P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalSt Michael Medical Center Estimated FY2026 net: +$285K×

Hospital record · FY2026CCN 500039

1Hospital

St Michael Medical Center

2Location

Silverdale, WA (Washington’s hospitals on the map and in the table) 98383

Kitsap County

3Type

Minor teaching · 297 beds · Nonprofit · Urban · Rural referral center

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

−0.3366

As CMS reports it

6Payment reduction

No cut
CMS’s value: No

7Estimated cut

$0
A cut would have been $1.1M, likely $834K⁠–⁠$1.4M estimate

No cut

$0

from this program

For fiscal year 2026, CMS reports a Total HAC Score of −0.3366 for St Michael Medical Center and a payment reduction decision of No.

A cut would have taken about $1.1M estimate 1% of about $109M, 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 0.7165 under 0.3799, the lowest score CMS cut.

Likely range $834K–$1.4M

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.

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: −0.3366 This hospital −0.3366 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: −0.3366 This hospital −0.3366

Higher than 29% of the other 2,928 scores CMS published (higher is worse).

Its record, fiscal years 2015 to 2026 Never cut in 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. 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 CAUTI down to the national median (0.489) would lower the score the most: by 0.0394, to −0.3760. Try it in the what-if

Figure 1. Of its 6 measures with a value, this hospital is above the national median on 3; CAUTI 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 75% 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 value0.8937

    Z-score−0.6618

    Part of score−0.1103

  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 54% of the other 2,181 hospitals

    CMS value0.603

    Z-score−0.0076

    Part of score−0.0013

  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.

    added the most

    Catheter-associated urinary tract infections

    Worse than 59% of the other 2,354 hospitals

    CMS value0.587

    Z-score0.0964

    Part of score+0.0161

  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 75% of the other 2,269 hospitals

    CMS value0.398

    Z-score−0.7747

    Part of score−0.1291

  5. CDI (what it counts)

    C. diff infections, which cause diarrhea and inflammation of the colon, found by a lab test and starting in the hospital. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    Clostridioides difficile (C. diff) infections

    Worse than 55% 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 value0.384

    Z-score0.0247

    Part of score+0.0041

  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 74% of the other 2,067 hospitals

    CMS value0.364

    Z-score−0.6965

    Part of score−0.1161

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

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 900.89370.9623−0.6618−0.1103Better than 75% of the other 2,808 hospitals
CLABSI0.6030.559−0.0076−0.0013Worse than 54% of the other 2,181 hospitals
CAUTI0.5870.4890.0964+0.0161Worse than 59% of the other 2,354 hospitals
SSI0.3980.795−0.7747−0.1291Better than 75% of the other 2,269 hospitals
CDI0.3840.3460.0247+0.0041Worse than 55% of the other 2,766 hospitals
MRSA0.3640.641−0.6965−0.1161Better than 74% 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.

(−0.6618PSI 90−0.0076CLABSI+0.0964CAUTI−0.7747SSI+0.0247CDI−0.6965MRSA)÷6measures=−0.3366Total HAC Score

Added from the rounded z‑scores CMS published, the parts make −0.3366; CMS reports −0.3366. The small difference is rounding.

This hospital’s score is 0.7165 below 0.3799, the lowest score CMS marked Yes. (This site recomputes.)

Figure 2. The parts add up to −0.3366, below CMS’s line.
1% cut PSI 90: z‑score −0.6618 divided by 6 = −0.1103PSI 90−0.1103 CLABSI: z‑score −0.0076 divided by 6 = −0.0013CLABSI−0.0013 CAUTI: z‑score 0.0964 divided by 6 = +0.0161CAUTI+0.0161 SSI: z‑score −0.7747 divided by 6 = −0.1291SSI−0.1291 CDI: z‑score 0.0247 divided by 6 = +0.0041CDI+0.0041 MRSA: z‑score −0.6965 divided by 6 = −0.1161MRSA−0.1161 Total HAC Score: −0.3366Score−0.3366 CMS’s line: between 0.3792 and 0.3799 CMS’s line −0.4−0.20.00.20.4 1% cut PSI 90: z‑score −0.6618 divided by 6 = −0.1103PSI 90−0.1103 CLABSI: z‑score −0.0076 divided by 6 = −0.0013CLABSI−0.0013 CAUTI: z‑score 0.0964 divided by 6 = +0.0161CAUTI+0.0161 SSI: z‑score −0.7747 divided by 6 = −0.1291SSI−0.1291 CDI: z‑score 0.0247 divided by 6 = +0.0041CDI+0.0041 MRSA: z‑score −0.6965 divided by 6 = −0.1161MRSA−0.1161 Total HAC Score: −0.3366Score−0.3366 CMS’s line: between 0.3792 and 0.3799 CMS’s line −0.4−0.20.00.20.4

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 90−0.6618−0.1103−0.1103
CLABSI−0.0076−0.0013−0.1116
CAUTI0.0964+0.0161−0.0955
SSI−0.7747−0.1291−0.2246
CDI0.0247+0.0041−0.2205
MRSA−0.6965−0.1161−0.3366
Total HAC Score−0.3366
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, 0.7165 under the lowest score CMS cut, costs it nothing; 0.7165 higher, the cut would have been about $1.1M 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 $1.1M at any score from 0.3799 $0at any score up to 0.3792 $1.1M at any score from 0.3799 −1012 CMS’s highest score: 2.3133 CMS’s highest score 2.3133 This hospital: −0.3366 This hospital −0.3366 CMS’s line $0 at any score up to 0.3792 $1.1M at any score from 0.3799 $0at any score up to 0.3792 $1.1Mat any score from 0.3799 −1.0−0.50.00.51.01.52.0 CMS’s highest score: 2.3133 CMS’s highest score 2.3133 This hospital: −0.3366 This hospital −0.3366

Under the axis, every Total HAC Score CMS published: 306 of the 2,929 scored within 0.1 of CMS’s line, on one side or the other.

Estimate · Source: this site’s arithmetic on CMS’s FY2026 IPPS final rule files (the impact file, the rate tables and the value-based factors), its FY2026 HRRP supplemental file and HACRP FY2026 (yq43-i98g), released August 13, 2026.

Show table
ScoreTotal HAC ScoreEstimated HAC cut (whole dollars)
Any score up to 0.37920.3792$0
Any score from 0.37990.3799−$1,094,536
This hospital−0.3366$0
CMS’s highest score2.3133−$1,094,536

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.

($106,573,439payment+$2,595,471teaching, MA stays−$16,936readmissions+$301,579value-based)×1%the cut=$1,094,536at stake

$1,094,536at stake÷5,221traditional Medicare stays=$210per traditional Medicare stay

Figure 4. No HAC cut this year; 1% of the hospital’s whole inpatient payment would have been about $1.1M by this site’s estimate. The readmissions and value-based adjustments, on the base alone, came to −$17K and +$302K.

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 $84,680,612
Teaching (indirect medical education) $4,464,362
Teaching on Medicare Advantage stays $2,595,471
Many low-income patients (disproportionate share) $1,575,059
Outliers: unusually costly stays $6,352,740
Capital: buildings and equipment $7,502,966
Uncompensated care $1,997,700
Total, before the three programs $109,168,910
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (0.9998 − 1) −$16,936
Value-based purchasing (HVBP) base × (1.0036 − 1) +$301,579
After these two $109,453,553
HAC Reduction Program no cut; 1% would have been $1,094,536 $0
Net of the three programs likely $229⁠–⁠335K +$284,643

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)$84,680,612
Teaching (indirect medical education)$4,464,362
Teaching on Medicare Advantage stays$2,595,471
Many low-income patients (disproportionate share)$1,575,059
Outliers: unusually costly stays$6,352,740
Capital: buildings and equipment$7,502,966
Uncompensated care$1,997,700
Total, before the three programs$109,168,910
Readmissions (HRRP) (base × (0.9998 − 1))−$16,936
Value-based purchasing (HVBP) (base × (1.0036 − 1))+$301,579
After these two$109,453,553
HAC Reduction Program (no cut; 1% would have been $1,094,536)$0
Net of the three programs (likely $229–335K)+$284,643

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 Score−0.3366same
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 −0.3366 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 $1.1M 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 90any value: every PSI 90 value past the cap (1.3482) scores the same
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
SSIany value: every SSI value past the cap (2.118) scores the same
CDIany value: every CDI value past the cap (0.944) scores the same
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 0.8937 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1164

CMS 0.603 · median 0.559 · cap 1.572 · each 0.1 = 0.0387

CMS 0.587 · median 0.489 · cap 1.537 · each 0.1 = 0.0402

CMS 0.398 · median 0.795 · cap 2.118 · each 0.1 = 0.0286

CMS 0.384 · median 0.346 · cap 0.944 · each 0.1 = 0.0645

CMS 0.364 · median 0.641 · cap 1.762 · each 0.1 = 0.0348

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Figure 5. CAUTI added the most to this hospital’s Total HAC Score of −0.3366 among its measured results: +0.0161.
  • PSI 90 −0.1103
  • CLABSI −0.0013
  • CAUTI +0.0161
  • SSI −0.1291
  • CDI +0.0041
  • MRSA −0.1161

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 90−0.6618−0.1103same
CLABSI−0.0076−0.0013same
CAUTI0.0964+0.0161same
SSI−0.7747−0.1291same
CDI0.0247+0.0041same
MRSA−0.6965−0.1161same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/500039/

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 made a decision on this hospital in 11 years and never cut it.
highest middle lowest z‑scoresequal weights no scores FY2015: score 4.2500, higher than 29% of scores; not cutFY2016: score 5.7500, higher than 52% of scores; not cutFY2017: score 5.9400, higher than 61% of scores; not cutFY2018: score −0.1789, higher than 38% of scores; not cutFY2019: score −0.3067, higher than 30% of scores; not cutFY2020: score −0.1986, higher than 37% of scores; not cutFY2021: score −0.0647, higher than 46% of scores; not cutFY2022: score −0.1847, higher than 38% of scores; not cutFY2024: score −0.8468, higher than 6% of scores; not cutFY2025: score −0.6444, higher than 14% of scores; not cutFY2026: score −0.3366, higher than 29% of scores; not cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 4.2500, higher than 29% of scores; not cutFY2016: score 5.7500, higher than 52% of scores; not cutFY2017: score 5.9400, higher than 61% of scores; not cutFY2018: score −0.1789, higher than 38% of scores; not cutFY2019: score −0.3067, higher than 30% of scores; not cutFY2020: score −0.1986, higher than 37% of scores; not cutFY2021: score −0.0647, higher than 46% of scores; not cutFY2022: score −0.1847, higher than 38% of scores; not cutFY2024: score −0.8468, higher than 6% of scores; not cutFY2025: score −0.6444, higher than 14% of scores; not cutFY2026: score −0.3366, higher than 29% 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
FY20154.250029.8%not cut
FY20165.750052.5%not cut
FY20175.940061.9%not cut
FY2018−0.178938.4%not cut
FY2019−0.306730.4%not cut
FY2020−0.198637.4%not cut
FY2021−0.064746.9%not cut
FY2022−0.184738.4%not cut
FY2023no decision
FY2024−0.84686.5%not cut
FY2025−0.644414.0%not cut
FY2026−0.336629.8%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. 3 of its 5 infection measures ended lower than they started.
CLABSI 1.11 → 0.47 1as predicted 0 ’18’21’24 Nation’s middle CLABSI, 2017: 1.111CLABSI, 2018: 0.945CLABSI, 2019: 0.000CLABSI, 2021: 0.117CLABSI, 2022: 0.305CLABSI, 2023: 0.722CLABSI, 2024: 0.468 CAUTI 1.12 → 0.52 1 0 ’18’21’24 CAUTI, 2017: 1.116CAUTI, 2018: 1.281CAUTI, 2019: 1.756CAUTI, 2021: 1.383CAUTI, 2022: 0.694CAUTI, 2023: 0.646CAUTI, 2024: 0.521 SSI, colon 0.00 → 0.41 1 0 ’18’21’24 SSI, colon, 2017: 0.000SSI, colon, 2018: 0.815SSI, colon, 2019: 0.231SSI, colon, 2021: 0.512SSI, colon, 2022: 0.425SSI, colon, 2023: 0.420SSI, colon, 2024: 0.415 MRSA 0.27 → 0.51 1 0 ’18’21’24 MRSA, 2017: 0.266MRSA, 2018: 0.637MRSA, 2019: 0.547MRSA, 2021: 1.060MRSA, 2022: 0.149MRSA, 2023: 0.194MRSA, 2024: 0.512 C. diff 0.70 → 0.23 1 0 ’18’21’24 C. diff, 2017: 0.697C. diff, 2018: 0.689C. diff, 2019: 0.699C. diff, 2021: 0.494C. diff, 2022: 0.209C. diff, 2023: 0.581C. diff, 2024: 0.234 CLABSI 1.11 → 0.47 1as predicted 0 ’18’20’22’24 Nation’s middle CLABSI, 2017: 1.111CLABSI, 2018: 0.945CLABSI, 2019: 0.000CLABSI, 2021: 0.117CLABSI, 2022: 0.305CLABSI, 2023: 0.722CLABSI, 2024: 0.468 CAUTI 1.12 → 0.52 1 0 ’18’20’22’24 CAUTI, 2017: 1.116CAUTI, 2018: 1.281CAUTI, 2019: 1.756CAUTI, 2021: 1.383CAUTI, 2022: 0.694CAUTI, 2023: 0.646CAUTI, 2024: 0.521 SSI, colon 0.00 → 0.41 1 0 ’18’20’22’24 SSI, colon, 2017: 0.000SSI, colon, 2018: 0.815SSI, colon, 2019: 0.231SSI, colon, 2021: 0.512SSI, colon, 2022: 0.425SSI, colon, 2023: 0.420SSI, colon, 2024: 0.415 MRSA 0.27 → 0.51 1 0 ’18’20’22’24 MRSA, 2017: 0.266MRSA, 2018: 0.637MRSA, 2019: 0.547MRSA, 2021: 1.060MRSA, 2022: 0.149MRSA, 2023: 0.194MRSA, 2024: 0.512 C. diff 0.70 → 0.23 1 0 ’18’20’22’24 C. diff, 2017: 0.697C. diff, 2018: 0.689C. diff, 2019: 0.699C. diff, 2021: 0.494C. diff, 2022: 0.209C. diff, 2023: 0.581C. diff, 2024: 0.234

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
20171.1111.1160.0000.2660.697
20180.9451.2810.8150.6370.689
20190.0001.7560.2310.5470.699
20210.1171.3830.5121.0600.494
20220.3050.6940.4250.1490.209
20230.7220.6460.4200.1940.581
20240.4680.5210.4150.5120.234

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 Washington, its score is higher than 20% of the other 45 scored there.

Figure 8. Its score is below the middle in all 7 groups it belongs to; the share cut runs from 21% (Minor teaching) to 26% (West region).
All hospitals: CMS cut 718 of 2,886 (25%); middle score −0.0453All hospitals 2,886 hospitals25% cut West region: CMS cut 157 of 593 (26%); middle score −0.0302West region 593 hospitals26% cut Washington: CMS cut 12 of 46 (26%); middle score 0.0723Washington 46 hospitals26% 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: −0.3366 This hospital −0.3366 All hospitals: CMS cut 718 of 2,886 (25%); middle score −0.0453All hospitals2,886 hospitals25% cut West region: CMS cut 157 of 593 (26%); middle score −0.0302West region593 hospitals26% cut Washington: CMS cut 12 of 46 (26%); middle score 0.0723Washington46 hospitals26% 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: −0.3366 This hospital −0.3366

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%−0.045329%
West region59315726%−0.030229%
Washington461226%0.072320%
Minor teaching87318121%−0.056726%
100 to 299 beds1,19327523%−0.073231%
Nonprofit1,83047826%−0.013426%
Urban2,24151023%−0.057429%
This hospital−0.3366
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 2 of the 8 nearest hospitals; the closest is 17 miles away.
5 mi10 mi8. St Anthony Hospital, Gig Harbor: score −0.9488, not cut, 20 miles87. Swedish Edmonds Hospital, Edmonds: score 0.0590, not cut, 19 miles76. Swedish Medical Center / Cherry Hill, Seattle: score 0.2676, not cut, 17 miles65. Kaiser Permanente Central Hospital, Seattle: score 0.0453, not cut, 17 miles54. University of Washington Medical Ctr, Seattle: score 0.7996, cut, 17 miles43. Swedish Medical Center, Seattle: score 0.3055, not cut, 17 miles32. Harborview Medical Center, Seattle: score 1.5608, cut, 17 miles21. Virginia Mason Medical Center, Seattle: score −0.7265, not cut, 17 miles1This hospital: St Michael Medical Center

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

Show table
HospitalMilesScoreDecision
Virginia Mason Medical Center, Seattle, WA17−0.7265not cut
Harborview Medical Center, Seattle, WA171.5608cut
Swedish Medical Center, Seattle, WA170.3055not cut
University of Washington Medical Ctr, Seattle, WA170.7996cut
Kaiser Permanente Central Hospital, Seattle, WA170.0453not cut
Swedish Medical Center / Cherry Hill, Seattle, WA170.2676not cut
Swedish Edmonds Hospital, Edmonds, WA190.0590not cut
St Anthony Hospital, Gig Harbor, WA20−0.9488not cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1Virginia Mason Medical CenterSeattle, WA17−0.7265No cut$0Above the national median on 0 of 6 measures
2Harborview Medical CenterSeattle, WA171.56081% cut$1.1MAbove the national median on 6 of 6 measures
3Swedish Medical CenterSeattle, WA170.3055No cut$0Above the national median on 4 of 6 measures
4University of Washington Medical CtrSeattle, WA170.79961% cut$2.1MAbove the national median on 5 of 6 measures
5Kaiser Permanente Central HospitalSeattle, WA170.0453No cut$0Above the national median on 1 of 1 measures
6Swedish Medical Center / Cherry HillSeattle, WA170.2676No cut$0Above the national median on 3 of 5 measures
7Swedish Edmonds HospitalEdmonds, WA190.0590No cut$0Above the national median on 4 of 6 measures
8St Anthony HospitalGig Harbor, WA20−0.9488No 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. St Michael Medical Center, Silverdale, WA: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/500039/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.