P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalAscension St John Medical Center Estimated FY2026 net: −$1.1M×

Hospital record · FY2026CCN 370114

1Hospital

Ascension St John Medical Center

2Location

Tulsa, OK (Oklahoma’s hospitals on the map and in the table) 74104

Tulsa County

3Type

Minor teaching · 675 beds · Nonprofit · Urban · Rural referral center

4Care Compare stars

3 of 5 stars

Overall rating, CMS Care Compare data of July 22, 2026
CMS footnote 29: This measure was calculated using partial performance period data due to a CMS-approved exception.
Open on Care Compare (opens in a new tab)

5Total HAC Score

0.4282

As CMS reports it

6Payment reduction

1% cut
CMS’s value: Yes

7Estimated cut

$1.1M estimate
Likely $862K⁠–⁠$1.2M; about $185 per traditional Medicare stay

Cut 1%

$1.1M

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

For fiscal year 2026, CMS reports a Total HAC Score of 0.4282 for Ascension St John Medical Center and a payment reduction decision of Yes.

That is 1% of about $106M, 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 $185 per traditional Medicare stay.

Likely range $862K–$1.2M

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 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: 0.4282 This hospital 0.4282 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: 0.4282 This hospital 0.4282

Higher than 77% of the other 2,928 scores CMS published (higher is worse).

Its record, fiscal years 2015 to 2026 Cut in 5 of 11 years

  1. 15No
  2. 16No
  3. 17Cut
  4. 18No
  5. 19Cut
  6. 20No
  7. 21No
  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 SSI down to the national median (0.795) would lower the score the most: by 0.2392, to 0.1890. That change alone would put the score under CMS’s line. Try it in the what-if

Figure 1. Of its 6 measures with a value, this hospital is above the national median on 5; SSI 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 82% of the other 2,808 hospitals

    CMS footnote 29: This measure was calculated using partial performance period data due to a CMS-approved exception.

    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 value1.1107

    Z-score0.8533

    Part of score+0.1422

  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 footnote 29: This measure was calculated using partial performance period data due to a CMS-approved exception.

    CMS value0.324

    Z-score−0.6549

    Part of score−0.1092

  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

    Worse than 74% of the other 2,354 hospitals

    CMS footnote 29: This measure was calculated using partial performance period data due to a CMS-approved exception.

    CMS value0.755

    Z-score0.5013

    Part of score+0.0836

  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.

    added the most

    Surgical site infections after colon surgery or abdominal hysterectomy

    Worse than 88% of the other 2,269 hospitals

    CMS footnote 29: This measure was calculated using partial performance period data due to a CMS-approved exception.

    CMS value1.633

    Z-score1.3409

    Part of score+0.2235

  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 56% of the other 2,766 hospitals

    CMS footnote 29: This measure was calculated using partial performance period data due to a CMS-approved exception.

    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 value0.388

    Z-score0.0402

    Part of score+0.0067

  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 72% of the other 2,067 hospitals

    CMS footnote 29: This measure was calculated using partial performance period data due to a CMS-approved exception.

    CMS value0.931

    Z-score0.4884

    Part of score+0.0814

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

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 901.11070.96230.8533+0.1422Worse than 82% of the other 2,808 hospitals
CLABSI0.3240.559−0.6549−0.1092Better than 72% of the other 2,181 hospitals
CAUTI0.7550.4890.5013+0.0836Worse than 74% of the other 2,354 hospitals
SSI1.6330.7951.3409+0.2235Worse than 88% of the other 2,269 hospitals
CDI0.3880.3460.0402+0.0067Worse than 56% of the other 2,766 hospitals
MRSA0.9310.6410.4884+0.0814Worse than 72% 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.

(0.8533PSI 90−0.6549CLABSI+0.5013CAUTI+1.3409SSI+0.0402CDI+0.4884MRSA)÷6measures=0.4282Total HAC Score

This hospital’s score is 0.0490 above 0.3792, the highest score CMS marked No. (This site recomputes.)

Figure 2. The parts add up to 0.4282, above CMS’s line.
1% cut PSI 90: z‑score 0.8533 divided by 6 = +0.1422PSI 90+0.1422 CLABSI: z‑score −0.6549 divided by 6 = −0.1092CLABSI−0.1092 CAUTI: z‑score 0.5013 divided by 6 = +0.0836CAUTI+0.0836 SSI: z‑score 1.3409 divided by 6 = +0.2235SSI+0.2235 CDI: z‑score 0.0402 divided by 6 = +0.0067CDI+0.0067 MRSA: z‑score 0.4884 divided by 6 = +0.0814MRSA+0.0814 Total HAC Score: 0.4282Score0.4282 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.10.20.30.40.5 1% cut PSI 90: z‑score 0.8533 divided by 6 = +0.1422PSI 90+0.1422 CLABSI: z‑score −0.6549 divided by 6 = −0.1092CLABSI−0.1092 CAUTI: z‑score 0.5013 divided by 6 = +0.0836CAUTI+0.0836 SSI: z‑score 1.3409 divided by 6 = +0.2235SSI+0.2235 CDI: z‑score 0.0402 divided by 6 = +0.0067CDI+0.0067 MRSA: z‑score 0.4884 divided by 6 = +0.0814MRSA+0.0814 Total HAC Score: 0.4282Score0.4282 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.10.20.30.40.5

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 900.8533+0.14220.1422
CLABSI−0.6549−0.10920.0330
CAUTI0.5013+0.08360.1166
SSI1.3409+0.22350.3401
CDI0.0402+0.00670.3468
MRSA0.4884+0.08140.4282
Total HAC Score0.4282
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, 0.0490 over the highest score CMS didn’t cut, costs it about $1.1M 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 $1.1M at any score from 0.3799 $0at any score up to 0.3792 $1.1M at any score from 0.3799 −1012 CMS’s highest score: 2.3133 This hospital: 0.4282 This hospital 0.4282 CMS’s line $0 at any score up to 0.3792 $1.1M at any score from 0.3799 $0at any score up to 0.3792 $1.1Mat 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: 0.4282 This hospital 0.4282

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−$1,058,466
This hospital0.4282−$1,058,466
CMS’s highest score2.3133−$1,058,466

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.

($102,038,061payment+$3,862,034teaching, MA stays−$53,490readmissions+$0value-based)×1%the cut=$1,058,466HAC cut

$1,058,466HAC cut÷5,722traditional Medicare stays=$185per traditional Medicare stay

Figure 4. This site estimates the HAC cut at $1.1M: 1% of the hospital’s whole inpatient payment, taken last. The readmissions and value-based adjustments, on the base alone, came to −$53K 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 $76,414,944
Teaching (indirect medical education) $5,164,886
Teaching on Medicare Advantage stays $3,862,034
Many low-income patients (disproportionate share) $2,485,014
Outliers: unusually costly stays $1,873,694
Capital: buildings and equipment $6,542,958
Uncompensated care $9,556,565
Total, before the three programs $105,900,095
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (0.9993 − 1) −$53,490
Value-based purchasing (HVBP) not in CMS’s value-based factors: no adjustment $0
After these two $105,846,605
HAC Reduction Program 1% of everything above; likely $862K⁠–⁠$1.2M −$1,058,466
Net of the three programs likely −$1.2M to −$961K −$1,111,956

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)$76,414,944
Teaching (indirect medical education)$5,164,886
Teaching on Medicare Advantage stays$3,862,034
Many low-income patients (disproportionate share)$2,485,014
Outliers: unusually costly stays$1,873,694
Capital: buildings and equipment$6,542,958
Uncompensated care$9,556,565
Total, before the three programs$105,900,095
Readmissions (HRRP) (base × (0.9993 − 1))−$53,490
Value-based purchasing (HVBP) (not in CMS’s value-based factors: no adjustment)$0
After these two$105,846,605
HAC Reduction Program (1% of everything above; likely $862K–$1.2M)−$1,058,466
Net of the three programs (likely −$1.2M to −$961K)−$1,111,956

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 Score0.4282same
Payment reduction decisionYessame
Payment cut1%same
Estimated HAC cut estimate$1.1Msame

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 0.4282 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 $1.1M, 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 901.0685 or lower
CLABSI0.197 or lower
CAUTI0.633 or lower
SSI1.461 or lower
CDI0.312 or lower
MRSA0.790 or lower

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 1.1107 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1164

CMS 0.324 · median 0.559 · cap 1.572 · each 0.1 = 0.0387

CMS 0.755 · median 0.489 · cap 1.537 · each 0.1 = 0.0402

CMS 1.633 · median 0.795 · cap 2.118 · each 0.1 = 0.0286

CMS 0.388 · median 0.346 · cap 0.944 · each 0.1 = 0.0645

CMS 0.931 · median 0.641 · cap 1.762 · each 0.1 = 0.0348

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Figure 5. SSI added the most to this hospital’s Total HAC Score of 0.4282 among its measured results: +0.2235.
  • PSI 90 +0.1422
  • CLABSI −0.1092
  • CAUTI +0.0836
  • SSI +0.2235
  • CDI +0.0067
  • MRSA +0.0814

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 900.8533+0.1422same
CLABSI−0.6549−0.1092same
CAUTI0.5013+0.0836same
SSI1.3409+0.2235same
CDI0.0402+0.0067same
MRSA0.4884+0.0814same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/370114/

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 5 of the 11 years it made a decision.
highest middle lowest z‑scoresequal weights no scores FY2015: score 6.3000, higher than 63% of scores; not cutFY2016: score 6.2500, higher than 64% of scores; not cutFY2017: score 7.0000, higher than 83% of scores; cutFY2018: score 0.3639, higher than 75% of scores; not cutFY2019: score 0.3657, higher than 76% of scores; cutFY2020: score −0.0295, higher than 50% of scores; not cutFY2021: score 0.0474, higher than 56% of scores; not cutFY2022: score 0.1288, higher than 65% of scores; not cutFY2024: score 0.6472, higher than 84% of scores; cutFY2025: score 0.5140, higher than 81% of scores; cutFY2026: score 0.4282, higher than 77% of scores; cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 6.3000, higher than 63% of scores; not cutFY2016: score 6.2500, higher than 64% of scores; not cutFY2017: score 7.0000, higher than 83% of scores; cutFY2018: score 0.3639, higher than 75% of scores; not cutFY2019: score 0.3657, higher than 76% of scores; cutFY2020: score −0.0295, higher than 50% of scores; not cutFY2021: score 0.0474, higher than 56% of scores; not cutFY2022: score 0.1288, higher than 65% of scores; not cutFY2024: score 0.6472, higher than 84% of scores; cutFY2025: score 0.5140, higher than 81% of scores; cutFY2026: score 0.4282, higher than 77% 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
FY20156.300063.8%not cut
FY20166.250064.4%not cut
FY20177.000083.1%cut
FY20180.363975.7%not cut
FY20190.365776.0%cut
FY2020−0.029550.2%not cut
FY20210.047456.2%not cut
FY20220.128865.4%not cut
FY2023no decision
FY20240.647284.8%cut
FY20250.514081.8%cut
FY20260.428277.0%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. 4 of its 6 infection measures ended lower than they started.
CLABSI 0.39 → 0.64 1as predicted 0 ’18’21’24 Nation’s middle CLABSI, 2017: 0.391CLABSI, 2018: 0.338CLABSI, 2019: 0.430CLABSI, 2021: 0.672CLABSI, 2022: 1.115CLABSI, 2023: 0.243CLABSI, 2024: 0.644 CAUTI 1.12 → 0.56 1 0 ’18’21’24 CAUTI, 2017: 1.120CAUTI, 2018: 0.579CAUTI, 2019: 0.588CAUTI, 2021: 0.460CAUTI, 2022: 0.509CAUTI, 2023: 0.801CAUTI, 2024: 0.563 SSI, colon 0.84 → 2.38 1 0 ’18’21’24 SSI, colon, 2017: 0.842SSI, colon, 2018: 1.177SSI, colon, 2019: 0.804SSI, colon, 2021: 0.967SSI, colon, 2022: 2.085SSI, colon, 2023: 1.951SSI, colon, 2024: 2.385 SSI, hysterectomy 1.99 → 0.70 1 0 ’18’21’24 SSI, hysterectomy, 2017: 1.994SSI, hysterectomy, 2018: 1.337SSI, hysterectomy, 2019: 0.605SSI, hysterectomy, 2021: 0.723SSI, hysterectomy, 2022: 0.607SSI, hysterectomy, 2023: 0.671SSI, hysterectomy, 2024: 0.702 MRSA 1.07 → 0.25 1 0 ’18’21’24 MRSA, 2017: 1.071MRSA, 2018: 0.489MRSA, 2019: 0.689MRSA, 2021: 1.165MRSA, 2022: 0.839MRSA, 2023: 1.177MRSA, 2024: 0.251 C. diff 0.68 → 0.33 1 0 ’18’21’24 C. diff, 2017: 0.683C. diff, 2018: 0.745C. diff, 2019: 0.749C. diff, 2021: 0.575C. diff, 2022: 0.589C. diff, 2023: 0.404C. diff, 2024: 0.332 CLABSI 0.39 → 0.64 1as predicted 0 ’18’20’22’24 Nation’s middle CLABSI, 2017: 0.391CLABSI, 2018: 0.338CLABSI, 2019: 0.430CLABSI, 2021: 0.672CLABSI, 2022: 1.115CLABSI, 2023: 0.243CLABSI, 2024: 0.644 CAUTI 1.12 → 0.56 1 0 ’18’20’22’24 CAUTI, 2017: 1.120CAUTI, 2018: 0.579CAUTI, 2019: 0.588CAUTI, 2021: 0.460CAUTI, 2022: 0.509CAUTI, 2023: 0.801CAUTI, 2024: 0.563 SSI, colon 0.84 → 2.38 1 0 ’18’20’22’24 SSI, colon, 2017: 0.842SSI, colon, 2018: 1.177SSI, colon, 2019: 0.804SSI, colon, 2021: 0.967SSI, colon, 2022: 2.085SSI, colon, 2023: 1.951SSI, colon, 2024: 2.385 SSI, hysterectomy 1.99 → 0.70 1 0 ’18’20’22’24 SSI, hysterectomy, 2017: 1.994SSI, hysterectomy, 2018: 1.337SSI, hysterectomy, 2019: 0.605SSI, hysterectomy, 2021: 0.723SSI, hysterectomy, 2022: 0.607SSI, hysterectomy, 2023: 0.671SSI, hysterectomy, 2024: 0.702 MRSA 1.07 → 0.25 1 0 ’18’20’22’24 MRSA, 2017: 1.071MRSA, 2018: 0.489MRSA, 2019: 0.689MRSA, 2021: 1.165MRSA, 2022: 0.839MRSA, 2023: 1.177MRSA, 2024: 0.251 C. diff 0.68 → 0.33 1 0 ’18’20’22’24 C. diff, 2017: 0.683C. diff, 2018: 0.745C. diff, 2019: 0.749C. diff, 2021: 0.575C. diff, 2022: 0.589C. diff, 2023: 0.404C. diff, 2024: 0.332

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, colonSSI, hysterectomyMRSAC. diff
20170.3911.1200.8421.9941.0710.683
20180.3380.5791.1771.3370.4890.745
20190.4300.5880.8040.6050.6890.749
20210.6720.4600.9670.7231.1650.575
20221.1150.5092.0850.6070.8390.589
20230.2430.8011.9510.6711.1770.404
20240.6440.5632.3850.7020.2510.332

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 Oklahoma, its score is higher than 80% of the other 67 scored there.

In Tulsa, OK area, its score is higher than 86% of the other 15 scored there.

Figure 8. Its score is above the middle in all 8 groups it belongs to; the share cut runs from 19% (Tulsa, OK area) to 29% (500 beds and up).
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 Oklahoma: CMS cut 15 of 68 (22%); middle score −0.1556Oklahoma 68 hospitals22% cut Tulsa, OK area: CMS cut 3 of 16 (19%); middle score −0.7589Tulsa, OK area 16 hospitals19% 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: 0.4282 This hospital 0.4282 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 Oklahoma: CMS cut 15 of 68 (22%); middle score −0.1556Oklahoma68 hospitals22% cut Tulsa, OK area: CMS cut 3 of 16 (19%); middle score −0.7589Tulsa, OK area16 hospitals19% 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: 0.4282 This hospital 0.4282

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%−0.045377%
South region1,17426322%−0.105679%
Oklahoma681522%−0.155680%
Tulsa, OK area16319%−0.758986%
Minor teaching87318121%−0.056781%
500 beds and up36510529%0.132373%
Nonprofit1,83047826%−0.013476%
Urban2,24151023%−0.057479%
This hospital0.4282
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 1 of the 8 nearest hospitals; the closest is 2 miles away.
5 mi10 mi8. Ascension St John Broken Arrow, Broken Arrow: score −1.0213, not cut, 10 miles87. Saint Francis Hospital South, LLC, Tulsa: score −0.9175, not cut, 9 miles76. Hillcrest Hospital South, Tulsa: score −0.7293, not cut, 9 miles65. Oklahoma Surgical Hospital, LLC, Tulsa: score −0.4117, not cut, 7 miles54. Tulsa Spine & Specialty Hospital, Tulsa: score 0.5145, cut, 5 miles43. Hillcrest Medical Center, Tulsa: score −0.4491, not cut, 5 miles32. Saint Francis Hospital, Inc, Tulsa: score −0.2423, not cut, 5 miles21. Oklahoma State University Medical Center, Tulsa: score 0.0398, not cut, 2 miles1This hospital: Ascension St John Medical Center

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

Show table
HospitalMilesScoreDecision
Oklahoma State University Medical Center, Tulsa, OK20.0398not cut
Saint Francis Hospital, Inc, Tulsa, OK5−0.2423not cut
Hillcrest Medical Center, Tulsa, OK5−0.4491not cut
Tulsa Spine & Specialty Hospital, Tulsa, OK50.5145cut
Oklahoma Surgical Hospital, LLC, Tulsa, OK7−0.4117not cut
Hillcrest Hospital South, Tulsa, OK9−0.7293not cut
Saint Francis Hospital South, LLC, Tulsa, OK9−0.9175not cut
Ascension St John Broken Arrow, Broken Arrow, OK10−1.0213not cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1Oklahoma State University Medical CenterTulsa, OK20.0398No cut$0Above the national median on 2 of 6 measures
2Saint Francis Hospital, IncTulsa, OK5−0.2423No cut$0Above the national median on 3 of 6 measures
3Hillcrest Medical CenterTulsa, OK5−0.4491No cut$0Above the national median on 1 of 6 measures
4Tulsa Spine & Specialty HospitalTulsa, OK50.51451% cut$68KAbove the national median on 1 of 2 measures
5Oklahoma Surgical Hospital, LLCTulsa, OK7−0.4117No cut$0Above the national median on 1 of 5 measures
6Hillcrest Hospital SouthTulsa, OK9−0.7293No cut$0Above the national median on 1 of 6 measures
7Saint Francis Hospital South, LLCTulsa, OK9−0.9175No cut$0Above the national median on 1 of 6 measures
8Ascension St John Broken ArrowBroken Arrow, OK10−1.0213No cut$0Above the national median on 0 of 2 measures

Download all hospitals’ data (CSV) · Data dictionary · CMS’s dataset page

CMS’s footnotes on this page

29
This measure was calculated using partial performance period data due to a CMS-approved exception.

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. Ascension St John Medical Center, Tulsa, OK: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/370114/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.