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HospitalSt Luke's Hospital - Grand View Campus Estimated FY2026 net: −$79K×

Hospital record · FY2026CCN 390057

1Hospital

St Luke's Hospital - Grand View Campus

2Location

Sellersville, PA (Pennsylvania’s hospitals on the map and in the table) 18960

Bucks County

3Type

Not a teaching hospital · 207 beds · Nonprofit · Urban

4Care Compare stars

4 of 5 stars

Overall rating, CMS Care Compare data of July 22, 2026
Open on Care Compare (opens in a new tab)

5Total HAC Score

0.1179

As CMS reports it

6Payment reduction

No cut
CMS’s value: No

7Estimated cut

$0
A cut would have been $360K, likely $274⁠–⁠452K estimate

No cut

$0

from this program

For fiscal year 2026, CMS reports a Total HAC Score of 0.1179 for St Luke's Hospital - Grand View Campus and a payment reduction decision of No.

A cut would have taken about $360K estimate 1% of about $36.0M, this site’s estimate of what traditional Medicare pays it for inpatient stays in a year. Its score was 0.2620 under 0.3799, the lowest score CMS cut.

Likely range $274–452K

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: 0.1179 This hospital 0.1179 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: 0.1179 This hospital 0.1179

Higher than 60% 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. 15Cut
  2. 16Cut
  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 CDI down to the national median (0.346) would lower the score the most: by 0.2814, to −0.1635. Try it in the what-if

Figure 1. Of its 6 measures with a value, this hospital is above the national median on 3; CDI 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 93% 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 value0.7922

    Z-score−1.3700

    Part of score−0.2283

  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 77% of the other 2,181 hospitals

    CMS value0.903

    Z-score0.6883

    Part of score+0.1147

  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 71% of the other 2,354 hospitals

    CMS value0.712

    Z-score0.3977

    Part of score+0.0663

  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 56% of the other 2,269 hospitals

    CMS value0.697

    Z-score−0.2625

    Part of score−0.0438

  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.

    added the most

    Clostridioides difficile (C. diff) infections

    Worse than 90% 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 value0.782

    Z-score1.5658

    Part of score+0.2610

  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 58% of the other 2,067 hospitals

    CMS value0.548

    Z-score−0.3120

    Part of score−0.0520

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

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 900.79220.9623−1.3700−0.2283Better than 93% of the other 2,808 hospitals
CLABSI0.9030.5590.6883+0.1147Worse than 77% of the other 2,181 hospitals
CAUTI0.7120.4890.3977+0.0663Worse than 71% of the other 2,354 hospitals
SSI0.6970.795−0.2625−0.0438Better than 56% of the other 2,269 hospitals
CDI0.7820.3461.5658+0.2610Worse than 90% of the other 2,766 hospitals
MRSA0.5480.641−0.3120−0.0520Better than 58% of the other 2,067 hospitals

How the parts add up

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

(−1.3700PSI 90+0.6883CLABSI+0.3977CAUTI−0.2625SSI+1.5658CDI−0.3120MRSA)÷6measures=0.1179Total HAC Score

This hospital’s score is 0.2620 below 0.3799, the lowest score CMS marked Yes. (This site recomputes.)

Figure 2. The parts add up to 0.1179, below CMS’s line.
1% cut PSI 90: z‑score −1.3700 divided by 6 = −0.2283PSI 90−0.2283 CLABSI: z‑score 0.6883 divided by 6 = +0.1147CLABSI+0.1147 CAUTI: z‑score 0.3977 divided by 6 = +0.0663CAUTI+0.0663 SSI: z‑score −0.2625 divided by 6 = −0.0438SSI−0.0438 CDI: z‑score 1.5658 divided by 6 = +0.2610CDI+0.2610 MRSA: z‑score −0.3120 divided by 6 = −0.0520MRSA−0.0520 Total HAC Score: 0.1179Score0.1179 CMS’s line: between 0.3792 and 0.3799 CMS’s line −0.20.00.20.4 1% cut PSI 90: z‑score −1.3700 divided by 6 = −0.2283PSI 90−0.2283 CLABSI: z‑score 0.6883 divided by 6 = +0.1147CLABSI+0.1147 CAUTI: z‑score 0.3977 divided by 6 = +0.0663CAUTI+0.0663 SSI: z‑score −0.2625 divided by 6 = −0.0438SSI−0.0438 CDI: z‑score 1.5658 divided by 6 = +0.2610CDI+0.2610 MRSA: z‑score −0.3120 divided by 6 = −0.0520MRSA−0.0520 Total HAC Score: 0.1179Score0.1179 CMS’s line: between 0.3792 and 0.3799 CMS’s line −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 90−1.3700−0.2283−0.2283
CLABSI0.6883+0.1147−0.1136
CAUTI0.3977+0.0663−0.0473
SSI−0.2625−0.0438−0.0911
CDI1.5658+0.26100.1699
MRSA−0.3120−0.05200.1179
Total HAC Score0.1179
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; 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, 0.2620 under the lowest score CMS cut, costs it nothing; 0.2620 higher, the cut would have been about $360K 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 $360K at any score from 0.3799 $0at any score up to 0.3792 $360K at any score from 0.3799 −1012 CMS’s highest score: 2.3133 CMS’s highest score 2.3133 This hospital: 0.1179 This hospital 0.1179 CMS’s line $0 at any score up to 0.3792 $360K at any score from 0.3799 $0at any score up to 0.3792 $360Kat 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: 0.1179 This hospital 0.1179

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−$359,859
This hospital0.1179$0
CMS’s highest score2.3133−$359,859

The money, line by line

This site estimates what traditional Medicare pays the hospital for a year of inpatient 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.

($36,065,090payment−$79,182readmissions+$0value-based)×1%the cut=$359,859at stake

$359,859at stake÷3,111traditional Medicare stays=$116per traditional Medicare stay

Figure 4. No HAC cut this year; 1% of the hospital’s whole inpatient payment would have been about $360K by this site’s estimate. The readmissions and value-based adjustments, on the base alone, came to −$79K and $0.

Estimated Medicare inpatient payments · FY2026 estimate

What traditional Medicare pays it for inpatient stays
DRG payments at the federal rates the base $31,672,817
Many low-income patients (disproportionate share) $197,955
Outliers: unusually costly stays $701,553
Capital: buildings and equipment $2,698,313
Uncompensated care $794,452
Total, before the three programs $36,065,090
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (0.9975 − 1) −$79,182
Value-based purchasing (HVBP) not in CMS’s value-based factors: no adjustment $0
After these two $35,985,908
HAC Reduction Program no cut; 1% would have been $359,859 $0
Net of the three programs likely −$93K to −$64K −$79,182

Not paid to this hospital: a Medicare-dependent hospital add-on, teaching payments, 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)$31,672,817
Many low-income patients (disproportionate share)$197,955
Outliers: unusually costly stays$701,553
Capital: buildings and equipment$2,698,313
Uncompensated care$794,452
Total, before the three programs$36,065,090
Readmissions (HRRP) (base × (0.9975 − 1))−$79,182
Value-based purchasing (HVBP) (not in CMS’s value-based factors: no adjustment)$0
After these two$35,985,908
HAC Reduction Program (no cut; 1% would have been $359,859)$0
Net of the three programs (likely −$93K to −$64K)−$79,182

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 Score0.1179same
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 0.1179 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 $360K 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 1.0167
CLABSIany value: every CLABSI value past the cap (1.572) scores the same
CAUTIup to 1.362
SSIup to 1.612
CDIany value: every CDI value past the cap (0.944) scores the same
MRSAup to 1.298

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 0.7922 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1164

CMS 0.903 · median 0.559 · cap 1.572 · each 0.1 = 0.0387

CMS 0.712 · median 0.489 · cap 1.537 · each 0.1 = 0.0402

CMS 0.697 · median 0.795 · cap 2.118 · each 0.1 = 0.0286

CMS 0.782 · median 0.346 · cap 0.944 · each 0.1 = 0.0645

CMS 0.548 · median 0.641 · cap 1.762 · each 0.1 = 0.0348

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Figure 5. CDI added the most to this hospital’s Total HAC Score of 0.1179 among its measured results: +0.2610.
  • PSI 90 −0.2283
  • CLABSI +0.1147
  • CAUTI +0.0663
  • SSI −0.0438
  • CDI +0.2610
  • MRSA −0.0520

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 90−1.3700−0.2283same
CLABSI0.6883+0.1147same
CAUTI0.3977+0.0663same
SSI−0.2625−0.0438same
CDI1.5658+0.2610same
MRSA−0.3120−0.0520same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/390057/

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 9.6750, higher than 99% of scores; cutFY2016: score 7.0000, higher than 76% of scores; cutFY2017: score 4.2200, higher than 29% of scores; not cutFY2018: score 0.1462, higher than 63% of scores; not cutFY2019: score −0.181, higher than 38% of scores; not cutFY2020: score 0.6707, higher than 88% of scores; cutFY2021: score 1.0411, higher than 96% of scores; cutFY2022: score 0.6649, higher than 88% of scores; cutFY2024: score 0.1234, higher than 61% of scores; not cutFY2025: score −0.2469, higher than 34% of scores; not cutFY2026: score 0.1179, higher than 60% of scores; not cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 9.6750, higher than 99% of scores; cutFY2016: score 7.0000, higher than 76% of scores; cutFY2017: score 4.2200, higher than 29% of scores; not cutFY2018: score 0.1462, higher than 63% of scores; not cutFY2019: score −0.181, higher than 38% of scores; not cutFY2020: score 0.6707, higher than 88% of scores; cutFY2021: score 1.0411, higher than 96% of scores; cutFY2022: score 0.6649, higher than 88% of scores; cutFY2024: score 0.1234, higher than 61% of scores; not cutFY2025: score −0.2469, higher than 34% of scores; not cutFY2026: score 0.1179, 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
FY20159.675099.0%cut
FY20167.000076.6%cut
FY20174.220029.4%not cut
FY20180.146263.4%not cut
FY2019−0.18138.9%not cut
FY20200.670788.2%cut
FY20211.041196.7%cut
FY20220.664988.2%cut
FY2023no decision
FY20240.123461.3%not cut
FY2025−0.246934.6%not cut
FY20260.117960.0%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. 1 of its 5 infection measures ended lower than they started.
CLABSI 0.55 → 1.77 1as predicted 0 ’18’21’24 Nation’s middle CLABSI, 2017: 0.546CLABSI, 2018: 1.213CLABSI, 2019: 1.508CLABSI, 2021: 1.770CLABSI, 2022: 1.442CLABSI, 2023: 0.000CLABSI, 2024: 1.767 CAUTI 0.00 → 1.06 1 0 ’18’21’24 CAUTI, 2017: 0.000CAUTI, 2018: 3.372CAUTI, 2019: 0.000CAUTI, 2021: 2.027CAUTI, 2022: 0.557CAUTI, 2023: 0.359CAUTI, 2024: 1.061 SSI, colon 0.00 → 0.00 1 0 ’18’21’24 SSI, colon, 2017: 0.000SSI, colon, 2018: 1.110SSI, colon, 2019: 0.618SSI, colon, 2021: 2.038SSI, colon, 2022: 0.000SSI, colon, 2023: 1.218SSI, colon, 2024: 0.000 MRSA 0.00 → 1.16 1 0 ’18’21’24 MRSA, 2017: 0.000MRSA, 2021: 0.724MRSA, 2022: 0.841MRSA, 2023: 0.000MRSA, 2024: 1.155 C. diff 1.23 → 0.83 1 0 ’18’21’24 C. diff, 2017: 1.226C. diff, 2018: 1.519C. diff, 2019: 0.974C. diff, 2021: 0.738C. diff, 2022: 0.847C. diff, 2023: 0.738C. diff, 2024: 0.835 CLABSI 0.55 → 1.77 1as predicted 0 ’18’20’22’24 Nation’s middle CLABSI, 2017: 0.546CLABSI, 2018: 1.213CLABSI, 2019: 1.508CLABSI, 2021: 1.770CLABSI, 2022: 1.442CLABSI, 2023: 0.000CLABSI, 2024: 1.767 CAUTI 0.00 → 1.06 1 0 ’18’20’22’24 CAUTI, 2017: 0.000CAUTI, 2018: 3.372CAUTI, 2019: 0.000CAUTI, 2021: 2.027CAUTI, 2022: 0.557CAUTI, 2023: 0.359CAUTI, 2024: 1.061 SSI, colon 0.00 → 0.00 1 0 ’18’20’22’24 SSI, colon, 2017: 0.000SSI, colon, 2018: 1.110SSI, colon, 2019: 0.618SSI, colon, 2021: 2.038SSI, colon, 2022: 0.000SSI, colon, 2023: 1.218SSI, colon, 2024: 0.000 MRSA 0.00 → 1.16 1 0 ’18’20’22’24 MRSA, 2017: 0.000MRSA, 2021: 0.724MRSA, 2022: 0.841MRSA, 2023: 0.000MRSA, 2024: 1.155 C. diff 1.23 → 0.83 1 0 ’18’20’22’24 C. diff, 2017: 1.226C. diff, 2018: 1.519C. diff, 2019: 0.974C. diff, 2021: 0.738C. diff, 2022: 0.847C. diff, 2023: 0.738C. diff, 2024: 0.835

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
20170.5460.0000.0000.0001.226
20181.2133.3721.1101.519
20191.5080.0000.6180.974
20211.7702.0272.0380.7240.738
20221.4420.5570.0000.8410.847
20230.0000.3591.2180.0000.738
20241.7671.0610.0001.1550.835

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 50% of the other 129 scored there.

In Montgomery County-Bucks County-Chester County, PA area, its score is higher than 73% of the other 19 scored there.

Figure 8. Its score is above the middle in all 8 groups it belongs to; the share cut runs from 15% (Montgomery County-Bucks County-Chester County, 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 Montgomery County-Bucks County-Chester County, PA area: CMS cut 3 of 20 (15%); middle score 0.0360Montgomery County-Bucks County-Chester County, PA area20 hospitals15% cut Not teaching: CMS cut 389 of 1,563 (25%); middle score −0.1053Not teaching 1,563 hospitals25% 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: 0.1179 This hospital 0.1179 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 Montgomery County-Bucks County-Chester County, PA area: CMS cut 3 of 20 (15%); middle score 0.0360Montgomery County-Bucks County-Chester County, PA area20 hospitals15% cut Not teaching: CMS cut 389 of 1,563 (25%); middle score −0.1053Not teaching1,563 hospitals25% 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: 0.1179 This hospital 0.1179

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%
Northeast region43612428%0.047854%
Pennsylvania1303628%0.110450%
Montgomery County-Bucks County-Chester County, PA area20315%0.036073%
Not teaching1,56338925%−0.105363%
100 to 299 beds1,19327523%−0.073261%
Nonprofit1,83047826%−0.013458%
Urban2,24151023%−0.057461%
This hospital0.1179
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 7 miles away.
5 mi10 mi8. Physicians Care Surgical Hospital, Royersford: score −0.3711, not cut, 16 miles87. Suburban Community Hospital, Norristown: score −0.6302, not cut, 15 miles76. Eagleville Hospital, Eagleville: score −0.2492, not cut, 15 miles65. Jefferson Einstein Montgomery Hospital, East Norriton: score 0.1806, not cut, 15 miles54. Valley Forge Medical Center, Norristown: score 2.1966, cut, 14 miles43. Doylestown Hospital, Doylestown: score −0.0574, not cut, 10 miles32. Jefferson Lansdale Hospital, Lansdale: score 0.0245, not cut, 8 miles21. St Luke's Hospital - Upper Bucks Campus, Quakertown: score −0.5185, not cut, 7 miles1This hospital: St Luke's Hospital - Grand View Campus

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

Show table
HospitalMilesScoreDecision
St Luke's Hospital - Upper Bucks Campus, Quakertown, PA7−0.5185not cut
Jefferson Lansdale Hospital, Lansdale, PA80.0245not cut
Doylestown Hospital, Doylestown, PA10−0.0574not cut
Valley Forge Medical Center, Norristown, PA142.1966cut
Jefferson Einstein Montgomery Hospital, East Norriton, PA150.1806not cut
Eagleville Hospital, Eagleville, PA15−0.2492not cut
Suburban Community Hospital, Norristown, PA15−0.6302not cut
Physicians Care Surgical Hospital, Royersford, PA16−0.3711not cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1St Luke's Hospital - Upper Bucks CampusQuakertown, PA7−0.5185No cut$0Above the national median on 1 of 6 measures
2Jefferson Lansdale HospitalLansdale, PA80.0245No cut$0Above the national median on 3 of 6 measures
3Doylestown HospitalDoylestown, PA10−0.0574No cut$0Above the national median on 3 of 6 measures
4Valley Forge Medical CenterNorristown, PA142.19661% cut$18KAbove the national median on 3 of 3 measures
5Jefferson Einstein Montgomery HospitalEast Norriton, PA150.1806No cut$0Above the national median on 4 of 6 measures
6Eagleville HospitalEagleville, PA15−0.2492No cut$0Above the national median on 1 of 3 measures
7Suburban Community HospitalNorristown, PA15−0.6302No cut$0Above the national median on 1 of 3 measures
8Physicians Care Surgical HospitalRoyersford, PA16−0.3711No 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. St Luke's Hospital - Grand View Campus, Sellersville, PA: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/390057/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.