P&P, Paid & Penalized

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HospitalVanderbilt University Medical Center Estimated FY2026 net: −$2.9M×

Hospital record · FY2026CCN 440039

1Hospital

Vanderbilt University Medical Center

2Location

Nashville, TN (Tennessee’s hospitals on the map and in the table) 37232

Davidson County

3Type

Major teaching · 1,091 beds · Nonprofit · Urban

4Care Compare stars

5 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

0.5042

As CMS reports it

6Payment reduction

1% cut
CMS’s value: Yes

7Estimated cut

$2.9M estimate
Likely $2.4⁠–⁠3.2M; about $289 per traditional Medicare stay

Cut 1%

$2.9M

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

For fiscal year 2026, CMS reports a Total HAC Score of 0.5042 for Vanderbilt University Medical Center and a payment reduction decision of Yes.

That is 1% of about $291M, 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 $289 per traditional Medicare stay.

Likely range $2.4–3.2M

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: 0.5042 This hospital 0.5042 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: 0.5042 This hospital 0.5042

Higher than 80% 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. 18No
  5. 19No
  6. 20No
  7. 21Cut
  8. 22No
  9. 23—
  10. 24No
  11. 25No
  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 PSI 90 down to the national median (0.9623) would lower the score the most: by 0.2077, to 0.2965. 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; PSI 90 added the most to its score.
  • This hospital
  • National median
  • Scores the same as CMS’s floor or cap
  1. PSI 90 (what it counts)

    Safety problems such as serious bedsores, falls that break a bone and blood clots after surgery, found by CMS in traditional Medicare claims. A value of 1 matches the national composite value.

    added the most

    Patient safety and adverse events composite

    Worse than 85% of the other 2,808 hospitals

    estimate

    This site recomputes this measure’s z‑score from CMS’s published value. The recompute can differ from CMS’s z‑score by up to 0.0021. How this site estimates

    CMS value1.1408

    Z-score1.0635

    Part of score+0.1773

  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 64% of the other 2,181 hospitals

    CMS value0.715

    Z-score0.2522

    Part of score+0.0420

  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 60% of the other 2,354 hospitals

    CMS value0.597

    Z-score0.1205

    Part of score+0.0201

  4. SSI (what it counts)

    Deep infections at the site of colon surgery or an abdominal hysterectomy, within a month of the operation, pooled into one measure. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    Surgical site infections after colon surgery or abdominal hysterectomy

    Worse than 80% of the other 2,269 hospitals

    CMS value1.354

    Z-score0.8629

    Part of score+0.1438

  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 57% 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 value0.303

    Z-score−0.2889

    Part of score−0.0482

  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 84% of the other 2,067 hospitals

    CMS value1.183

    Z-score1.0151

    Part of score+0.1692

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

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 901.14080.96231.0635+0.1773Worse than 85% of the other 2,808 hospitals
CLABSI0.7150.5590.2522+0.0420Worse than 64% of the other 2,181 hospitals
CAUTI0.5970.4890.1205+0.0201Worse than 60% of the other 2,354 hospitals
SSI1.3540.7950.8629+0.1438Worse than 80% of the other 2,269 hospitals
CDI0.3030.346−0.2889−0.0482Better than 57% of the other 2,766 hospitals
MRSA1.1830.6411.0151+0.1692Worse than 84% 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.

(1.0635PSI 90+0.2522CLABSI+0.1205CAUTI+0.8629SSI−0.2889CDI+1.0151MRSA)÷6measures=0.5042Total HAC Score

This hospital’s score is 0.1250 above 0.3792, the highest score CMS marked No. (This site recomputes.)

Figure 2. The parts add up to 0.5042, above CMS’s line.
1% cut PSI 90: z‑score 1.0635 divided by 6 = +0.1773PSI 90+0.1773 CLABSI: z‑score 0.2522 divided by 6 = +0.0420CLABSI+0.0420 CAUTI: z‑score 0.1205 divided by 6 = +0.0201CAUTI+0.0201 SSI: z‑score 0.8629 divided by 6 = +0.1438SSI+0.1438 CDI: z‑score −0.2889 divided by 6 = −0.0482CDI−0.0482 MRSA: z‑score 1.0151 divided by 6 = +0.1692MRSA+0.1692 Total HAC Score: 0.5042Score0.5042 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 1.0635 divided by 6 = +0.1773PSI 90+0.1773 CLABSI: z‑score 0.2522 divided by 6 = +0.0420CLABSI+0.0420 CAUTI: z‑score 0.1205 divided by 6 = +0.0201CAUTI+0.0201 SSI: z‑score 0.8629 divided by 6 = +0.1438SSI+0.1438 CDI: z‑score −0.2889 divided by 6 = −0.0482CDI−0.0482 MRSA: z‑score 1.0151 divided by 6 = +0.1692MRSA+0.1692 Total HAC Score: 0.5042Score0.5042 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 901.0635+0.17730.1773
CLABSI0.2522+0.04200.2193
CAUTI0.1205+0.02010.2394
SSI0.8629+0.14380.3832
CDI−0.2889−0.04820.3350
MRSA1.0151+0.16920.5042
Total HAC Score0.5042
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, 0.1250 over the highest score CMS didn’t cut, costs it about $2.9M 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 $2.9M at any score from 0.3799 $0at any score up to 0.3792 $2.9M at any score from 0.3799 −1012 CMS’s highest score: 2.3133 This hospital: 0.5042 This hospital 0.5042 CMS’s line $0 at any score up to 0.3792 $2.9M at any score from 0.3799 $0at any score up to 0.3792 $2.9Mat 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: 0.5042 This hospital 0.5042

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−$2,907,412
This hospital0.5042−$2,907,412
CMS’s highest score2.3133−$2,907,412

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.

($260,060,824payment+$30,680,641teaching, MA stays+$0readmissions−$255value-based)×1%the cut=$2,907,412HAC cut

$2,907,412HAC cut÷10,057traditional Medicare stays=$289per traditional Medicare stay

Figure 4. This site estimates the HAC cut at $2.9M: 1% of the hospital’s whole inpatient payment, taken last. The readmissions and value-based adjustments, on the base alone, came to $0 and −$255.

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 $162,297,738
Teaching (indirect medical education) $34,431,465
Teaching on Medicare Advantage stays $30,680,641
Many low-income patients (disproportionate share) $8,197,659
Outliers: unusually costly stays $13,318,152
Capital: buildings and equipment $16,007,685
Uncompensated care $25,808,125
Total, before the three programs $290,741,465
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (1.0000 − 1) $0
Value-based purchasing (HVBP) base × (1.0000 − 1) −$255
After these two $290,741,210
HAC Reduction Program 1% of everything above; likely $2.4⁠–⁠3.2M −$2,907,412
Net of the three programs likely −$3.2M to −$2.5M −$2,907,667

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)$162,297,738
Teaching (indirect medical education)$34,431,465
Teaching on Medicare Advantage stays$30,680,641
Many low-income patients (disproportionate share)$8,197,659
Outliers: unusually costly stays$13,318,152
Capital: buildings and equipment$16,007,685
Uncompensated care$25,808,125
Total, before the three programs$290,741,465
Readmissions (HRRP) (base × (1.0000 − 1))$0
Value-based purchasing (HVBP) (base × (1.0000 − 1))−$255
After these two$290,741,210
HAC Reduction Program (1% of everything above; likely $2.4–3.2M)−$2,907,412
Net of the three programs (likely −$3.2M to −$2.5M)−$2,907,667

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 Score0.5042same
Payment reduction decisionYessame
Payment cut1%same
Estimated HAC cut estimate$2.9Msame

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 0.5042 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 $2.9M, 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 901.0333 or lower
CLABSI0.391 or lower
CAUTI0.285 or lower
SSI0.916 or lower
CDI0.109 or lower
MRSA0.824 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 1.1408 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1164

CMS 0.715 · median 0.559 · cap 1.572 · each 0.1 = 0.0387

CMS 0.597 · median 0.489 · cap 1.537 · each 0.1 = 0.0402

CMS 1.354 · median 0.795 · cap 2.118 · each 0.1 = 0.0286

CMS 0.303 · median 0.346 · cap 0.944 · each 0.1 = 0.0645

CMS 1.183 · median 0.641 · cap 1.762 · each 0.1 = 0.0348

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Figure 5. PSI 90 added the most to this hospital’s Total HAC Score of 0.5042 among its measured results: +0.1773.
  • PSI 90 +0.1773
  • CLABSI +0.0420
  • CAUTI +0.0201
  • SSI +0.1438
  • CDI −0.0482
  • MRSA +0.1692

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 901.0635+0.1773same
CLABSI0.2522+0.0420same
CAUTI0.1205+0.0201same
SSI0.8629+0.1438same
CDI−0.2889−0.0482same
MRSA1.0151+0.1692same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/440039/

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 cut this hospital in 2 of the 11 years it made a decision.
highest middle lowest z‑scoresequal weights no scores FY2015: score 4.9500, higher than 39% of scores; not cutFY2016: score 6.0000, higher than 56% of scores; not cutFY2017: score 5.8700, higher than 60% of scores; not cutFY2018: score −0.0117, higher than 50% of scores; not cutFY2019: score −0.0954, higher than 44% of scores; not cutFY2020: score 0.0874, higher than 59% of scores; not cutFY2021: score 0.3386, higher than 74% of scores; cutFY2022: score 0.2440, higher than 71% of scores; not cutFY2024: score 0.2317, higher than 67% of scores; not cutFY2025: score 0.3224, higher than 73% of scores; not cutFY2026: score 0.5042, higher than 80% of scores; cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 4.9500, higher than 39% of scores; not cutFY2016: score 6.0000, higher than 56% of scores; not cutFY2017: score 5.8700, higher than 60% of scores; not cutFY2018: score −0.0117, higher than 50% of scores; not cutFY2019: score −0.0954, higher than 44% of scores; not cutFY2020: score 0.0874, higher than 59% of scores; not cutFY2021: score 0.3386, higher than 74% of scores; cutFY2022: score 0.2440, higher than 71% of scores; not cutFY2024: score 0.2317, higher than 67% of scores; not cutFY2025: score 0.3224, higher than 73% of scores; not cutFY2026: score 0.5042, higher than 80% 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
FY20154.950039.4%not cut
FY20166.000056.2%not cut
FY20175.870060.2%not cut
FY2018−0.011750.5%not cut
FY2019−0.095444.6%not cut
FY20200.087459.5%not cut
FY20210.338674.9%cut
FY20220.244071.6%not cut
FY2023no decision
FY20240.231767.8%not cut
FY20250.322473.0%not cut
FY20260.504280.5%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. 3 of its 6 infection measures ended lower than they started.
CLABSI 0.88 → 0.59 1as predicted 0 ’18’21’24 Nation’s middle CLABSI, 2017: 0.877CLABSI, 2018: 0.556CLABSI, 2019: 0.669CLABSI, 2021: 0.854CLABSI, 2022: 0.904CLABSI, 2023: 0.843CLABSI, 2024: 0.588 CAUTI 0.46 → 0.63 1 0 ’18’21’24 CAUTI, 2017: 0.461CAUTI, 2018: 0.868CAUTI, 2019: 0.811CAUTI, 2021: 0.905CAUTI, 2022: 0.877CAUTI, 2023: 0.562CAUTI, 2024: 0.630 SSI, colon 0.42 → 1.22 1 0 ’18’21’24 SSI, colon, 2017: 0.417SSI, colon, 2018: 0.810SSI, colon, 2019: 0.720SSI, colon, 2021: 0.650SSI, colon, 2022: 0.660SSI, colon, 2023: 1.439SSI, colon, 2024: 1.219 SSI, hysterectomy 0.84 → 1.31 1 0 ’18’21’24 SSI, hysterectomy, 2017: 0.841SSI, hysterectomy, 2018: 0.000SSI, hysterectomy, 2019: 0.701SSI, hysterectomy, 2021: 1.060SSI, hysterectomy, 2022: 1.698SSI, hysterectomy, 2023: 1.815SSI, hysterectomy, 2024: 1.311 MRSA 1.13 → 0.84 1 0 ’18’21’24 MRSA, 2017: 1.133MRSA, 2018: 1.142MRSA, 2019: 1.653MRSA, 2021: 1.128MRSA, 2022: 1.544MRSA, 2023: 1.604MRSA, 2024: 0.841 C. diff 0.65 → 0.33 1 0 ’18’21’24 C. diff, 2017: 0.648C. diff, 2018: 0.693C. diff, 2019: 0.487C. diff, 2021: 0.304C. diff, 2022: 0.318C. diff, 2023: 0.277C. diff, 2024: 0.333 CLABSI 0.88 → 0.59 1as predicted 0 ’18’20’22’24 Nation’s middle CLABSI, 2017: 0.877CLABSI, 2018: 0.556CLABSI, 2019: 0.669CLABSI, 2021: 0.854CLABSI, 2022: 0.904CLABSI, 2023: 0.843CLABSI, 2024: 0.588 CAUTI 0.46 → 0.63 1 0 ’18’20’22’24 CAUTI, 2017: 0.461CAUTI, 2018: 0.868CAUTI, 2019: 0.811CAUTI, 2021: 0.905CAUTI, 2022: 0.877CAUTI, 2023: 0.562CAUTI, 2024: 0.630 SSI, colon 0.42 → 1.22 1 0 ’18’20’22’24 SSI, colon, 2017: 0.417SSI, colon, 2018: 0.810SSI, colon, 2019: 0.720SSI, colon, 2021: 0.650SSI, colon, 2022: 0.660SSI, colon, 2023: 1.439SSI, colon, 2024: 1.219 SSI, hysterectomy 0.84 → 1.31 1 0 ’18’20’22’24 SSI, hysterectomy, 2017: 0.841SSI, hysterectomy, 2018: 0.000SSI, hysterectomy, 2019: 0.701SSI, hysterectomy, 2021: 1.060SSI, hysterectomy, 2022: 1.698SSI, hysterectomy, 2023: 1.815SSI, hysterectomy, 2024: 1.311 MRSA 1.13 → 0.84 1 0 ’18’20’22’24 MRSA, 2017: 1.133MRSA, 2018: 1.142MRSA, 2019: 1.653MRSA, 2021: 1.128MRSA, 2022: 1.544MRSA, 2023: 1.604MRSA, 2024: 0.841 C. diff 0.65 → 0.33 1 0 ’18’20’22’24 C. diff, 2017: 0.648C. diff, 2018: 0.693C. diff, 2019: 0.487C. diff, 2021: 0.304C. diff, 2022: 0.318C. diff, 2023: 0.277C. diff, 2024: 0.333

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
20170.8770.4610.4170.8411.1330.648
20180.5560.8680.8100.0001.1420.693
20190.6690.8110.7200.7011.6530.487
20210.8540.9050.6501.0601.1280.304
20220.9040.8770.6601.6981.5440.318
20230.8430.5621.4391.8151.6040.277
20240.5880.6301.2191.3110.8410.333

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 Tennessee, its score is higher than 84% of the other 72 scored there.

In Nashville-Davidson--Murfreesboro--Franklin, TN area, its score is higher than 100% 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 6% (Nashville-Davidson--Murfreesboro--Franklin, TN area) to 32% (Major teaching).
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 Tennessee: CMS cut 14 of 73 (19%); middle score −0.2186Tennessee 73 hospitals19% cut Nashville-Davidson--Murfreesboro--Franklin, TN area: CMS cut 1 of 16 (6%); middle score −0.2760Nashville-Davidson--Murfreesboro--Franklin, TN area16 hospitals6% cut Major teaching: CMS cut 136 of 424 (32%); middle score 0.1780Major teaching 424 hospitals32% 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: 0.5042 This hospital 0.5042 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 Tennessee: CMS cut 14 of 73 (19%); middle score −0.2186Tennessee73 hospitals19% cut Nashville-Davidson--Murfreesboro--Franklin, TN area: CMS cut 1 of 16 (6%); middle score −0.2760Nashville-Davidson--Murfreesboro--Franklin, TN area16 hospitals6% cut Major teaching: CMS cut 136 of 424 (32%); middle score 0.1780Major teaching424 hospitals32% 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: 0.5042 This hospital 0.5042

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%−0.045380%
South region1,17426322%−0.105681%
Tennessee731419%−0.218684%
Nashville-Davidson--Murfreesboro--Franklin, TN area1616%−0.2760100%
Major teaching42413632%0.178074%
500 beds and up36510529%0.132378%
Nonprofit1,83047826%−0.013479%
Urban2,24151023%−0.057482%
This hospital0.5042
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 none of the 8 nearest hospitals; the closest is less than a mile away.
5 mi10 mi8. Tristar Hendersonville Medical Center, Hendersonville: score −0.8045, not cut, 16 miles87. Williamson Medical Center, Franklin: score −0.0100, not cut, 16 miles76. Tristar Summit Medical Center, Hermitage: score −0.4757, not cut, 13 miles65. Tristar Skyline Medical Center, Nashville: score −0.2761, not cut, 7 miles54. Tristar Southern Hills Medical Center, Nashville: score −0.5608, not cut, 6 miles43. Ascension Saint Thomas Hospital, Nashville: score −0.2453, not cut, 3 miles32. Metro Nashville General Hospital, Nashville: score −0.0818, not cut, 2 miles21. Tristar Centennial Medical Center, Nashville: score −0.7388, not cut, less than a mile1This hospital: Vanderbilt University Medical Center

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

Show table
HospitalMilesScoreDecision
Tristar Centennial Medical Center, Nashville, TNunder 1−0.7388not cut
Metro Nashville General Hospital, Nashville, TN2−0.0818not cut
Ascension Saint Thomas Hospital, Nashville, TN3−0.2453not cut
Tristar Southern Hills Medical Center, Nashville, TN6−0.5608not cut
Tristar Skyline Medical Center, Nashville, TN7−0.2761not cut
Tristar Summit Medical Center, Hermitage, TN13−0.4757not cut
Williamson Medical Center, Franklin, TN16−0.0100not cut
Tristar Hendersonville Medical Center, Hendersonville, TN16−0.8045not cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1Tristar Centennial Medical CenterNashville, TNunder 1−0.7388No cut$0Above the national median on 0 of 6 measures
2Metro Nashville General HospitalNashville, TN2−0.0818No cut$0Above the national median on 4 of 6 measures
3Ascension Saint Thomas HospitalNashville, TN3−0.2453No cut$0Above the national median on 3 of 6 measures
4Tristar Southern Hills Medical CenterNashville, TN6−0.5608No cut$0Above the national median on 1 of 6 measures
5Tristar Skyline Medical CenterNashville, TN7−0.2761No cut$0Above the national median on 2 of 6 measures
6Tristar Summit Medical CenterHermitage, TN13−0.4757No cut$0Above the national median on 1 of 6 measures
7Williamson Medical CenterFranklin, TN16−0.0100No cut$0Above the national median on 2 of 6 measures
8Tristar Hendersonville Medical CenterHendersonville, TN16−0.8045No cut$0Above the national median on 1 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. Vanderbilt University Medical Center, Nashville, TN: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/440039/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.