P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalMercy Health System Corp Estimated FY2026 net: −$48K×

Hospital record · FY2026CCN 520066

1Hospital

Mercy Health System Corp

2Location

Janesville, WI (Wisconsin’s hospitals on the map and in the table) 53547

Rock County

3Type

Minor teaching · 240 beds · Nonprofit · Urban · Rural referral center

4Care Compare stars

3 of 5 stars

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

5Total HAC Score

0.2230

As CMS reports it

6Payment reduction

No cut
CMS’s value: No

7Estimated cut

$0
A cut would have been $255K, likely $194⁠–⁠320K estimate

No cut

$0

from this program

For fiscal year 2026, CMS reports a Total HAC Score of 0.2230 for Mercy Health System Corp and a payment reduction decision of No.

A cut would have taken about $255K estimate 1% of about $25.5M, 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 0.1569 under 0.3799, the lowest score CMS cut.

Likely range $194–320K

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: 0.2230 This hospital 0.2230 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: 0.2230 This hospital 0.2230

Higher than 66% 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 CLABSI down to the national median (0.559) would lower the score the most: by 0.2904, to −0.0674. Try it in the what-if

Figure 1. Of its 6 measures with a value, this hospital is above the national median on 3; CLABSI added the most to its score.
  • This hospital
  • National median
  • Scores the same as CMS’s floor or cap
  1. PSI 90 (what it counts)

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

    Patient safety and adverse events composite

    Worse than 86% 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 value1.1567

    Z-score1.1746

    Part of score+0.1958

  2. CLABSI (what it counts)

    Bloodstream infections tied to a central line, a tube often placed in a large vein in the neck, chest or groin. Hospitals report them to the CDC’s National Healthcare Safety Network. A value of 1.0 means as many infections as the CDC’s model predicted.

    added the most

    Central line–associated bloodstream infections

    Worse than 91% of the other 2,181 hospitals

    CMS value1.310

    Z-score1.6324

    Part of score+0.2721

  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 52% of the other 2,354 hospitals

    CMS value0.512

    Z-score−0.0844

    Part of score−0.0141

  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 64% of the other 2,269 hospitals

    CMS value0.592

    Z-score−0.4424

    Part of score−0.0737

  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 50% 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 value0.339

    Z-score−0.1495

    Part of score−0.0249

  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 78% of the other 2,067 hospitals

    CMS value0.318

    Z-score−0.7927

    Part of score−0.1321

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

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 901.15670.96231.1746+0.1958Worse than 86% of the other 2,808 hospitals
CLABSI1.3100.5591.6324+0.2721Worse than 91% of the other 2,181 hospitals
CAUTI0.5120.489−0.0844−0.0141Worse than 52% of the other 2,354 hospitals
SSI0.5920.795−0.4424−0.0737Better than 64% of the other 2,269 hospitals
CDI0.3390.346−0.1495−0.0249Better than 50% of the other 2,766 hospitals
MRSA0.3180.641−0.7927−0.1321Better than 78% 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.

(1.1746PSI 90+1.6324CLABSI−0.0844CAUTI−0.4424SSI−0.1495CDI−0.7927MRSA)÷6measures=0.2230Total HAC Score

This hospital’s score is 0.1569 below 0.3799, the lowest score CMS marked Yes. (This site recomputes.)

Figure 2. The parts add up to 0.2230, below CMS’s line.
1% cut PSI 90: z‑score 1.1746 divided by 6 = +0.1958PSI 90+0.1958 CLABSI: z‑score 1.6324 divided by 6 = +0.2721CLABSI+0.2721 CAUTI: z‑score −0.0844 divided by 6 = −0.0141CAUTI−0.0141 SSI: z‑score −0.4424 divided by 6 = −0.0737SSI−0.0737 CDI: z‑score −0.1495 divided by 6 = −0.0249CDI−0.0249 MRSA: z‑score −0.7927 divided by 6 = −0.1321MRSA−0.1321 Total HAC Score: 0.2230Score0.2230 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 1.1746 divided by 6 = +0.1958PSI 90+0.1958 CLABSI: z‑score 1.6324 divided by 6 = +0.2721CLABSI+0.2721 CAUTI: z‑score −0.0844 divided by 6 = −0.0141CAUTI−0.0141 SSI: z‑score −0.4424 divided by 6 = −0.0737SSI−0.0737 CDI: z‑score −0.1495 divided by 6 = −0.0249CDI−0.0249 MRSA: z‑score −0.7927 divided by 6 = −0.1321MRSA−0.1321 Total HAC Score: 0.2230Score0.2230 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 901.1746+0.19580.1958
CLABSI1.6324+0.27210.4679
CAUTI−0.0844−0.01410.4538
SSI−0.4424−0.07370.3801
CDI−0.1495−0.02490.3552
MRSA−0.7927−0.13210.2231
Total HAC Score0.2230
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, 0.1569 under the lowest score CMS cut, costs it nothing; 0.1569 higher, the cut would have been about $255K 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 $255K at any score from 0.3799 $0at any score up to 0.3792 $255K at any score from 0.3799 −1012 CMS’s highest score: 2.3133 CMS’s highest score 2.3133 This hospital: 0.2230 This hospital 0.2230 CMS’s line $0 at any score up to 0.3792 $255K at any score from 0.3799 $0at any score up to 0.3792 $255Kat 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: 0.2230 This hospital 0.2230

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−$254,761
This hospital0.2230$0
CMS’s highest score2.3133−$254,761

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.

($23,980,509payment+$1,543,377teaching, MA stays−$102,105readmissions+$54,300value-based)×1%the cut=$254,761at stake

$254,761at stake÷1,598traditional Medicare stays=$159per traditional Medicare stay

Figure 4. No HAC cut this year; 1% of the hospital’s whole inpatient payment would have been about $255K by this site’s estimate. The readmissions and value-based adjustments, on the base alone, came to −$102K and +$54K.

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 $18,908,328
Teaching (indirect medical education) $1,438,924
Teaching on Medicare Advantage stays $1,543,377
Many low-income patients (disproportionate share) $415,605
Outliers: unusually costly stays $494,453
Capital: buildings and equipment $1,712,779
Uncompensated care $1,010,420
Total, before the three programs $25,523,886
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (0.9946 − 1) −$102,105
Value-based purchasing (HVBP) base × (1.0029 − 1) +$54,300
After these two $25,476,081
HAC Reduction Program no cut; 1% would have been $254,761 $0
Net of the three programs likely −$56K to −$38K −$47,805

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)$18,908,328
Teaching (indirect medical education)$1,438,924
Teaching on Medicare Advantage stays$1,543,377
Many low-income patients (disproportionate share)$415,605
Outliers: unusually costly stays$494,453
Capital: buildings and equipment$1,712,779
Uncompensated care$1,010,420
Total, before the three programs$25,523,886
Readmissions (HRRP) (base × (0.9946 − 1))−$102,105
Value-based purchasing (HVBP) (base × (1.0029 − 1))+$54,300
After these two$25,476,081
HAC Reduction Program (no cut; 1% would have been $254,761)$0
Net of the three programs (likely −$56K to −$38K)−$47,805

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 Score0.2230same
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 0.2230 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 $255K 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 1.2908
CLABSIany value: every CLABSI value past the cap (1.572) scores the same
CAUTIup to 0.900
SSIup to 1.139
CDIup to 0.581
MRSAup to 0.766

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 1.1567 · median 0.9623 · floor 0.7760 · cap 1.3482 · each 0.1 = 0.1164

CMS 1.310 · median 0.559 · cap 1.572 · each 0.1 = 0.0387

CMS 0.512 · median 0.489 · cap 1.537 · each 0.1 = 0.0402

CMS 0.592 · median 0.795 · cap 2.118 · each 0.1 = 0.0286

CMS 0.339 · median 0.346 · cap 0.944 · each 0.1 = 0.0645

CMS 0.318 · median 0.641 · cap 1.762 · each 0.1 = 0.0348

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Figure 5. CLABSI added the most to this hospital’s Total HAC Score of 0.2230 among its measured results: +0.2721.
  • PSI 90 +0.1958
  • CLABSI +0.2721
  • CAUTI −0.0141
  • SSI −0.0737
  • CDI −0.0249
  • MRSA −0.1321

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 901.1746+0.1958same
CLABSI1.6324+0.2721same
CAUTI−0.0844−0.0141same
SSI−0.4424−0.0737same
CDI−0.1495−0.0249same
MRSA−0.7927−0.1321same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/520066/

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 5.3500, higher than 48% of scores; not cutFY2016: score 2.5000, higher than 7% of scores; not cutFY2017: score 3.8500, higher than 23% of scores; not cutFY2018: score 0.1515, higher than 63% of scores; not cutFY2019: score 0.001, higher than 52% of scores; not cutFY2020: score −0.0998, higher than 44% of scores; not cutFY2021: score −0.3916, higher than 25% of scores; not cutFY2022: score −0.8532, higher than 7% of scores; not cutFY2024: score −0.4153, higher than 24% of scores; not cutFY2025: score −0.2682, higher than 32% of scores; not cutFY2026: score 0.2230, higher than 66% of scores; not cut 161820222426 highest middle lowest z‑scoresequal weights no scores FY2015: score 5.3500, higher than 48% of scores; not cutFY2016: score 2.5000, higher than 7% of scores; not cutFY2017: score 3.8500, higher than 23% of scores; not cutFY2018: score 0.1515, higher than 63% of scores; not cutFY2019: score 0.001, higher than 52% of scores; not cutFY2020: score −0.0998, higher than 44% of scores; not cutFY2021: score −0.3916, higher than 25% of scores; not cutFY2022: score −0.8532, higher than 7% of scores; not cutFY2024: score −0.4153, higher than 24% of scores; not cutFY2025: score −0.2682, higher than 32% of scores; not cutFY2026: score 0.2230, higher than 66% of scores; not cut 151617181920212223242526

● Red: a year CMS cut it ○ Hollow: a year it didn’t

This site recomputes · Source: CMS, HACRP hospital files for fiscal years 2015 to 2026 (Provider Data Catalog, its archives and, for the oldest years, the Internet Archive’s copies), and CMS’s cut lists for FY2015 and FY2016.

Show table
Fiscal yearTotal HAC ScoreHigher than this share of scoresPayment reduction
FY20155.350048.2%not cut
FY20162.50007.5%not cut
FY20173.850023.0%not cut
FY20180.151563.7%not cut
FY20190.00152.4%not cut
FY2020−0.099844.3%not cut
FY2021−0.391625.4%not cut
FY2022−0.85327.5%not cut
FY2023no decision
FY2024−0.415324.5%not cut
FY2025−0.268232.8%not cut
FY20260.223066.3%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 0.42 → 1.26 1as predicted 0 ’18’21’24 Nation’s middle CLABSI, 2017: 0.422CLABSI, 2018: 0.206CLABSI, 2019: 0.000CLABSI, 2021: 0.000CLABSI, 2022: 0.000CLABSI, 2023: 1.367CLABSI, 2024: 1.256 CAUTI 0.00 → 0.25 1 0 ’18’21’24 CAUTI, 2017: 0.000CAUTI, 2018: 0.951CAUTI, 2019: 0.249CAUTI, 2021: 0.275CAUTI, 2022: 0.656CAUTI, 2023: 0.778CAUTI, 2024: 0.253 SSI, colon 1.45 → 1.01 1 0 ’18’21’24 SSI, colon, 2017: 1.452SSI, colon, 2018: 0.645SSI, colon, 2019: 0.378SSI, colon, 2021: 0.000SSI, colon, 2022: 1.128SSI, colon, 2023: 0.451SSI, colon, 2024: 1.012 MRSA 0.70 → 0.00 1 0 ’18’21’24 MRSA, 2017: 0.697MRSA, 2018: 0.000MRSA, 2019: 0.603MRSA, 2021: 0.596MRSA, 2022: 0.000MRSA, 2023: 0.807MRSA, 2024: 0.000 C. diff 0.44 → 0.39 1 0 ’18’21’24 C. diff, 2017: 0.444C. diff, 2018: 0.617C. diff, 2019: 0.280C. diff, 2021: 0.454C. diff, 2022: 0.365C. diff, 2023: 0.284C. diff, 2024: 0.389 CLABSI 0.42 → 1.26 1as predicted 0 ’18’20’22’24 Nation’s middle CLABSI, 2017: 0.422CLABSI, 2018: 0.206CLABSI, 2019: 0.000CLABSI, 2021: 0.000CLABSI, 2022: 0.000CLABSI, 2023: 1.367CLABSI, 2024: 1.256 CAUTI 0.00 → 0.25 1 0 ’18’20’22’24 CAUTI, 2017: 0.000CAUTI, 2018: 0.951CAUTI, 2019: 0.249CAUTI, 2021: 0.275CAUTI, 2022: 0.656CAUTI, 2023: 0.778CAUTI, 2024: 0.253 SSI, colon 1.45 → 1.01 1 0 ’18’20’22’24 SSI, colon, 2017: 1.452SSI, colon, 2018: 0.645SSI, colon, 2019: 0.378SSI, colon, 2021: 0.000SSI, colon, 2022: 1.128SSI, colon, 2023: 0.451SSI, colon, 2024: 1.012 MRSA 0.70 → 0.00 1 0 ’18’20’22’24 MRSA, 2017: 0.697MRSA, 2018: 0.000MRSA, 2019: 0.603MRSA, 2021: 0.596MRSA, 2022: 0.000MRSA, 2023: 0.807MRSA, 2024: 0.000 C. diff 0.44 → 0.39 1 0 ’18’20’22’24 C. diff, 2017: 0.444C. diff, 2018: 0.617C. diff, 2019: 0.280C. diff, 2021: 0.454C. diff, 2022: 0.365C. diff, 2023: 0.284C. diff, 2024: 0.389

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
20170.4220.0001.4520.6970.444
20180.2060.9510.6450.0000.617
20190.0000.2490.3780.6030.280
20210.0000.2750.0000.5960.454
20220.0000.6561.1280.0000.365
20231.3670.7780.4510.8070.284
20241.2560.2531.0120.0000.389

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 Wisconsin, its score is higher than 60% of the other 61 scored there.

Figure 8. Its score is above the middle in all 7 groups it belongs to; the share cut runs from 21% (Minor teaching) to 26% (Nonprofit).
All hospitals: CMS cut 718 of 2,886 (25%); middle score −0.0453All hospitals 2,886 hospitals25% cut Midwest region: CMS cut 174 of 683 (25%); middle score −0.0268Midwest region 683 hospitals25% cut Wisconsin: CMS cut 16 of 62 (26%); middle score 0.0996Wisconsin 62 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: 0.2230 This hospital 0.2230 All hospitals: CMS cut 718 of 2,886 (25%); middle score −0.0453All hospitals2,886 hospitals25% cut Midwest region: CMS cut 174 of 683 (25%); middle score −0.0268Midwest region683 hospitals25% cut Wisconsin: CMS cut 16 of 62 (26%); middle score 0.0996Wisconsin62 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: 0.2230 This hospital 0.2230

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%−0.045366%
Midwest region68317425%−0.026864%
Wisconsin621626%0.099660%
Minor teaching87318121%−0.056769%
100 to 299 beds1,19327523%−0.073267%
Nonprofit1,83047826%−0.013465%
Urban2,24151023%−0.057468%
This hospital0.2230
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 3 miles away.
5 mi10 mi25 mi8. The Monroe Clinic, Monroe: score −0.7513, not cut, 31 miles87. Saint Anthony Medical Center, Rockford: score −0.0725, not cut, 29 miles76. UW Health, Rockford: score −0.5013, not cut, 29 miles65. Aurora Lakeland Medical Center, Elkhorn: score 0.2604, not cut, 27 miles54. Javon Bea Hospital, Rockford: score 0.7431, cut, 27 miles43. Fort Memorial Hospital, Fort Atkinson: score 0.2036, not cut, 20 miles32. Beloit Health System, Beloit: score −0.3002, not cut, 10 miles21. SSM Health St Mary's Hospital - Janesville, Janesville: score 0.4894, cut, 3 miles1This hospital: Mercy Health System Corp

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

Show table
HospitalMilesScoreDecision
SSM Health St Mary's Hospital - Janesville, Janesville, WI30.4894cut
Beloit Health System, Beloit, WI10−0.3002not cut
Fort Memorial Hospital, Fort Atkinson, WI200.2036not cut
Javon Bea Hospital, Rockford, IL270.7431cut
Aurora Lakeland Medical Center, Elkhorn, WI270.2604not cut
UW Health, Rockford, IL29−0.5013not cut
Saint Anthony Medical Center, Rockford, IL29−0.0725not cut
The Monroe Clinic, Monroe, WI31−0.7513not cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1SSM Health St Mary's Hospital - JanesvilleJanesville, WI30.48941% cut$93KAbove the national median on 2 of 3 measures
2Beloit Health SystemBeloit, WI10−0.3002No cut$0Above the national median on 2 of 6 measures
3Fort Memorial HospitalFort Atkinson, WI200.2036No cut$0Above the national median on 2 of 3 measures
4Javon Bea HospitalRockford, IL270.74311% cut$403KAbove the national median on 5 of 6 measures
5Aurora Lakeland Medical CenterElkhorn, WI270.2604No cut$0Above the national median on 3 of 6 measures
6UW HealthRockford, IL29−0.5013No cut$0Above the national median on 1 of 6 measures
7Saint Anthony Medical CenterRockford, IL29−0.0725No cut$0Above the national median on 3 of 6 measures
8The Monroe ClinicMonroe, WI31−0.7513No cut$0Above the national median on 1 of 5 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. Mercy Health System Corp, Janesville, WI: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/520066/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.