC area: CMS cut 1 of 19 (5%); middle score −0.1602Charlotte-Concord-Gastonia, NC-SC area19 hospitals5% cut Minor teaching: CMS cut 181 of 873 (21%); middle score −0.0567Minor teaching 873 hospitals21% cut 100 to 299 beds: CMS cut 275 of 1,193 (23%); middle score −0.0732100 to 299 beds 1,193 hospitals23% cut Government: CMS cut 140 of 401 (35%); middle score 0.1602Government 401 hospitals35% 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: 0.0437 This hospital 0.0437 All hospitals: CMS cut 718 of 2,886 (25%); middle score −0.0453All hospitals2,886 hospitals25% cut South region: CMS cut 263 of 1,174 (22%); middle score −0.1056South region1,174 hospitals22% cut North Carolina: CMS cut 20 of 79 (25%); middle score 0.0502North Carolina79 hospitals25% cut Charlotte-Concord-Gastonia, NC-SC area: CMS cut 1 of 19 (5%); middle score −0.1602Charlotte-Concord-Gastonia, NC-SC area19 hospitals5% cut Minor teaching: CMS cut 181 of 873 (21%); middle score −0.0567Minor teaching873 hospitals21% cut 100 to 299 beds: CMS cut 275 of 1,193 (23%); middle score −0.0732100 to 299 beds1,193 hospitals23% cut Government: CMS cut 140 of 401 (35%); middle score 0.1602Government401 hospitals35% 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: 0.0437 This hospital 0.0437

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%−0.045355%
South region1,17426322%−0.105659%
North Carolina792025%0.050248%
Charlotte-Concord-Gastonia, NC-SC area1915%−0.160272%
Minor teaching87318121%−0.056756%
100 to 299 beds1,19327523%−0.073257%
Government40114035%0.160244%
Urban2,24151023%−0.057456%
This hospital0.0437
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 15 miles away.
5 mi10 mi25 mi8. Atrium Health University City, Charlotte: score 0.1904, not cut, 26 miles87. Carolinas Medical Center/Behav Health, Charlotte: score 0.0606, not cut, 24 miles76. Novant Health Presbyterian Medical Center, Charlotte: score −0.2387, not cut, 24 miles65. MUSC Health Lancaster Medical Center, Lancaster: score −0.3119, not cut, 23 miles54. Atrium Health Pineville, Charlotte: score −0.0724, not cut, 21 miles43. Novant Health Ballantyne Medical Center, Charlotte: score −0.3199, not cut, 19 miles32. Novant Health Mint Hill Medical Center, Charlotte: score −0.5715, not cut, 19 miles21. Novant Health Matthews Medical Center, Matthews: score 0.0596, not cut, 15 miles1This hospital: Atrium Health Union

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

Show table
HospitalMilesScoreDecision
Novant Health Matthews Medical Center, Matthews, NC150.0596not cut
Novant Health Mint Hill Medical Center, Charlotte, NC19−0.5715not cut
Novant Health Ballantyne Medical Center, Charlotte, NC19−0.3199not cut
Atrium Health Pineville, Charlotte, NC21−0.0724not cut
MUSC Health Lancaster Medical Center, Lancaster, SC23−0.3119not cut
Novant Health Presbyterian Medical Center, Charlotte, NC24−0.2387not cut
Carolinas Medical Center/Behav Health, Charlotte, NC240.0606not cut
Atrium Health University City, Charlotte, NC260.1904not cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1Novant Health Matthews Medical CenterMatthews, NC150.0596No cut$0Above the national median on 3 of 6 measures
2Novant Health Mint Hill Medical CenterCharlotte, NC19−0.5715No cut$0Above the national median on 0 of 3 measures
3Novant Health Ballantyne Medical CenterCharlotte, NC19−0.3199No cut$0Above the national median on 0 of 1 measures
4Atrium Health PinevilleCharlotte, NC21−0.0724No cut$0Above the national median on 3 of 6 measures
5MUSC Health Lancaster Medical CenterLancaster, SC23−0.3119No cut$0Above the national median on 2 of 6 measures
6Novant Health Presbyterian Medical CenterCharlotte, NC24−0.2387No cut$0Above the national median on 3 of 6 measures
7Carolinas Medical Center/Behav HealthCharlotte, NC240.0606No cut$0Above the national median on 4 of 6 measures
8Atrium Health University CityCharlotte, NC260.1904No cut$0Above the national median on 4 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. Atrium Health Union, Monroe, NC: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/340130/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.