P&P, Paid & Penalized

Public Medicare data, made visible.

HospitalAdvanced Dallas Hospitals and Clinics Estimated FY2026 net: −$4K×

Hospital record · FY2026CCN 670321

1Hospital

Advanced Dallas Hospitals and Clinics

2Location

Dallas, TX (Texas’s hospitals on the map and in the table) 75231

Dallas County

3Type

Not a teaching hospital · 26 beds · For-profit · Urban

4Care Compare stars

Not Available

Overall rating, CMS Care Compare data of July 22, 2026
CMS footnote 16: There are too few measures or measure groups reported to calculate a star rating or measure group score.
Open on Care Compare (opens in a new tab)

5Total HAC Score

2.2433

As CMS reports it

6Payment reduction

1% cut
CMS’s value: Yes

7Estimated cut

$4K estimate
Likely $3⁠–⁠5K; about $115 per traditional Medicare stay

Cut 1%

$4K

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

For fiscal year 2026, CMS reports a Total HAC Score of 2.2433 for Advanced Dallas Hospitals and Clinics and a payment reduction decision of Yes.

That is 1% of about $392K, this site’s estimate of what traditional Medicare pays it for inpatient stays in a year: about $115 per traditional Medicare stay.

Likely range $3–5K

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: 2.2433 This hospital 2.2433 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: 2.2433 This hospital 2.2433

Higher than 99% of the other 2,928 scores CMS published (higher is worse).

Its record, fiscal years 2015 to 2026 Cut in 1 of 2 years

  1. 15—
  2. 16—
  3. 17—
  4. 18—
  5. 19—
  6. 20—
  7. 21—
  8. 22—
  9. 23—
  10. 24—
  11. 25No
  12. 26Cut

In FY2025, CMS reports a payment reduction decision for this hospital but no Total HAC Score.

CMS’s note on the score: This result is not based on performance data; the hospital did not submit data and did not submit an HAI exemption form.

Where the score came from

CMS scored this hospital on 5 of the 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.

Figure 1. CMS published no measure values for this hospital.
  • 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

    Not scored on this measure

    CMS footnote 5: Results are not available for this reporting period.

    CMS valueno value published

    Z-scoreno value published

    Part of scoreno value published

  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

    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 18: This result is not based on performance data; the hospital did not submit data and did not submit an HAI exemption form.

    CMS valueno value published

    Z-score2.2402

    Part of score+0.4480

  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

    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 18: This result is not based on performance data; the hospital did not submit data and did not submit an HAI exemption form.

    CMS valueno value published

    Z-score2.3863

    Part of score+0.4773

  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 18: This result is not based on performance data; the hospital did not submit data and did not submit an HAI exemption form.

    CMS valueno value published

    Z-score2.1717

    Part of score+0.4343

  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 18: This result is not based on performance data; the hospital did not submit data and did not submit an HAI exemption form.

    CMS valueno value published

    Z-score2.1931

    Part of score+0.4386

  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 18: This result is not based on performance data; the hospital did not submit data and did not submit an HAI exemption form.

    CMS valueno value published

    Z-score2.2251

    Part of score+0.4450

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

Show table
MeasureCMS valueNational medianZ-scorePart of the scoreAmong hospitals
PSI 90no value published0.9623no value publishedno value publishedNot scored on this measure
CLABSIno value published0.5592.2402+0.4480
CAUTIno value published0.4892.3863+0.4773
SSIno value published0.7952.1717+0.4343
CDIno value published0.3462.1931+0.4386
MRSAno value published0.6412.2251+0.4450

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 5; a bar right of zero raised the score and one left of zero lowered it.

(2.2402CLABSI+2.3863CAUTI+2.1717SSI+2.1931CDI+2.2251MRSA)÷5measures=2.2433Total HAC Score

This hospital’s score is 1.8641 above 0.3792, the highest score CMS marked No. (This site recomputes.)

Figure 2. The parts add up to 2.2433, above CMS’s line.
1% cut CLABSI: z‑score 2.2402 divided by 5 = +0.4480CLABSI+0.4480 CAUTI: z‑score 2.3863 divided by 5 = +0.4773CAUTI+0.4773 SSI: z‑score 2.1717 divided by 5 = +0.4343SSI+0.4343 CDI: z‑score 2.1931 divided by 5 = +0.4386CDI+0.4386 MRSA: z‑score 2.2251 divided by 5 = +0.4450MRSA+0.4450 Total HAC Score: 2.2433Score2.2433 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.51.01.52.0 1% cut CLABSI: z‑score 2.2402 divided by 5 = +0.4480CLABSI+0.4480 CAUTI: z‑score 2.3863 divided by 5 = +0.4773CAUTI+0.4773 SSI: z‑score 2.1717 divided by 5 = +0.4343SSI+0.4343 CDI: z‑score 2.1931 divided by 5 = +0.4386CDI+0.4386 MRSA: z‑score 2.2251 divided by 5 = +0.4450MRSA+0.4450 Total HAC Score: 2.2433Score2.2433 CMS’s line: between 0.3792 and 0.3799 CMS’s line 0.00.51.01.52.0

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

Show table
MeasureZ-scorePart of the scoreRunning total
CLABSI2.2402+0.44800.4480
CAUTI2.3863+0.47730.9253
SSI2.1717+0.43431.3596
CDI2.1931+0.43861.7982
MRSA2.2251+0.44502.2432
Total HAC Score2.2433
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, 1.8641 over the highest score CMS didn’t cut, costs it about $4K 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 $4K at any score from 0.3799 $0at any score up to 0.3792 $4K at any score from 0.3799 −1012 This hospital: 2.2433 This hospital 2.2433 CMS’s line $0 at any score up to 0.3792 $4K at any score from 0.3799 $0at any score up to 0.3792 $4Kat any score from 0.3799 −1.0−0.50.00.51.01.52.0 CMS’s highest score: 2.3133 This hospital: 2.2433 This hospital 2.2433

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−$3,917
This hospital2.2433−$3,917
CMS’s highest score2.3133−$3,917

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.

($391,701payment+$0readmissions+$0value-based)×1%the cut=$3,917HAC cut

$3,917HAC cut÷34traditional Medicare stays=$115per traditional Medicare stay

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

Estimated Medicare inpatient payments · FY2026 estimate

What traditional Medicare pays it for inpatient stays
DRG payments at the federal rates the base $363,537
Capital: buildings and equipment $28,164
Total, before the three programs $391,701
The three programs: two on the base, the HAC cut last
Readmissions (HRRP) base × (1.0000 − 1) $0
Value-based purchasing (HVBP) not in CMS’s value-based factors: no adjustment $0
After these two $391,701
HAC Reduction Program 1% of everything above; likely $3⁠–⁠5K −$3,917
Net of the three programs likely −$5K to −$3K −$3,917

Not paid to this hospital: a Medicare-dependent hospital add-on, teaching payments, low-income-patient payments, outlier payments, a sole community hospital rate difference, a low-volume adjustment, and uncompensated care payments.

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)$363,537
Capital: buildings and equipment$28,164
Total, before the three programs$391,701
Readmissions (HRRP) (base × (1.0000 − 1))$0
Value-based purchasing (HVBP) (not in CMS’s value-based factors: no adjustment)$0
After these two$391,701
HAC Reduction Program (1% of everything above; likely $3–5K)−$3,917
Net of the three programs (likely −$5K to −$3K)−$3,917

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 Score2.2433same
Payment reduction decisionYessame
Payment cut1%same
Estimated HAC cut estimate$4Ksame

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 2.2433 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 $4K, 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
CLABSICMS assigned this measure’s score, so there is no submitted value to solve for.
CAUTICMS assigned this measure’s score, so there is no submitted value to solve for.
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 ÷ 5 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.

median 0.559 · cap 1.572 · each 0.1 = 0.0464

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 0.489 · cap 1.537 · each 0.1 = 0.0482

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 0.795 · cap 2.118 · each 0.1 = 0.0343

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 = 0.0774

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 = 0.0418

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.

Figure 5. Each bar is one measure’s part of this hospital’s Total HAC Score of 2.2433: its z‑score divided by 5, the number of measures scored.
  • CLABSI (assigned by CMS) +0.4480
  • CAUTI (assigned by CMS) +0.4773
  • SSI (assigned by CMS) +0.4343
  • CDI (assigned by CMS) +0.4386
  • MRSA (assigned by CMS) +0.4450

A measure adds its z‑score divided by 5, 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
CLABSI, assigned2.2402+0.4480same
CAUTI, assigned2.3863+0.4773same
SSI, assigned2.1717+0.4343same
CDI, assigned2.1931+0.4386same
MRSA, assigned2.2251+0.4450same

Interactive what-if at https://paidandpenalized.org/hacrp/hospital/670321/

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.

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 Texas, its score is higher than 99% of the other 254 scored there.

In Dallas-Plano-Irving, TX area, its score is higher than 100% of the other 47 scored there.

Figure 6. Its score is above the middle in all 8 groups it belongs to; the share cut runs from 13% (Texas) to 28% (Fewer than 100 beds).
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 Texas: CMS cut 32 of 255 (13%); middle score −0.2368Texas 255 hospitals13% cut Dallas-Plano-Irving, TX area: CMS cut 7 of 48 (15%); middle score −0.2539Dallas-Plano-Irving, TX area 48 hospitals15% 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 For-profit: CMS cut 98 of 651 (15%); middle score −0.2590For-profit 651 hospitals15% 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: 2.2433 This hospital 2.2433 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 Texas: CMS cut 32 of 255 (13%); middle score −0.2368Texas255 hospitals13% cut Dallas-Plano-Irving, TX area: CMS cut 7 of 48 (15%); middle score −0.2539Dallas-Plano-Irving, TX area48 hospitals15% 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 For-profit: CMS cut 98 of 651 (15%); middle score −0.2590For-profit651 hospitals15% 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: 2.2433 This hospital 2.2433

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%−0.045399%
South region1,17426322%−0.105699%
Texas2553213%−0.236899%
Dallas-Plano-Irving, TX area48715%−0.2539100%
Not teaching1,56338925%−0.105399%
Fewer than 100 beds80522528%−0.115499%
For-profit6519815%−0.259099%
Urban2,24151023%−0.057499%
This hospital2.2433
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 7. CMS cut none of the 8 nearest hospitals; the closest is less than a mile away.
5 mi8. Baylor Scott & White Heart & Vascular Hospital - Dallas, Dallas: score −0.4400, not cut, 6 miles87. Baylor University Medical Center, Dallas: score 0.2842, not cut, 6 miles76. Baylor Scott and White Medical Center Uptown, Dallas: score −0.3561, not cut, 6 miles65. White Rock Medical Center, Dallas: score −0.2933, not cut, 4 miles54. Medical City Dallas Hospital, Dallas: score 0.1608, not cut, 3 miles43. North Central Surgical Center LLP, Dallas: score −1.2357, not cut, about a mile32. Texas Health Presbyterian Hospital Dallas, Dallas: score −0.2456, not cut, about a mile21. Texas Institute for Surgery at Presbyterian Hospit, Dallas: score −0.4061, not cut, less than a mile1This hospital: Advanced Dallas Hospitals and Clinics

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

Show table
HospitalMilesScoreDecision
Texas Institute for Surgery at Presbyterian Hospit, Dallas, TXunder 1−0.4061not cut
Texas Health Presbyterian Hospital Dallas, Dallas, TX1−0.2456not cut
North Central Surgical Center LLP, Dallas, TX1−1.2357not cut
Medical City Dallas Hospital, Dallas, TX30.1608not cut
White Rock Medical Center, Dallas, TX4−0.2933not cut
Baylor Scott and White Medical Center Uptown, Dallas, TX6−0.3561not cut
Baylor University Medical Center, Dallas, TX60.2842not cut
Baylor Scott & White Heart & Vascular Hospital - Dallas, Dallas, TX6−0.4400not cut

#HospitalMilesScoreDecisionEst. cut ($, modeled)Measures
1Texas Institute for Surgery at Presbyterian HospitDallas, TXunder 1−0.4061No cut$0Above the national median on 0 of 1 measures
2Texas Health Presbyterian Hospital DallasDallas, TX1−0.2456No cut$0Above the national median on 1 of 6 measures
3North Central Surgical Center LLPDallas, TX1−1.2357No cut$0Above the national median on 0 of 2 measures
4Medical City Dallas HospitalDallas, TX30.1608No cut$0Above the national median on 4 of 6 measures
5White Rock Medical CenterDallas, TX4−0.2933No cut$0Above the national median on 2 of 5 measures
6Baylor Scott and White Medical Center UptownDallas, TX6−0.3561No cut$0Above the national median on 0 of 1 measures
7Baylor University Medical CenterDallas, TX60.2842No cut$0Above the national median on 2 of 6 measures
8Baylor Scott & White Heart & Vascular Hospital - DallasDallas, TX6−0.4400No cut$0Above the national median on 1 of 2 measures

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

CMS’s footnotes on this page

18
This result is not based on performance data; the hospital did not submit data and did not submit an HAI exemption form.
5
Results are not available for this reporting period.

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. Advanced Dallas Hospitals and Clinics, Dallas, TX: Hospital-Acquired Conditions, FY2026. https://paidandpenalized.org/hacrp/hospital/670321/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.