P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalUH St John Medical Center Estimated FY2026 net: −$141K×

Hospital record · FY2026CCN 360123

1Hospital

UH St John Medical Center

2Location

Westlake, OH (Ohio’s hospitals on the map and in the table) 44145

Cuyahoga County

3Type

Major teaching · 240 beds · Nonprofit · Urban · Medicare-dependent hospital · 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

0.1320

As CMS reports it

6Payment reduction

No cut
CMS’s value: No

7Estimated cut

$0
A cut would have been $455K, likely $353⁠–⁠554K estimate

No cut

$0

from this program

For fiscal year 2026, CMS reports a Total HAC Score of 0.1320 for UH St John Medical Center and a payment reduction decision of No.

A cut would have taken about $455K estimate 1% of about $45.5M, 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 0.2479 under 0.3799, the lowest score CMS cut.

Likely range $353–554K

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: 0.1320 This hospital 0.1320 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: 0.1320 This hospital 0.1320

Higher than 60% of the other 2,928 scores CMS published (higher is worse).

Its record, fiscal years 2015 to 2026 Never cut in 11 years

  1. 15No
  2. 16No
  3. 17No
  4. 18No
  5. 19No
  6. 20No
  7. 21No
  8. 22No
  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 MRSA down to the national median (0.641) would lower the score the most: by 0.3361, to −0.2041. Try it in the what-if

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

    Better than 81% 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 value0.8696

    Z-score−0.8298

    Part of score−0.1383

  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 75% of the other 2,181 hospitals

    CMS value0.875

    Z-score0.6233

    Part of score+0.1039

  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 82% of the other 2,354 hospitals

    CMS value0.145

    Z-score−0.9691

    Part of score−0.1615

  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 86% of the other 2,269 hospitals

    CMS value0.184

    Z-score−1.1413

    Part of score−0.1902

  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 86% 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 value0.690

    Z-score1.2096

    Part of score+0.2016

  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.

    added the most

    MRSA bloodstream infections

    Worse than 92% of the other 2,067 hospitals

    CMS value1.606

    Z-score1.8991

    Part of score+0.3165

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

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 900.86960.9623−0.8298−0.1383Better than 81% of the other 2,808 hospitals
CLABSI0.8750.5590.6233+0.1039Worse than 75% of the other 2,181 hospitals
CAUTI0.1450.489−0.9691−0.1615Better than 82% of the other 2,354 hospitals
SSI0.1840.795−1.1413−0.1902Better than 86% of the other 2,269 hospitals
CDI0.6900.3461.2096+0.2016Worse than 86% of the other 2,766 hospitals
MRSA1.6060.6411.8991+0.3165Worse than 92% 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.

(−0.8298PSI 90+0.6233CLABSI−0.9691CAUTI−1.1413SSI+1.2096CDI+1.8991MRSA)÷6measures=0.1320Total HAC Score

This hospital’s score is 0.2479 below 0.3799, the lowest score CMS marked Yes. (This site recomputes.)

Figure 2. The parts add up to 0.1320, below CMS’s line.
1% cut PSI 90: z‑score −0.8298 divided by 6 = −0.1383PSI 90−0.1383 CLABSI: z‑score 0.6233 divided by 6 = +0.1039CLABSI+0.1039 CAUTI: z‑score −0.9691 divided by 6 = −0.1615CAUTI−0.1615 SSI: z‑score −1.1413 divided by 6 = −0.1902SSI−0.1902 CDI: z‑score 1.2096 divided by 6 = +0.2016CDI+0.2016 MRSA: z‑score 1.8991 divided by 6 = +0.3165MRSA+0.3165 Total HAC Score: 0.1320Score0.1320 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 −0.8298 divided by 6 = −0.1383PSI 90−0.1383 CLABSI: z‑score 0.6233 divided by 6 = +0.1039CLABSI+0.1039 CAUTI: z‑score −0.9691 divided by 6 = −0.1615CAUTI−0.1615 SSI: z‑score −1.1413 divided by 6 = −0.1902SSI−0.1902 CDI: z‑score 1.2096 divided by 6 = +0.2016CDI+0.2016 MRSA: z‑score 1.8991 divided by 6 = +0.3165MRSA+0.3165 Total HAC Score: 0.1320Score0.1320 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 90−0.8298−0.1383−0.1383
CLABSI0.6233+0.1039−0.0344
CAUTI−0.9691−0.1615−0.1959
SSI−1.1413−0.1902−0.3861
CDI1.2096+0.2016−0.1845
MRSA1.8991+0.31650.1320
Total HAC Score0.1320
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, 0.2479 under the lowest score CMS cut, costs it nothing; 0.2479 higher, the cut would have been about $455K 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 $455K at any score from 0.3799 $0at any score up to 0.3792 $455K at any score from 0.3799 −1012 CMS’s highest score: 2.3133 CMS’s highest score 2.3133 This hospital: 0.1320 This hospital 0.1320 CMS’s line $0 at any score up to 0.3792 $455K at any score from 0.3799 $0at any score up to 0.3792 $455Kat 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: 0.1320 This hospital 0.1320

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−$454,824
This hospital0.1320$0
CMS’s highest score2.3133−$454,824

The money, line by line

This site estimates what traditional Medicare pays the hospital for a year of inpatient stays, and the teaching payments Medicare makes on its Medicare Advantage patients’ stays, from CMS’s FY2026 payment files, then applies Medicare’s three hospital quality programs: the readmissions and value-based adjustments to the base payment, and the HAC cut last, as the law sets.

The readmissions and value-based programs adjust only the base payment: the DRG rates times the hospital’s cases, and a Medicare-dependent hospital’s add-on. The HAC cut comes last and takes 1% of everything left, teaching, low-income-patient, outlier, capital and uncompensated care payments included.

($41,103,461payment+$4,519,803teaching, MA stays−$104,671readmissions−$36,146value-based)×1%the cut=$454,824at stake

$454,824at stake÷2,191traditional Medicare stays=$208per traditional Medicare stay

Figure 4. No HAC cut this year; 1% of the hospital’s whole inpatient payment would have been about $455K by this site’s estimate. The readmissions and value-based adjustments, on the base alone, came to −$105K and −$36K.

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 $21,491,755
Medicare-dependent hospital add-on $13,398,714
Base payment the base $34,890,469
Teaching (indirect medical education) $4,139,527
Teaching on Medicare Advantage stays $4,519,803
Outliers: unusually costly stays $76,726
Capital: buildings and equipment $1,996,739
Total, before the three programs $45,623,264
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (0.9970 − 1) −$104,671
Value-based purchasing (HVBP) base × (0.9990 − 1) −$36,146
After these two $45,482,447
HAC Reduction Program no cut; 1% would have been $454,824 $0
Net of the three programs likely −$163K to −$113K −$140,817

Not paid to this hospital: low-income-patient payments, a sole community hospital rate difference, a low-volume adjustment, and uncompensated care payments.

Whole dollars, so every line adds up; the estimate is not that precise. Each likely range spans the middle 80% of the misses this site’s estimate made for similar hospitals (or for a wider group, where there were too few) when it was checked against their FY2024 cost reports: one year’s check, not a promise of how often a hospital’s actual figure lands inside.

Estimate · Source: this site’s arithmetic on CMS’s FY2026 IPPS final rule files (the impact file, the rate tables and the value-based factors), its FY2026 HRRP supplemental file and HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
LineAmount (whole dollars)
DRG payments at the federal rates$21,491,755
Medicare-dependent hospital add-on$13,398,714
Base payment (the base)$34,890,469
Teaching (indirect medical education)$4,139,527
Teaching on Medicare Advantage stays$4,519,803
Outliers: unusually costly stays$76,726
Capital: buildings and equipment$1,996,739
Total, before the three programs$45,623,264
Readmissions (HRRP) (base × (0.9970 − 1))−$104,671
Value-based purchasing (HVBP) (base × (0.9990 − 1))−$36,146
After these two$45,482,447
HAC Reduction Program (no cut; 1% would have been $454,824)$0
Net of the three programs (likely −$163K to −$113K)−$140,817

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 Score0.1320same
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 0.1320 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 $455K 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 90up to 1.0820
CLABSIup to 1.514
CAUTIup to 0.760
SSIup to 1.049
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 0.8696 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1164

CMS 0.875 · median 0.559 · cap 1.572 · each 0.1 = 0.0387

CMS 0.145 · median 0.489 · cap 1.537 · each 0.1 = 0.0402

CMS 0.184 · median 0.795 · cap 2.118 · each 0.1 = 0.0286

CMS 0.690 · median 0.346 · cap 0.944 · each 0.1 = 0.0645

CMS 1.606 · median 0.641 · cap 1.762 · each 0.1 = 0.0348

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Figure 5. MRSA added the most to this hospital’s Total HAC Score of 0.1320 among its measured results: +0.3165.
  • PSI 90 −0.1383
  • CLABSI +0.1039
  • CAUTI −0.1615
  • SSI −0.1902
  • CDI +0.2016
  • MRSA +0.3165

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 90−0.8298−0.1383same
CLABSI0.6233+0.1039same
CAUTI−0.9691−0.1615same
SSI−1.1413−0.1902same
CDI1.2096+0.2016same
MRSA1.8991+0.3165same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/360123/

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.

Figure 6. CMS made a decision on this hospital in 11 years and never cut it.
highest middle lowest z‑scoresequal weights no scores FY2015: score 1.6750, higher than 3% of scores; not cutFY2016: score 2.0000, higher than 4% of scores; not cutFY2017: score 2.8100, higher than 13% of scores; not cutFY2018: score −0.9620, higher than 8% of scores; not cutFY2019: score −0.7661, higher than 13% of scores; not cutFY2020: score −0.4931, higher than 20% of scores; not cutFY2021: score 0.0884, higher than 60% of scores; not cutFY2022: score −0.0845, higher than 46% of scores; not cutFY2024: score −0.1572, higher than 41% of scores; not cutFY2025: score 0.2689, higher than 70% of scores; not cutFY2026: score 0.1320, higher than 60% of scores; not cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 1.6750, higher than 3% of scores; not cutFY2016: score 2.0000, higher than 4% of scores; not cutFY2017: score 2.8100, higher than 13% of scores; not cutFY2018: score −0.9620, higher than 8% of scores; not cutFY2019: score −0.7661, higher than 13% of scores; not cutFY2020: score −0.4931, higher than 20% of scores; not cutFY2021: score 0.0884, higher than 60% of scores; not cutFY2022: score −0.0845, higher than 46% of scores; not cutFY2024: score −0.1572, higher than 41% of scores; not cutFY2025: score 0.2689, higher than 70% of scores; not cutFY2026: score 0.1320, higher than 60% 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
FY20151.67503.0%not cut
FY20162.00004.1%not cut
FY20172.810013.5%not cut
FY2018−0.96208.4%not cut
FY2019−0.766113.2%not cut
FY2020−0.493120.2%not cut
FY20210.088460.2%not cut
FY2022−0.084546.0%not cut
FY2023no decision
FY2024−0.157241.4%not cut
FY20250.268970.0%not cut
FY20260.132060.7%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. 2 of its 5 infection measures ended lower than they started.
CLABSI 0.36 → 0.52 1as predicted 0 ’18’21’24 Nation’s middle CLABSI, 2017: 0.361CLABSI, 2018: 1.496CLABSI, 2019: 0.000CLABSI, 2021: 1.751CLABSI, 2022: 1.731CLABSI, 2023: 1.133CLABSI, 2024: 0.519 CAUTI 0.32 → 0.00 1 0 ’18’21’24 CAUTI, 2017: 0.318CAUTI, 2018: 0.855CAUTI, 2019: 0.000CAUTI, 2021: 0.694CAUTI, 2022: 0.000CAUTI, 2023: 0.270CAUTI, 2024: 0.000 SSI, colon 0.00 → 0.00 1 0 ’18’21’24 SSI, colon, 2017: 0.000SSI, colon, 2018: 0.000SSI, colon, 2019: 1.591SSI, colon, 2021: 0.664SSI, colon, 2022: 0.000SSI, colon, 2023: 0.365SSI, colon, 2024: 0.000 MRSA 0.69 → 0.82 1 0 ’18’21’24 MRSA, 2017: 0.693MRSA, 2018: 0.977MRSA, 2019: 2.976MRSA, 2021: 2.070MRSA, 2022: 1.226MRSA, 2023: 2.115MRSA, 2024: 0.818 C. diff 0.85 → 0.51 1 0 ’18’21’24 C. diff, 2017: 0.846C. diff, 2018: 0.804C. diff, 2019: 0.706C. diff, 2021: 0.417C. diff, 2022: 0.766C. diff, 2023: 0.837C. diff, 2024: 0.511 CLABSI 0.36 → 0.52 1as predicted 0 ’18’20’22’24 Nation’s middle CLABSI, 2017: 0.361CLABSI, 2018: 1.496CLABSI, 2019: 0.000CLABSI, 2021: 1.751CLABSI, 2022: 1.731CLABSI, 2023: 1.133CLABSI, 2024: 0.519 CAUTI 0.32 → 0.00 1 0 ’18’20’22’24 CAUTI, 2017: 0.318CAUTI, 2018: 0.855CAUTI, 2019: 0.000CAUTI, 2021: 0.694CAUTI, 2022: 0.000CAUTI, 2023: 0.270CAUTI, 2024: 0.000 SSI, colon 0.00 → 0.00 1 0 ’18’20’22’24 SSI, colon, 2017: 0.000SSI, colon, 2018: 0.000SSI, colon, 2019: 1.591SSI, colon, 2021: 0.664SSI, colon, 2022: 0.000SSI, colon, 2023: 0.365SSI, colon, 2024: 0.000 MRSA 0.69 → 0.82 1 0 ’18’20’22’24 MRSA, 2017: 0.693MRSA, 2018: 0.977MRSA, 2019: 2.976MRSA, 2021: 2.070MRSA, 2022: 1.226MRSA, 2023: 2.115MRSA, 2024: 0.818 C. diff 0.85 → 0.51 1 0 ’18’20’22’24 C. diff, 2017: 0.846C. diff, 2018: 0.804C. diff, 2019: 0.706C. diff, 2021: 0.417C. diff, 2022: 0.766C. diff, 2023: 0.837C. diff, 2024: 0.511

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
20170.3610.3180.0000.6930.846
20181.4960.8550.0000.9770.804
20190.0000.0001.5912.9760.706
20211.7510.6940.6642.0700.417
20221.7310.0000.0001.2260.766
20231.1330.2700.3652.1150.837
20240.5190.0000.0000.8180.511

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 Ohio, its score is higher than 53% of the other 113 scored there.

In Cleveland, OH area, its score is higher than 61% of the other 21 scored there.

Figure 8. Its score is above the middle in 7 of the 8 groups it belongs to; the share cut runs from 23% (Cleveland, OH area) to 32% (Major teaching).
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 Ohio: CMS cut 31 of 114 (27%); middle score 0.1059Ohio 114 hospitals27% cut Cleveland, OH area: CMS cut 5 of 22 (23%); middle score −0.1414Cleveland, OH area 22 hospitals23% cut Major teaching: CMS cut 136 of 424 (32%); middle score 0.1780Major teaching 424 hospitals32% cut 100 to 299 beds: CMS cut 275 of 1,193 (23%); middle score −0.0732100 to 299 beds 1,193 hospitals23% cut Nonprofit: CMS cut 478 of 1,830 (26%); middle score −0.0134Nonprofit 1,830 hospitals26% cut Urban: CMS cut 510 of 2,241 (23%); middle score −0.0574Urban 2,241 hospitals23% cut CMS’s line: between 0.3792 and 0.3799 CMS’s line −1012 This hospital: 0.1320 This hospital 0.1320 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 Ohio: CMS cut 31 of 114 (27%); middle score 0.1059Ohio114 hospitals27% cut Cleveland, OH area: CMS cut 5 of 22 (23%); middle score −0.1414Cleveland, OH area22 hospitals23% cut Major teaching: CMS cut 136 of 424 (32%); middle score 0.1780Major teaching424 hospitals32% cut 100 to 299 beds: CMS cut 275 of 1,193 (23%); middle score −0.0732100 to 299 beds1,193 hospitals23% cut Nonprofit: CMS cut 478 of 1,830 (26%); middle score −0.0134Nonprofit1,830 hospitals26% cut Urban: CMS cut 510 of 2,241 (23%); middle score −0.0574Urban2,241 hospitals23% cut CMS’s line: between 0.3792 and 0.3799 CMS’s line −1.5−1.0−0.50.00.51.01.52.0 This hospital: 0.1320 This hospital 0.1320

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%−0.045360%
Midwest region68317425%−0.026859%
Ohio1143127%0.105953%
Cleveland, OH area22523%−0.141461%
Major teaching42413632%0.178046%
100 to 299 beds1,19327523%−0.073262%
Nonprofit1,83047826%−0.013459%
Urban2,24151023%−0.057462%
This hospital0.1320
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 3 of the 8 nearest hospitals; the closest is 3 miles away.
5 mi10 mi8. Mercy Regional Medical Center, Lorain: score 0.5999, cut, 15 miles87. Lutheran Hospital, Cleveland: score 0.7663, cut, 13 miles76. Metrohealth System, Cleveland: score 0.8038, cut, 13 miles65. Parma Community General Hospital, Parma: score −0.3765, not cut, 11 miles54. University Hospitals - Elyria Medical Center, Elyria: score 0.0121, not cut, 9 miles43. Southwest General Health Center, Middleburg Heights: score 0.3087, not cut, 7 miles32. Fairview Hospital, Cleveland: score −0.3216, not cut, 6 miles21. Cleveland Clinic Avon Hospital, Avon: score −0.1826, not cut, 3 miles1This hospital: UH St John Medical Center

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

Show table
HospitalMilesScoreDecision
Cleveland Clinic Avon Hospital, Avon, OH3−0.1826not cut
Fairview Hospital, Cleveland, OH6−0.3216not cut
Southwest General Health Center, Middleburg Heights, OH70.3087not cut
University Hospitals - Elyria Medical Center, Elyria, OH90.0121not cut
Parma Community General Hospital, Parma, OH11−0.3765not cut
Metrohealth System, Cleveland, OH130.8038cut
Lutheran Hospital, Cleveland, OH130.7663cut
Mercy Regional Medical Center, Lorain, OH150.5999cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1Cleveland Clinic Avon HospitalAvon, OH3−0.1826No cut$0Above the national median on 4 of 6 measures
2Fairview HospitalCleveland, OH6−0.3216No cut$0Above the national median on 1 of 6 measures
3Southwest General Health CenterMiddleburg Heights, OH70.3087No cut$0Above the national median on 4 of 6 measures
4University Hospitals - Elyria Medical CenterElyria, OH90.0121No cut$0Above the national median on 3 of 6 measures
5Parma Community General HospitalParma, OH11−0.3765No cut$0Above the national median on 3 of 6 measures
6Metrohealth SystemCleveland, OH130.80381% cut$859KAbove the national median on 6 of 6 measures
7Lutheran HospitalCleveland, OH130.76631% cut$106KAbove the national median on 3 of 5 measures
8Mercy Regional Medical CenterLorain, OH150.59991% cut$200KAbove 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. UH St John Medical Center, Westlake, OH: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/360123/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.