P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalSanford Medical Center Fargo Estimated FY2026 net: +$122K×

Hospital record · FY2026CCN 350011

1Hospital

Sanford Medical Center Fargo

2Location

Fargo, ND (North Dakota’s hospitals on the map and in the table) 58122

Cass County

3Type

Minor teaching · 639 beds · Nonprofit · Urban · Rural referral center

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

−0.3139

As CMS reports it

6Payment reduction

No cut
CMS’s value: No

7Estimated cut

$0
A cut would have been $1.4M, likely $1.1⁠–⁠1.5M estimate

No cut

$0

from this program

For fiscal year 2026, CMS reports a Total HAC Score of −0.3139 for Sanford Medical Center Fargo and a payment reduction decision of No.

A cut would have taken about $1.4M estimate 1% of about $137M, 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 0.6938 under 0.3799, the lowest score CMS cut.

Likely range $1.1–1.5M

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: −0.3139 This hospital −0.3139 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: −0.3139 This hospital −0.3139

Higher than 31% 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. 19No
  6. 20Cut
  7. 21Cut
  8. 22Cut
  9. 23—
  10. 24No
  11. 25No
  12. 26No

Where the score came from

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

Bringing PSI 90 down to the national median (0.9623) would lower the score the most: by 0.1396, to −0.4535. Try it in the what-if

Figure 1. Of its 6 measures with a value, this hospital is above the national median on 2; 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 78% 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 value1.0823

    Z-score0.6553

    Part of score+0.1092

  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 72% of the other 2,181 hospitals

    CMS value0.325

    Z-score−0.6525

    Part of score−0.1088

  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 value0.081

    Z-score−1.1234

    Part of score−0.1872

  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 55% of the other 2,269 hospitals

    CMS value0.875

    Z-score0.0424

    Part of score+0.0071

  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 55% 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 value0.315

    Z-score−0.2425

    Part of score−0.0404

  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 69% of the other 2,067 hospitals

    CMS value0.428

    Z-score−0.5628

    Part of score−0.0938

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

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 901.08230.96230.6553+0.1092Worse than 78% of the other 2,808 hospitals
CLABSI0.3250.559−0.6525−0.1088Better than 72% of the other 2,181 hospitals
CAUTI0.0810.489−1.1234−0.1872Better than 85% of the other 2,354 hospitals
SSI0.8750.7950.0424+0.0071Worse than 55% of the other 2,269 hospitals
CDI0.3150.346−0.2425−0.0404Better than 55% of the other 2,766 hospitals
MRSA0.4280.641−0.5628−0.0938Better than 69% of the other 2,067 hospitals

How the parts add up

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

(0.6553PSI 90−0.6525CLABSI−1.1234CAUTI+0.0424SSI−0.2425CDI−0.5628MRSA)÷6measures=−0.3139Total HAC Score

Added from the rounded z‑scores CMS published, the parts make −0.3139; CMS reports −0.3139. The small difference is rounding.

This hospital’s score is 0.6938 below 0.3799, the lowest score CMS marked Yes. (This site recomputes.)

Figure 2. The parts add up to −0.3139, below CMS’s line.
1% cut PSI 90: z‑score 0.6553 divided by 6 = +0.1092PSI 90+0.1092 CLABSI: z‑score −0.6525 divided by 6 = −0.1088CLABSI−0.1088 CAUTI: z‑score −1.1234 divided by 6 = −0.1872CAUTI−0.1872 SSI: z‑score 0.0424 divided by 6 = +0.0071SSI+0.0071 CDI: z‑score −0.2425 divided by 6 = −0.0404CDI−0.0404 MRSA: z‑score −0.5628 divided by 6 = −0.0938MRSA−0.0938 Total HAC Score: −0.3139Score−0.3139 CMS’s line: between 0.3792 and 0.3799 CMS’s line −0.4−0.20.00.20.4 1% cut PSI 90: z‑score 0.6553 divided by 6 = +0.1092PSI 90+0.1092 CLABSI: z‑score −0.6525 divided by 6 = −0.1088CLABSI−0.1088 CAUTI: z‑score −1.1234 divided by 6 = −0.1872CAUTI−0.1872 SSI: z‑score 0.0424 divided by 6 = +0.0071SSI+0.0071 CDI: z‑score −0.2425 divided by 6 = −0.0404CDI−0.0404 MRSA: z‑score −0.5628 divided by 6 = −0.0938MRSA−0.0938 Total HAC Score: −0.3139Score−0.3139 CMS’s line: between 0.3792 and 0.3799 CMS’s line −0.4−0.20.00.20.4

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

Show table
MeasureZ-scorePart of the scoreRunning total
PSI 900.6553+0.10920.1092
CLABSI−0.6525−0.10880.0004
CAUTI−1.1234−0.1872−0.1868
SSI0.0424+0.0071−0.1797
CDI−0.2425−0.0404−0.2201
MRSA−0.5628−0.0938−0.3139
Total HAC Score−0.3139
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, 0.6938 under the lowest score CMS cut, costs it nothing; 0.6938 higher, the cut would have been about $1.4M 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 $1.4M at any score from 0.3799 $0at any score up to 0.3792 $1.4M at any score from 0.3799 −1012 CMS’s highest score: 2.3133 CMS’s highest score 2.3133 This hospital: −0.3139 This hospital −0.3139 CMS’s line $0 at any score up to 0.3792 $1.4M at any score from 0.3799 $0at any score up to 0.3792 $1.4Mat 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: −0.3139 This hospital −0.3139

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−$1,372,628
This hospital−0.3139$0
CMS’s highest score2.3133−$1,372,628

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.

($133,293,193payment+$3,847,120teaching, MA stays−$30,806readmissions+$153,267value-based)×1%the cut=$1,372,628at stake

$1,372,628at stake÷7,347traditional Medicare stays=$187per traditional Medicare stay

Figure 4. No HAC cut this year; 1% of the hospital’s whole inpatient payment would have been about $1.4M by this site’s estimate. The readmissions and value-based adjustments, on the base alone, came to −$31K and +$153K.

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 $102,686,951
Teaching (indirect medical education) $8,454,217
Teaching on Medicare Advantage stays $3,847,120
Many low-income patients (disproportionate share) $3,654,629
Outliers: unusually costly stays $3,180,215
Capital: buildings and equipment $9,015,556
Uncompensated care $6,301,625
Total, before the three programs $137,140,313
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (0.9997 − 1) −$30,806
Value-based purchasing (HVBP) base × (1.0015 − 1) +$153,267
After these two $137,262,774
HAC Reduction Program no cut; 1% would have been $1,372,628 $0
Net of the three programs likely $106⁠–⁠134K +$122,461

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)$102,686,951
Teaching (indirect medical education)$8,454,217
Teaching on Medicare Advantage stays$3,847,120
Many low-income patients (disproportionate share)$3,654,629
Outliers: unusually costly stays$3,180,215
Capital: buildings and equipment$9,015,556
Uncompensated care$6,301,625
Total, before the three programs$137,140,313
Readmissions (HRRP) (base × (0.9997 − 1))−$30,806
Value-based purchasing (HVBP) (base × (1.0015 − 1))+$153,267
After these two$137,262,774
HAC Reduction Program (no cut; 1% would have been $1,372,628)$0
Net of the three programs (likely $106–134K)+$122,461

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−0.3139same
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 −0.3139 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 $1.4M out of this program’s cut, this site estimates: a score a hair over would cost all of it.

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

MeasureHighest value that keeps No
PSI 90any value: every PSI 90 value past the cap (1.3482) scores the same
CLABSIany value: every CLABSI value past the cap (1.572) scores the same
CAUTIany value: every CAUTI value past the cap (1.537) scores the same
SSIany value: every SSI value past the cap (2.118) scores the same
CDIany value: every CDI value past the cap (0.944) scores the same
MRSAany value: every MRSA value past the cap (1.762) scores the same

Each measure weighs 1 ÷ 6 of the score.

Measure values

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

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

CMS 1.0823 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1164

CMS 0.325 · median 0.559 · cap 1.572 · each 0.1 = 0.0387

CMS 0.081 · median 0.489 · cap 1.537 · each 0.1 = 0.0402

CMS 0.875 · median 0.795 · cap 2.118 · each 0.1 = 0.0286

CMS 0.315 · median 0.346 · cap 0.944 · each 0.1 = 0.0645

CMS 0.428 · 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 −0.3139 among its measured results: +0.1092.
  • PSI 90 +0.1092
  • CLABSI −0.1088
  • CAUTI −0.1872
  • SSI +0.0071
  • CDI −0.0404
  • MRSA −0.0938

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 900.6553+0.1092same
CLABSI−0.6525−0.1088same
CAUTI−1.1234−0.1872same
SSI0.0424+0.0071same
CDI−0.2425−0.0404same
MRSA−0.5628−0.0938same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/350011/

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 4.6250, higher than 35% of scores; not cutFY2016: score 6.5000, higher than 68% of scores; not cutFY2017: score 6.4500, higher than 73% of scores; not cutFY2018: score −0.0837, higher than 44% of scores; not cutFY2019: score 0.1942, higher than 66% of scores; not cutFY2020: score 0.8615, higher than 93% of scores; cutFY2021: score 0.7495, higher than 91% of scores; cutFY2022: score 0.4974, higher than 83% of scores; cutFY2024: score 0.0788, higher than 59% of scores; not cutFY2025: score −0.2032, higher than 37% of scores; not cutFY2026: score −0.3139, higher than 31% of scores; not cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 4.6250, higher than 35% of scores; not cutFY2016: score 6.5000, higher than 68% of scores; not cutFY2017: score 6.4500, higher than 73% of scores; not cutFY2018: score −0.0837, higher than 44% of scores; not cutFY2019: score 0.1942, higher than 66% of scores; not cutFY2020: score 0.8615, higher than 93% of scores; cutFY2021: score 0.7495, higher than 91% of scores; cutFY2022: score 0.4974, higher than 83% of scores; cutFY2024: score 0.0788, higher than 59% of scores; not cutFY2025: score −0.2032, higher than 37% of scores; not cutFY2026: score −0.3139, higher than 31% 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
FY20154.625035.4%not cut
FY20166.500068.6%not cut
FY20176.450073.6%not cut
FY2018−0.083744.5%not cut
FY20190.194266.3%not cut
FY20200.861593.4%cut
FY20210.749591.3%cut
FY20220.497483.5%cut
FY2023no decision
FY20240.078859.0%not cut
FY2025−0.203237.7%not cut
FY2026−0.313931.3%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. 5 of its 5 infection measures ended lower than they started.
CLABSI 0.79 → 0.27 1as predicted 0 ’18’21’24 Nation’s middle CLABSI, 2017: 0.793CLABSI, 2018: 0.716CLABSI, 2019: 0.491CLABSI, 2021: 0.482CLABSI, 2022: 0.579CLABSI, 2023: 0.373CLABSI, 2024: 0.265 CAUTI 0.84 → 0.00 1 0 ’18’21’24 CAUTI, 2017: 0.836CAUTI, 2018: 1.025CAUTI, 2019: 0.878CAUTI, 2021: 0.651CAUTI, 2022: 0.377CAUTI, 2023: 0.124CAUTI, 2024: 0.000 SSI, colon 1.54 → 0.91 1 0 ’18’21’24 SSI, colon, 2017: 1.538SSI, colon, 2018: 2.021SSI, colon, 2019: 0.983SSI, colon, 2021: 1.219SSI, colon, 2022: 1.153SSI, colon, 2023: 0.606SSI, colon, 2024: 0.912 MRSA 0.66 → 0.35 1 0 ’18’21’24 MRSA, 2017: 0.658MRSA, 2018: 0.889MRSA, 2019: 0.375MRSA, 2021: 0.677MRSA, 2022: 0.281MRSA, 2023: 0.494MRSA, 2024: 0.350 C. diff 1.35 → 0.31 1 0 ’18’21’24 C. diff, 2017: 1.346C. diff, 2018: 0.918C. diff, 2019: 0.780C. diff, 2021: 0.598C. diff, 2022: 0.631C. diff, 2023: 0.318C. diff, 2024: 0.312 CLABSI 0.79 → 0.27 1as predicted 0 ’18’20’22’24 Nation’s middle CLABSI, 2017: 0.793CLABSI, 2018: 0.716CLABSI, 2019: 0.491CLABSI, 2021: 0.482CLABSI, 2022: 0.579CLABSI, 2023: 0.373CLABSI, 2024: 0.265 CAUTI 0.84 → 0.00 1 0 ’18’20’22’24 CAUTI, 2017: 0.836CAUTI, 2018: 1.025CAUTI, 2019: 0.878CAUTI, 2021: 0.651CAUTI, 2022: 0.377CAUTI, 2023: 0.124CAUTI, 2024: 0.000 SSI, colon 1.54 → 0.91 1 0 ’18’20’22’24 SSI, colon, 2017: 1.538SSI, colon, 2018: 2.021SSI, colon, 2019: 0.983SSI, colon, 2021: 1.219SSI, colon, 2022: 1.153SSI, colon, 2023: 0.606SSI, colon, 2024: 0.912 MRSA 0.66 → 0.35 1 0 ’18’20’22’24 MRSA, 2017: 0.658MRSA, 2018: 0.889MRSA, 2019: 0.375MRSA, 2021: 0.677MRSA, 2022: 0.281MRSA, 2023: 0.494MRSA, 2024: 0.350 C. diff 1.35 → 0.31 1 0 ’18’20’22’24 C. diff, 2017: 1.346C. diff, 2018: 0.918C. diff, 2019: 0.780C. diff, 2021: 0.598C. diff, 2022: 0.631C. diff, 2023: 0.318C. diff, 2024: 0.312

Source: CMS Care Compare, healthcare-associated infections by hospital, calendar years 2017 to 2024 (Provider Data Catalog archives; the oldest year through the Internet Archive’s copy).

Show table
Calendar yearCLABSICAUTISSI, colonMRSAC. diff
20170.7930.8361.5380.6581.346
20180.7161.0252.0210.8890.918
20190.4910.8780.9830.3750.780
20210.4820.6511.2190.6770.598
20220.5790.3771.1530.2810.631
20230.3730.1240.6060.4940.318
20240.2650.0000.9120.3500.312

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 Dakota, its score is higher than 20% of the other 5 scored there.

Figure 8. Its score is below the middle in all 7 groups it belongs to; the share cut runs from 17% (North Dakota) to 29% (500 beds and up).
All hospitals: CMS cut 718 of 2,886 (25%); middle score −0.0453All hospitals 2,886 hospitals25% cut Midwest region: CMS cut 174 of 683 (25%); middle score −0.0268Midwest region 683 hospitals25% cut North Dakota: CMS cut 1 of 6 (17%); middle score −0.2361North Dakota 6 hospitals17% cut Minor teaching: CMS cut 181 of 873 (21%); middle score −0.0567Minor teaching 873 hospitals21% cut 500 beds and up: CMS cut 105 of 365 (29%); middle score 0.1323500 beds and up 365 hospitals29% 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: −0.3139 This hospital −0.3139 All hospitals: CMS cut 718 of 2,886 (25%); middle score −0.0453All hospitals2,886 hospitals25% cut Midwest region: CMS cut 174 of 683 (25%); middle score −0.0268Midwest region683 hospitals25% cut North Dakota: CMS cut 1 of 6 (17%); middle score −0.2361North Dakota6 hospitals17% cut Minor teaching: CMS cut 181 of 873 (21%); middle score −0.0567Minor teaching873 hospitals21% cut 500 beds and up: CMS cut 105 of 365 (29%); middle score 0.1323500 beds and up365 hospitals29% 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: −0.3139 This hospital −0.3139

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%−0.045331%
Midwest region68317425%−0.026829%
North Dakota6117%−0.236120%
Minor teaching87318121%−0.056728%
500 beds and up36510529%0.132316%
Nonprofit1,83047826%−0.013428%
Urban2,24151023%−0.057431%
This hospital−0.3139
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 2 of the 8 nearest hospitals; the closest is 4 miles away.
25 mi50 mi100 mi8. Avera St Lukes, Aberdeen: score −0.3820, not cut, 127 miles87. Sanford Medical Center Aberdeen, Aberdeen: score −0.8636, not cut, 126 miles76. Sanford Bemidji Medical Center, Bemidji: score 0.4904, cut, 98 miles65. Alomere Health, Alexandria: score −0.0443, not cut, 97 miles54. Altru Hospital, Grand Forks: score −0.0753, not cut, 72 miles43. Lake Region Healthcare Corporation, Fergus Falls: score 0.4034, cut, 54 miles32. Essentia Health St Marys - Detroit Lakes, Detroit Lakes: score −0.3979, not cut, 45 miles21. Essentia Health, Fargo: score −0.5119, not cut, 4 miles1This hospital: Sanford Medical Center Fargo

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

Show table
HospitalMilesScoreDecision
Essentia Health, Fargo, ND4−0.5119not cut
Essentia Health St Marys - Detroit Lakes, Detroit Lakes, MN45−0.3979not cut
Lake Region Healthcare Corporation, Fergus Falls, MN540.4034cut
Altru Hospital, Grand Forks, ND72−0.0753not cut
Alomere Health, Alexandria, MN97−0.0443not cut
Sanford Bemidji Medical Center, Bemidji, MN980.4904cut
Sanford Medical Center Aberdeen, Aberdeen, SD126−0.8636not cut
Avera St Lukes, Aberdeen, SD127−0.3820not cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1Essentia HealthFargo, ND4−0.5119No cut$0Above the national median on 1 of 6 measures
2Essentia Health St Marys - Detroit LakesDetroit Lakes, MN45−0.3979No cut$0Above the national median on 0 of 3 measures
3Lake Region Healthcare CorporationFergus Falls, MN540.40341% cut$55KAbove the national median on 2 of 4 measures
4Altru HospitalGrand Forks, ND72−0.0753No cut$0Above the national median on 3 of 6 measures
5Alomere HealthAlexandria, MN97−0.0443No cut$0Above the national median on 3 of 5 measures
6Sanford Bemidji Medical CenterBemidji, MN980.49041% cut$183KAbove the national median on 4 of 6 measures
7Sanford Medical Center AberdeenAberdeen, SD126−0.8636No cut$0Above the national median on 0 of 2 measures
8Avera St LukesAberdeen, SD127−0.3820No cut$0Above the national median on 2 of 5 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. Sanford Medical Center Fargo, Fargo, ND: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/350011/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.