P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalPenn State Health Holy Spirit Medical Center Estimated FY2026 net: −$289K×

Hospital record · FY2026CCN 390004

1Hospital

Penn State Health Holy Spirit Medical Center

2Location

Camp Hill, PA (Pennsylvania’s hospitals on the map and in the table) 17011

Cumberland County

3Type

Minor teaching · 202 beds · Nonprofit · Urban · Rural referral center

4Care Compare stars

3 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

0.0129

As CMS reports it

6Payment reduction

No cut
CMS’s value: No

7Estimated cut

$0
A cut would have been $314K, likely $240⁠–⁠395K estimate

No cut

$0

from this program

For fiscal year 2026, CMS reports a Total HAC Score of 0.0129 for Penn State Health Holy Spirit Medical Center and a payment reduction decision of No.

A cut would have taken about $314K estimate 1% of about $31.4M, 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 0.3670 under 0.3799, the lowest score CMS cut.

Likely range $240–395K

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: 0.0129 This hospital 0.0129 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: 0.0129 This hospital 0.0129

Higher than 53% of the other 2,928 scores CMS published (higher is worse).

Its record, fiscal years 2015 to 2026 Cut in 2 of 11 years

  1. 15No
  2. 16No
  3. 17No
  4. 18Cut
  5. 19Cut
  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 CLABSI down to the national median (0.559) would lower the score the most: by 0.1864, to −0.1735. Try it in the what-if

Figure 1. Of its 6 measures with a value, this hospital is above the national median on 4; CLABSI 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 57% 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 value0.9756

    Z-score−0.0896

    Part of score−0.0149

  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.

    added the most

    Central line–associated bloodstream infections

    Worse than 84% of the other 2,181 hospitals

    CMS value1.041

    Z-score1.0084

    Part of score+0.1681

  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 79% of the other 2,354 hospitals

    CMS value0.845

    Z-score0.7183

    Part of score+0.1197

  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 87% of the other 2,269 hospitals

    CMS value0.000

    Z-score−1.4565

    Part of score−0.2428

  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 58% 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 value0.295

    Z-score−0.3199

    Part of score−0.0533

  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 63% of the other 2,067 hospitals

    CMS value0.801

    Z-score0.2167

    Part of score+0.0361

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

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 900.97560.9623−0.0896−0.0149Worse than 57% of the other 2,808 hospitals
CLABSI1.0410.5591.0084+0.1681Worse than 84% of the other 2,181 hospitals
CAUTI0.8450.4890.7183+0.1197Worse than 79% of the other 2,354 hospitals
SSI0.0000.795−1.4565−0.2428Better than 87% of the other 2,269 hospitals
CDI0.2950.346−0.3199−0.0533Better than 58% of the other 2,766 hospitals
MRSA0.8010.6410.2167+0.0361Worse than 63% 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.

(−0.0896PSI 90+1.0084CLABSI+0.7183CAUTI−1.4565SSI−0.3199CDI+0.2167MRSA)÷6measures=0.0129Total HAC Score

This hospital’s score is 0.3670 below 0.3799, the lowest score CMS marked Yes. (This site recomputes.)

Figure 2. The parts add up to 0.0129, below CMS’s line.
1% cut PSI 90: z‑score −0.0896 divided by 6 = −0.0149PSI 90−0.0149 CLABSI: z‑score 1.0084 divided by 6 = +0.1681CLABSI+0.1681 CAUTI: z‑score 0.7183 divided by 6 = +0.1197CAUTI+0.1197 SSI: z‑score −1.4565 divided by 6 = −0.2428SSI−0.2428 CDI: z‑score −0.3199 divided by 6 = −0.0533CDI−0.0533 MRSA: z‑score 0.2167 divided by 6 = +0.0361MRSA+0.0361 Total HAC Score: 0.0129Score0.0129 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.10.20.30.4 1% cut PSI 90: z‑score −0.0896 divided by 6 = −0.0149PSI 90−0.0149 CLABSI: z‑score 1.0084 divided by 6 = +0.1681CLABSI+0.1681 CAUTI: z‑score 0.7183 divided by 6 = +0.1197CAUTI+0.1197 SSI: z‑score −1.4565 divided by 6 = −0.2428SSI−0.2428 CDI: z‑score −0.3199 divided by 6 = −0.0533CDI−0.0533 MRSA: z‑score 0.2167 divided by 6 = +0.0361MRSA+0.0361 Total HAC Score: 0.0129Score0.0129 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 90−0.0896−0.0149−0.0149
CLABSI1.0084+0.16810.1532
CAUTI0.7183+0.11970.2729
SSI−1.4565−0.24280.0301
CDI−0.3199−0.0533−0.0232
MRSA0.2167+0.03610.0129
Total HAC Score0.0129
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, 0.3670 under the lowest score CMS cut, costs it nothing; 0.3670 higher, the cut would have been about $314K 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 $314K at any score from 0.3799 $0at any score up to 0.3792 $314K at any score from 0.3799 −1012 CMS’s highest score: 2.3133 CMS’s highest score 2.3133 This hospital: 0.0129 This hospital 0.0129 CMS’s line $0 at any score up to 0.3792 $314K at any score from 0.3799 $0at any score up to 0.3792 $314Kat 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: 0.0129 This hospital 0.0129

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−$314,465
This hospital0.0129$0
CMS’s highest score2.3133−$314,465

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.

($31,481,616payment+$253,776teaching, MA stays−$106,616readmissions−$182,317value-based)×1%the cut=$314,465at stake

$314,465at stake÷2,499traditional 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 $314K by this site’s estimate. The readmissions and value-based adjustments, on the base alone, came to −$107K and −$182K.

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 $26,654,113
Teaching (indirect medical education) $171,386
Teaching on Medicare Advantage stays $253,776
Many low-income patients (disproportionate share) $289,730
Outliers: unusually costly stays $896,378
Capital: buildings and equipment $2,205,056
Uncompensated care $1,264,953
Total, before the three programs $31,735,392
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (0.9960 − 1) −$106,616
Value-based purchasing (HVBP) base × (0.9932 − 1) −$182,317
After these two $31,446,459
HAC Reduction Program no cut; 1% would have been $314,465 $0
Net of the three programs likely −$340K to −$233K −$288,933

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)$26,654,113
Teaching (indirect medical education)$171,386
Teaching on Medicare Advantage stays$253,776
Many low-income patients (disproportionate share)$289,730
Outliers: unusually costly stays$896,378
Capital: buildings and equipment$2,205,056
Uncompensated care$1,264,953
Total, before the three programs$31,735,392
Readmissions (HRRP) (base × (0.9960 − 1))−$106,616
Value-based purchasing (HVBP) (base × (0.9932 − 1))−$182,317
After these two$31,446,459
HAC Reduction Program (no cut; 1% would have been $314,465)$0
Net of the three programs (likely −$340K to −$233K)−$288,933

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 Score0.0129same
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 0.0129 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 $314K 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 1.2903
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
SSIup to 1.282
CDIup to 0.862
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 0.9756 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1164

CMS 1.041 · median 0.559 · cap 1.572 · each 0.1 = 0.0387

CMS 0.845 · median 0.489 · cap 1.537 · each 0.1 = 0.0402

CMS 0.000 · median 0.795 · cap 2.118 · each 0.1 = 0.0286

CMS 0.295 · median 0.346 · cap 0.944 · each 0.1 = 0.0645

CMS 0.801 · median 0.641 · cap 1.762 · each 0.1 = 0.0348

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Figure 5. CLABSI added the most to this hospital’s Total HAC Score of 0.0129 among its measured results: +0.1681.
  • PSI 90 −0.0149
  • CLABSI +0.1681
  • CAUTI +0.1197
  • SSI −0.2428
  • CDI −0.0533
  • MRSA +0.0361

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 90−0.0896−0.0149same
CLABSI1.0084+0.1681same
CAUTI0.7183+0.1197same
SSI−1.4565−0.2428same
CDI−0.3199−0.0533same
MRSA0.2167+0.0361same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/390004/

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 2 of the 11 years it made a decision.
highest middle lowest z‑scoresequal weights no scores FY2015: score 5.7250, higher than 53% of scores; not cutFY2016: score 5.2500, higher than 45% of scores; not cutFY2017: score 6.3400, higher than 71% of scores; not cutFY2018: score 0.8807, higher than 91% of scores; cutFY2019: score 0.5772, higher than 84% of scores; cutFY2020: score −0.2526, higher than 33% of scores; not cutFY2021: score −0.6697, higher than 13% of scores; not cutFY2022: score −0.8160, higher than 8% of scores; not cutFY2024: score 0.2640, higher than 69% of scores; not cutFY2025: score 0.1114, higher than 60% of scores; not cutFY2026: score 0.0129, higher than 53% of scores; not cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 5.7250, higher than 53% of scores; not cutFY2016: score 5.2500, higher than 45% of scores; not cutFY2017: score 6.3400, higher than 71% of scores; not cutFY2018: score 0.8807, higher than 91% of scores; cutFY2019: score 0.5772, higher than 84% of scores; cutFY2020: score −0.2526, higher than 33% of scores; not cutFY2021: score −0.6697, higher than 13% of scores; not cutFY2022: score −0.8160, higher than 8% of scores; not cutFY2024: score 0.2640, higher than 69% of scores; not cutFY2025: score 0.1114, higher than 60% of scores; not cutFY2026: score 0.0129, higher than 53% 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
FY20155.725053.0%not cut
FY20165.250045.0%not cut
FY20176.340071.2%not cut
FY20180.880791.9%cut
FY20190.577284.6%cut
FY2020−0.252633.4%not cut
FY2021−0.669713.2%not cut
FY2022−0.81608.4%not cut
FY2023no decision
FY20240.264069.4%not cut
FY20250.111460.5%not cut
FY20260.012953.6%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 1.22 → 0.44 1as predicted 0 ’18’21’24 Nation’s middle CLABSI, 2017: 1.224CLABSI, 2018: 0.316CLABSI, 2019: 0.772CLABSI, 2021: 0.959CLABSI, 2022: 1.230CLABSI, 2023: 1.586CLABSI, 2024: 0.439 CAUTI 1.61 → 0.82 1 0 ’18’21’24 CAUTI, 2017: 1.614CAUTI, 2018: 0.622CAUTI, 2019: 0.281CAUTI, 2021: 0.349CAUTI, 2022: 0.233CAUTI, 2023: 0.876CAUTI, 2024: 0.817 SSI, colon 0.52 → 0.00 1 0 ’18’21’24 SSI, colon, 2017: 0.524SSI, colon, 2018: 1.778SSI, colon, 2019: 0.000SSI, colon, 2021: 1.321SSI, colon, 2024: 0.000 MRSA 1.14 → 0.72 1 0 ’18’21’24 MRSA, 2017: 1.142MRSA, 2018: 0.000MRSA, 2019: 0.000MRSA, 2021: 1.477MRSA, 2022: 1.543MRSA, 2023: 0.908MRSA, 2024: 0.716 C. diff 0.33 → 0.14 1 0 ’18’21’24 C. diff, 2017: 0.333C. diff, 2018: 0.308C. diff, 2019: 0.119C. diff, 2021: 0.159C. diff, 2022: 0.303C. diff, 2023: 0.471C. diff, 2024: 0.139 CLABSI 1.22 → 0.44 1as predicted 0 ’18’20’22’24 Nation’s middle CLABSI, 2017: 1.224CLABSI, 2018: 0.316CLABSI, 2019: 0.772CLABSI, 2021: 0.959CLABSI, 2022: 1.230CLABSI, 2023: 1.586CLABSI, 2024: 0.439 CAUTI 1.61 → 0.82 1 0 ’18’20’22’24 CAUTI, 2017: 1.614CAUTI, 2018: 0.622CAUTI, 2019: 0.281CAUTI, 2021: 0.349CAUTI, 2022: 0.233CAUTI, 2023: 0.876CAUTI, 2024: 0.817 SSI, colon 0.52 → 0.00 1 0 ’18’20’22’24 SSI, colon, 2017: 0.524SSI, colon, 2018: 1.778SSI, colon, 2019: 0.000SSI, colon, 2021: 1.321SSI, colon, 2024: 0.000 MRSA 1.14 → 0.72 1 0 ’18’20’22’24 MRSA, 2017: 1.142MRSA, 2018: 0.000MRSA, 2019: 0.000MRSA, 2021: 1.477MRSA, 2022: 1.543MRSA, 2023: 0.908MRSA, 2024: 0.716 C. diff 0.33 → 0.14 1 0 ’18’20’22’24 C. diff, 2017: 0.333C. diff, 2018: 0.308C. diff, 2019: 0.119C. diff, 2021: 0.159C. diff, 2022: 0.303C. diff, 2023: 0.471C. diff, 2024: 0.139

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
20171.2241.6140.5241.1420.333
20180.3160.6221.7780.0000.308
20190.7720.2810.0000.0000.119
20210.9590.3491.3211.4770.159
20221.2300.2331.5430.303
20231.5860.8760.9080.471
20240.4390.8170.0000.7160.139

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 Pennsylvania, its score is higher than 40% of the other 129 scored there.

In Harrisburg-Carlisle, PA area, its score is higher than 50% of the other 4 scored there.

Figure 8. Its score is above the middle in 5 of the 8 groups it belongs to; the share cut runs from 0% (Harrisburg-Carlisle, PA area) to 28% (Northeast region).
All hospitals: CMS cut 718 of 2,886 (25%); middle score −0.0453All hospitals 2,886 hospitals25% cut Northeast region: CMS cut 124 of 436 (28%); middle score 0.0478Northeast region 436 hospitals28% cut Pennsylvania: CMS cut 36 of 130 (28%); middle score 0.1104Pennsylvania 130 hospitals28% cut Harrisburg-Carlisle, PA area: CMS cut 0 of 5 (0%); middle score 0.0129Harrisburg-Carlisle, PA area 5 hospitals0% 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 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: 0.0129 This hospital 0.0129 All hospitals: CMS cut 718 of 2,886 (25%); middle score −0.0453All hospitals2,886 hospitals25% cut Northeast region: CMS cut 124 of 436 (28%); middle score 0.0478Northeast region436 hospitals28% cut Pennsylvania: CMS cut 36 of 130 (28%); middle score 0.1104Pennsylvania130 hospitals28% cut Harrisburg-Carlisle, PA area: CMS cut 0 of 5 (0%); middle score 0.0129Harrisburg-Carlisle, PA area5 hospitals0% 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 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: 0.0129 This hospital 0.0129

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%−0.045353%
Northeast region43612428%0.047847%
Pennsylvania1303628%0.110440%
Harrisburg-Carlisle, PA area500%0.012950%
Minor teaching87318121%−0.056754%
100 to 299 beds1,19327523%−0.073255%
Nonprofit1,83047826%−0.013451%
Urban2,24151023%−0.057454%
This hospital0.0129
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 3 miles away.
5 mi10 mi25 mi8. OSS Orthopaedic Hospital, York: score −0.8319, not cut, 26 miles87. WellSpan Surgery and Rehabilitation Hospital, York: score −0.1649, not cut, 25 miles76. WellSpan York Hospital, York: score 0.2558, not cut, 24 miles65. UPMC Memorial, York: score 0.5709, cut, 23 miles54. UPMC Carlisle, Carlisle: score 0.2942, not cut, 17 miles43. Milton S Hershey Medical Center, Hershey: score −0.2150, not cut, 16 miles32. Penn State Health Hampden Medical Center, Enola: score −0.6906, not cut, 4 miles21. UPMC Pinnacle Hospitals, Harrisburg: score 0.2195, not cut, 3 miles1This hospital: Penn State Health Holy Spirit Medical Center

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

Show table
HospitalMilesScoreDecision
UPMC Pinnacle Hospitals, Harrisburg, PA30.2195not cut
Penn State Health Hampden Medical Center, Enola, PA4−0.6906not cut
Milton S Hershey Medical Center, Hershey, PA16−0.2150not cut
UPMC Carlisle, Carlisle, PA170.2942not cut
UPMC Memorial, York, PA230.5709cut
WellSpan York Hospital, York, PA240.2558not cut
WellSpan Surgery and Rehabilitation Hospital, York, PA25−0.1649not cut
OSS Orthopaedic Hospital, York, PA26−0.8319not cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1UPMC Pinnacle HospitalsHarrisburg, PA30.2195No cut$0Above the national median on 3 of 6 measures
2Penn State Health Hampden Medical CenterEnola, PA4−0.6906No cut$0Above the national median on 2 of 6 measures
3Milton S Hershey Medical CenterHershey, PA16−0.2150No cut$0Above the national median on 3 of 6 measures
4UPMC CarlisleCarlisle, PA170.2942No cut$0Above the national median on 4 of 6 measures
5UPMC MemorialYork, PA230.57091% cut$181KAbove the national median on 4 of 6 measures
6WellSpan York HospitalYork, PA240.2558No cut$0Above the national median on 5 of 6 measures
7WellSpan Surgery and Rehabilitation HospitalYork, PA25−0.1649No cut$0Above the national median on 1 of 1 measures
8OSS Orthopaedic HospitalYork, PA26−0.8319No cut$0Above the national median on 0 of 1 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. Penn State Health Holy Spirit Medical Center, Camp Hill, PA: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/390004/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.