P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalSweetwater Hospital Association Estimated FY2026 net: −$110K×

Hospital record · FY2026CCN 440084

1Hospital

Sweetwater Hospital Association

2Location

Sweetwater, TN (Tennessee’s hospitals on the map and in the table) 37874

Monroe County

3Type

Not a teaching hospital · 59 beds · Nonprofit · Rural · Medicare-dependent hospital

4Care Compare stars

1 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

1.0761

As CMS reports it

6Payment reduction

1% cut
CMS’s value: Yes

7Estimated cut

$42K estimate
Likely $30⁠–⁠47K; about $98 per traditional Medicare stay

Cut 1%

$42K

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

For fiscal year 2026, CMS reports a Total HAC Score of 1.0761 for Sweetwater Hospital Association and a payment reduction decision of Yes.

That is 1% of about $4.2M, this site’s estimate of what traditional Medicare pays it for inpatient stays in a year: about $98 per traditional Medicare stay.

Likely range $30–47K

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 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: 1.0761 This hospital 1.0761 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: 1.0761 This hospital 1.0761

Higher than 95% of the other 2,928 scores CMS published (higher is worse).

Its record, fiscal years 2015 to 2026 Cut in 1 of 11 years

  1. 15No
  2. 16No
  3. 17No
  4. 18No
  5. 19No
  6. 20No
  7. 21No
  8. 22No
  9. 23—
  10. 24No
  11. 25No
  12. 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 0.2037, to 0.8724. Try it in the what-if

Figure 1. Of its 3 measures with a value, this hospital is above the national median on 2; 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 84% 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 value1.1374

    Z-score1.0396

    Part of score+0.1733

  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 86% of the other 2,181 hospitals

    CMS value0.000

    Z-score−1.4065

    Part of score−0.2344

  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 65% of the other 2,354 hospitals

    CMS value0.644

    Z-score0.2338

    Part of score+0.0390

  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

    CMS assigned this measure its worst possible score under the program’s rules; it is not a measured result. CMS’s footnote gives the reason.

    CMS footnote 11: There were discrepancies in the data collection process.

    CMS valueno value published

    Z-score2.1717

    Part of score+0.3620

  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

    CMS assigned this measure its worst possible score under the program’s rules; it is not a measured result. CMS’s footnote gives the reason.

    CMS footnote 11: There were discrepancies in the data collection process.

    CMS valueno value published

    Z-score2.1931

    Part of score+0.3655

  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

    CMS assigned this measure its worst possible score under the program’s rules; it is not a measured result. CMS’s footnote gives the reason.

    CMS footnote 11: There were discrepancies in the data collection process.

    CMS valueno value published

    Z-score2.2251

    Part of score+0.3708

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

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 901.13740.96231.0396+0.1733Worse than 84% of the other 2,808 hospitals
CLABSI0.0000.559−1.4065−0.2344Better than 86% of the other 2,181 hospitals
CAUTI0.6440.4890.2338+0.0390Worse than 65% of the other 2,354 hospitals
SSIno value published0.7952.1717+0.3620
CDIno value published0.3462.1931+0.3655
MRSAno value published0.6412.2251+0.3708

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.

(1.0396PSI 90−1.4065CLABSI+0.2338CAUTI+2.1717SSI+2.1931CDI+2.2251MRSA)÷6measures=1.0761Total HAC Score

This hospital’s score is 0.6969 above 0.3792, the highest score CMS marked No. (This site recomputes.)

Figure 2. The parts add up to 1.0761, above CMS’s line.
1% cut PSI 90: z‑score 1.0396 divided by 6 = +0.1733PSI 90+0.1733 CLABSI: z‑score −1.4065 divided by 6 = −0.2344CLABSI−0.2344 CAUTI: z‑score 0.2338 divided by 6 = +0.0390CAUTI+0.0390 SSI: z‑score 2.1717 divided by 6 = +0.3620SSI+0.3620 CDI: z‑score 2.1931 divided by 6 = +0.3655CDI+0.3655 MRSA: z‑score 2.2251 divided by 6 = +0.3708MRSA+0.3708 Total HAC Score: 1.0761Score1.0761 CMS’s line: between 0.3792 and 0.3799 CMS’s line −0.20.00.20.40.60.81.01.2 1% cut PSI 90: z‑score 1.0396 divided by 6 = +0.1733PSI 90+0.1733 CLABSI: z‑score −1.4065 divided by 6 = −0.2344CLABSI−0.2344 CAUTI: z‑score 0.2338 divided by 6 = +0.0390CAUTI+0.0390 SSI: z‑score 2.1717 divided by 6 = +0.3620SSI+0.3620 CDI: z‑score 2.1931 divided by 6 = +0.3655CDI+0.3655 MRSA: z‑score 2.2251 divided by 6 = +0.3708MRSA+0.3708 Total HAC Score: 1.0761Score1.0761 CMS’s line: between 0.3792 and 0.3799 CMS’s line −0.20.00.20.40.60.81.01.2

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 901.0396+0.17330.1733
CLABSI−1.4065−0.2344−0.0611
CAUTI0.2338+0.0390−0.0221
SSI2.1717+0.36200.3399
CDI2.1931+0.36550.7054
MRSA2.2251+0.37081.0762
Total HAC Score1.0761
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, 0.6969 over the highest score CMS didn’t cut, costs it about $42K 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 $42K at any score from 0.3799 $0at any score up to 0.3792 $42K at any score from 0.3799 −1012 CMS’s highest score: 2.3133 This hospital: 1.0761 This hospital 1.0761 CMS’s line $0 at any score up to 0.3792 $42K at any score from 0.3799 $0at any score up to 0.3792 $42Kat 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: 1.0761 This hospital 1.0761

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−$42,098
This hospital1.0761−$42,098
CMS’s highest score2.3133−$42,098

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.

($4,277,934payment−$32,257readmissions−$35,877value-based)×1%the cut=$42,098HAC cut

$42,098HAC cut÷428traditional Medicare stays=$98per traditional Medicare stay

Figure 4. This site estimates the HAC cut at $42K: 1% of the hospital’s whole inpatient payment, taken last. The readmissions and value-based adjustments, on the base alone, came to −$32K and −$36K.

Estimated Medicare inpatient payments · FY2026 estimate

What traditional Medicare pays it for inpatient stays
DRG payments at the federal rates the base $2,986,716
Many low-income patients (disproportionate share) $89,601
Outliers: unusually costly stays $9,557
Capital: buildings and equipment $227,919
Uncompensated care $964,141
Total, before the three programs $4,277,934
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (0.9892 − 1) −$32,257
Value-based purchasing (HVBP) base × (0.9880 − 1) −$35,877
After these two $4,209,800
HAC Reduction Program 1% of everything above; likely $30⁠–⁠47K −$42,098
Net of the three programs likely −$117K to −$77K −$110,232

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)$2,986,716
Many low-income patients (disproportionate share)$89,601
Outliers: unusually costly stays$9,557
Capital: buildings and equipment$227,919
Uncompensated care$964,141
Total, before the three programs$4,277,934
Readmissions (HRRP) (base × (0.9892 − 1))−$32,257
Value-based purchasing (HVBP) (base × (0.9880 − 1))−$35,877
After these two$4,209,800
HAC Reduction Program (1% of everything above; likely $30–47K)−$42,098
Net of the three programs (likely −$117K to −$77K)−$110,232

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 Score1.0761same
Payment reduction decisionYessame
Payment cut1%same
Estimated HAC cut estimate$42Ksame

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 1.0761 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 $42K, 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 NoNote
PSI 90not possible with this measure alone
CLABSInot possible with this measure alone
CAUTInot possible with this measure alone
SSICMS assigned this measure’s score, so there is no submitted value to solve for.
CDICMS assigned this measure’s score, so there is no submitted value to solve for.
MRSACMS assigned this measure’s score, so there is no submitted value to solve for.

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 1.1374 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1164

CMS 0.000 · median 0.559 · cap 1.572 · each 0.1 = 0.0387

CMS 0.644 · median 0.489 · cap 1.537 · each 0.1 = 0.0402

median 0.795 · cap 2.118 · each 0.1 = 0.0286

CMS assigned this measure’s score; CMS’s footnote in the table above gives the reason. Enter a value to see the score had it been submitted.

median 0.346 · cap 0.944 · each 0.1 = 0.0645

CMS assigned this measure’s score; CMS’s footnote in the table above gives the reason. Enter a value to see the score had it been submitted.

median 0.641 · cap 1.762 · each 0.1 = 0.0348

CMS assigned this measure’s score; CMS’s footnote in the table above gives the reason. Enter a value to see the score had it been submitted.

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Figure 5. PSI 90 added the most to this hospital’s Total HAC Score of 1.0761 among its measured results: +0.1733.
  • PSI 90 +0.1733
  • CLABSI −0.2344
  • CAUTI +0.0390
  • SSI (assigned by CMS) +0.3620
  • CDI (assigned by CMS) +0.3655
  • MRSA (assigned by CMS) +0.3708

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 901.0396+0.1733same
CLABSI−1.4065−0.2344same
CAUTI0.2338+0.0390same
SSI, assigned2.1717+0.3620same
CDI, assigned2.1931+0.3655same
MRSA, assigned2.2251+0.3708same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/440084/

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 1 of the 11 years it made a decision.
highest middle lowest z‑scoresequal weights no scores FY2015: score 2.0500, higher than 6% of scores; not cutFY2016: score 4.7500, higher than 33% of scores; not cutFY2017: score 5.5750, higher than 53% of scores; not cutFY2018: score 0.1823, higher than 65% of scores; not cutFY2019: score −0.2336, higher than 35% of scores; not cutFY2020: score −0.0406, higher than 49% of scores; not cutFY2021: score −0.4649, higher than 21% of scores; not cutFY2022: score −0.8565, higher than 7% of scores; not cutFY2024: score −0.5449, higher than 17% of scores; not cutFY2025: score −0.3605, higher than 27% of scores; not cutFY2026: score 1.0761, higher than 95% of scores; cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 2.0500, higher than 6% of scores; not cutFY2016: score 4.7500, higher than 33% of scores; not cutFY2017: score 5.5750, higher than 53% of scores; not cutFY2018: score 0.1823, higher than 65% of scores; not cutFY2019: score −0.2336, higher than 35% of scores; not cutFY2020: score −0.0406, higher than 49% of scores; not cutFY2021: score −0.4649, higher than 21% of scores; not cutFY2022: score −0.8565, higher than 7% of scores; not cutFY2024: score −0.5449, higher than 17% of scores; not cutFY2025: score −0.3605, higher than 27% of scores; not cutFY2026: score 1.0761, higher than 95% 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
FY20152.05006.1%not cut
FY20164.750033.4%not cut
FY20175.575053.6%not cut
FY20180.182365.4%not cut
FY2019−0.233635.1%not cut
FY2020−0.040649.3%not cut
FY2021−0.464921.3%not cut
FY2022−0.85657.4%not cut
FY2023no decision
FY2024−0.544917.1%not cut
FY2025−0.360527.1%not cut
FY20261.076195.3%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 2 infection measures ended lower than they started.
CAUTI 0.00 → 1.31 1as predicted 0 ’18’21’24 Nation’s middle CAUTI, 2017: 0.000CAUTI, 2018: 0.000CAUTI, 2019: 0.000CAUTI, 2021: 0.000CAUTI, 2022: 0.000CAUTI, 2023: 0.000CAUTI, 2024: 1.313 C. diff 0.97 → 0.53 1 0 ’18’21’24 C. diff, 2017: 0.967C. diff, 2018: 0.825C. diff, 2019: 0.275C. diff, 2021: 0.000C. diff, 2022: 0.433C. diff, 2023: 0.000C. diff, 2024: 0.525 CAUTI 0.00 → 1.31 1as predicted 0 ’18’20’22’24 Nation’s middle CAUTI, 2017: 0.000CAUTI, 2018: 0.000CAUTI, 2019: 0.000CAUTI, 2021: 0.000CAUTI, 2022: 0.000CAUTI, 2023: 0.000CAUTI, 2024: 1.313 C. diff 0.97 → 0.53 1 0 ’18’20’22’24 C. diff, 2017: 0.967C. diff, 2018: 0.825C. diff, 2019: 0.275C. diff, 2021: 0.000C. diff, 2022: 0.433C. diff, 2023: 0.000C. diff, 2024: 0.525

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 yearCAUTIC. diff
20170.0000.967
20180.0000.825
20190.0000.275
20210.0000.000
20220.0000.433
20230.0000.000
20241.3130.525

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 98% of the other 72 scored there.

Figure 8. Its score is above the middle in all 7 groups it belongs to; the share cut runs from 19% (Tennessee) to 32% (Rural).
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 Not teaching: CMS cut 389 of 1,563 (25%); middle score −0.1053Not teaching 1,563 hospitals25% cut Fewer than 100 beds: CMS cut 225 of 805 (28%); middle score −0.1154Fewer than 100 beds 805 hospitals28% cut Nonprofit: CMS cut 478 of 1,830 (26%); middle score −0.0134Nonprofit 1,830 hospitals26% cut Rural: CMS cut 196 of 619 (32%); middle score 0.0229Rural 619 hospitals32% cut CMS’s line: between 0.3792 and 0.3799 CMS’s line −1012 This hospital: 1.0761 This hospital 1.0761 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 Not teaching: CMS cut 389 of 1,563 (25%); middle score −0.1053Not teaching1,563 hospitals25% cut Fewer than 100 beds: CMS cut 225 of 805 (28%); middle score −0.1154Fewer than 100 beds805 hospitals28% cut Nonprofit: CMS cut 478 of 1,830 (26%); middle score −0.0134Nonprofit1,830 hospitals26% cut Rural: CMS cut 196 of 619 (32%); middle score 0.0229Rural619 hospitals32% 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: 1.0761 This hospital 1.0761

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%−0.045395%
South region1,17426322%−0.105694%
Tennessee731419%−0.218698%
Not teaching1,56338925%−0.105394%
Fewer than 100 beds80522528%−0.115490%
Nonprofit1,83047826%−0.013496%
Rural61919632%0.022991%
This hospital1.0761
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 14 miles away.
5 mi10 mi25 mi8. University Health System, Inc, Knoxville: score 0.3062, not cut, 37 miles87. Affiliate of Vitruvian Health, Cleveland: score 0.2117, not cut, 37 miles76. Methodist Medical Center of Oak Ridge, Oak Ridge: score −0.3364, not cut, 32 miles65. Parkwest Medical Center, Knoxville: score −0.5214, not cut, 31 miles54. Blount Memorial Hospital, Maryville: score 0.0208, not cut, 30 miles43. Roane Medical Center, Harriman: score −0.2536, not cut, 21 miles32. Fort Loudoun Medical Center, Lenoir City: score −0.1683, not cut, 19 miles21. Starr Regional Medical Center Athens, Athens: score −0.1093, not cut, 14 miles1This hospital: Sweetwater Hospital Association

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

Show table
HospitalMilesScoreDecision
Starr Regional Medical Center Athens, Athens, TN14−0.1093not cut
Fort Loudoun Medical Center, Lenoir City, TN19−0.1683not cut
Roane Medical Center, Harriman, TN21−0.2536not cut
Blount Memorial Hospital, Maryville, TN300.0208not cut
Parkwest Medical Center, Knoxville, TN31−0.5214not cut
Methodist Medical Center of Oak Ridge, Oak Ridge, TN32−0.3364not cut
Affiliate of Vitruvian Health, Cleveland, TN370.2117not cut
University Health System, Inc, Knoxville, TN370.3062not cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1Starr Regional Medical Center AthensAthens, TN14−0.1093No cut$0Above the national median on 2 of 5 measures
2Fort Loudoun Medical CenterLenoir City, TN19−0.1683No cut$0Above the national median on 2 of 5 measures
3Roane Medical CenterHarriman, TN21−0.2536No cut$0Above the national median on 2 of 5 measures
4Blount Memorial HospitalMaryville, TN300.0208No cut$0Above the national median on 3 of 6 measures
5Parkwest Medical CenterKnoxville, TN31−0.5214No cut$0Above the national median on 2 of 6 measures
6Methodist Medical Center of Oak RidgeOak Ridge, TN32−0.3364No cut$0Above the national median on 2 of 6 measures
7Affiliate of Vitruvian HealthCleveland, TN370.2117No cut$0Above the national median on 4 of 6 measures
8University Health System, IncKnoxville, TN370.3062No cut$0Above the national median on 4 of 6 measures

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

CMS’s footnotes on this page

11
There were discrepancies in the data collection process.

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. Sweetwater Hospital Association, Sweetwater, TN: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/440084/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.