P&P, Paid & Penalized

Public Medicare data, made visible.

State

Hawaii

CMS cut 7 of the 11 hospitals in Hawaii with a payment decision for fiscal year 2026: 63.6%, against 24.9% nationally.

Hawaii · FY2026Compared with the nation

1Hospitals cut

7

Of 11 with a payment decision

2Share cut

63.6%

+38.8 pts vs the nation (24.9%)

3Rank

2nd of 50

Share cut, highest first, among the states and DC

4Median score

0.4619

Nation: −0.0453

5Scored on all 6

10

Of 11 scored (91%; nation 66%)

6Scored without data

0

Hospitals CMS gave its worst score on a measure

7Estimated dollars

$2.9M estimate
0.9% of the nation’s $306M, this site’s estimate

Likely range $2.2–3.3M

8Per traditional Medicare stay

$170

The nation: $47

64% cut

Average Lowest score: −1.4728 Highest score: 2.3133 CMS’s line 7 of 718 here Average Lowest score: −1.4728 Highest score: 2.3133 CMS’s line 718 cut nationally · 7 here
Every hospital in the nation with a payment decision, lowest score to highest, each as tall as its score (above the rule, worse than average); the solid hairlines are Hawaii’s, red where CMS cut.

On the map

Each dot is a hospital in CMS’s file: red, cut; ringed, not cut; gray, no decision. Pick one to open its page.

Figure 1. Hawaii: 7 cut of 11 with a payment decision.
The Queens Medical Center, Honolulu: 0.8684 · cutMaui Memorial Medical Center, Wailuku: 1.1743 · cutHilo Benioff Medical Center, Hilo: 0.0846 · not cutAdventist Health Castle, Kailua: −0.8533 · not cutKuakini Medical Center, Honolulu: −0.1226 · not cutKaiser Foundation Hospital, Honolulu: 0.6129 · cutWilcox Memorial Hospital, Lihue: 0.4478 · cutKona Community Hospital, Kealakekua: 0.4619 · cutStraub Clinic and Hospital, Honolulu: 0.5682 · cutPali Momi Medical Center, Aiea: −0.2614 · not cutNorth Hawaii Community Hospital, Inc, Kamuela: 1.7593 · cut The Queens Medical Center, Honolulu: 0.8684 · cutMaui Memorial Medical Center, Wailuku: 1.1743 · cutHilo Benioff Medical Center, Hilo: 0.0846 · not cutAdventist Health Castle, Kailua: −0.8533 · not cutKuakini Medical Center, Honolulu: −0.1226 · not cutKaiser Foundation Hospital, Honolulu: 0.6129 · cutWilcox Memorial Hospital, Lihue: 0.4478 · cutKona Community Hospital, Kealakekua: 0.4619 · cutStraub Clinic and Hospital, Honolulu: 0.5682 · cutPali Momi Medical Center, Aiea: −0.2614 · not cutNorth Hawaii Community Hospital, Inc, Kamuela: 1.7593 · cut
  • Cut
  • Not cut
  • Not subject (Maryland) or no score

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

Show table
HospitalCityTotal HAC ScorePayment reduction
Adventist Health CastleKailua−0.8533No
Hilo Benioff Medical CenterHilo0.0846No
Kaiser Foundation HospitalHonolulu0.6129Yes
Kona Community HospitalKealakekua0.4619Yes
Kuakini Medical CenterHonolulu−0.1226No
Maui Memorial Medical CenterWailuku1.1743Yes
North Hawaii Community Hospital, IncKamuela1.7593Yes
Pali Momi Medical CenterAiea−0.2614No
Straub Clinic and HospitalHonolulu0.5682Yes
The Queens Medical CenterHonolulu0.8684Yes
Wilcox Memorial HospitalLihue0.4478Yes

Its scores against the nation’s

The columns are this place’s hospitals; the outline is every hospital in the nation. Both are shares of their own hospitals, so a small place and the nation compare.

Figure 2. 63.6% of hospitals here scored past CMS’s line, against 24.9% nationally; the middle score here is 0.4619, and nationally −0.0453.
0%5%10%15%20%25% −1.6 to −1.4: 0% here, 1% nationally−1.4 to −1.2: 0% here, 1% nationally−1.2 to −1.0: 0% here, 2% nationally−1.0 to −0.8: 9% here, 4% nationally−0.8 to −0.6: 0% here, 7% nationally−0.6 to −0.4: 0% here, 10% nationally−0.4 to −0.2: 9% here, 12% nationally−0.2 to 0.0: 9% here, 14% nationally0.0 to 0.2: 9% here, 12% nationally0.2 to 0.4: 0% here, 12% nationally0.4 to 0.6: 27% here, 8% nationally0.6 to 0.8: 9% here, 6% nationally0.8 to 1.0: 9% here, 4% nationally1.0 to 1.2: 9% here, 3% nationally1.2 to 1.4: 0% here, 1% nationally1.4 to 1.6: 0% here, 1% nationally1.6 to 1.8: 9% here, 0% nationally1.8 to 2.0: 0% here, 0% nationally2.0 to 2.2: 0% here, 0% nationally2.2 to 2.4: 0% here, 1% nationally CMS’s line −1.00.01.02.0 0%5%10%15%20%25% −1.6 to −1.4: 0% here, 1% nationally−1.4 to −1.2: 0% here, 1% nationally−1.2 to −1.0: 0% here, 2% nationally−1.0 to −0.8: 9% here, 4% nationally−0.8 to −0.6: 0% here, 7% nationally−0.6 to −0.4: 0% here, 10% nationally−0.4 to −0.2: 9% here, 12% nationally−0.2 to 0.0: 9% here, 14% nationally0.0 to 0.2: 9% here, 12% nationally0.2 to 0.4: 0% here, 12% nationally0.4 to 0.6: 27% here, 8% nationally0.6 to 0.8: 9% here, 6% nationally0.8 to 1.0: 9% here, 4% nationally1.0 to 1.2: 9% here, 3% nationally1.2 to 1.4: 0% here, 1% nationally1.4 to 1.6: 0% here, 1% nationally1.6 to 1.8: 9% here, 0% nationally1.8 to 2.0: 0% here, 0% nationally2.0 to 2.2: 0% here, 0% nationally2.2 to 2.4: 0% here, 1% nationally CMS’s line −1.5−1.0−0.50.00.51.01.52.0

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

Show table
Score fromtoHereNation
−1.6−1.4040
−1.4−1.2017
−1.2−1.0051
−1.0−0.81126
−0.8−0.60204
−0.6−0.40290
−0.4−0.21357
−0.20.01407
0.00.21343
0.20.40333
0.40.63237
0.60.81173
0.81.01116
1.01.2191
1.21.4030
1.41.6021
1.61.8110
1.82.003
2.02.2013
2.22.4024

Measure by measure

For each measure, the share of this place’s hospitals with a value worse than the national median. Half would be ordinary; a stem to the right of the line is a measure where more hospitals here did worse.

Figure 3. Worst against the nation on CLABSI (73% of its hospitals above the national median); best on MRSA (30%).

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

Show table
MeasureHospitals with a valueHalf
PSI 901164%
CLABSI1173%
CAUTI1173%
SSI1164%
CDI1173%
MRSA1030%

Hawaii, year by year

Every hospital in Hawaii with a payment decision in any year, one sliver each, one row per fiscal year; red where CMS cut it. At the right of each row: the share of Hawaii’s hospitals cut that year, then the nation’s.

Figure 4. Hawaii’s share cut was above the nation’s in 4 of the 11 years CMS cut anyone; 10 of its 12 hospitals have been cut at least once.
201520162017201820192020202120222023202420252026 No hospital scored or cut 0.0% · 21.9%25.0% · 23.4%8.3% · 24.0%8.3% · 23.6%16.7% · 25.0%8.3% · 25.0%8.3% · 24.9%0.0% · 25.0%25.0% · 24.9%66.7% · 24.8%63.6% · 24.9% Ever cut: 10 Never cut: 2 201520162017201820192020202120222023202420252026 No hospital scored or cut 0.0% · 21.9%25.0% · 23.4%8.3% · 24.0%8.3% · 23.6%16.7% · 25.0%8.3% · 25.0%8.3% · 24.9%0.0% · 25.0%25.0% · 24.9%66.7% · 24.8%63.6% · 24.9% Ever cut: 10 Never cut: 2

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 yearHospitals with a decisionCutShare cutNation
FY20151200.0%21.9%
FY201612325.0%23.4%
FY20171218.3%24.0%
FY20181218.3%23.6%
FY201912216.7%25.0%
FY20201218.3%25.0%
FY20211218.3%24.9%
FY20221200.0%25.0%
FY202300
FY202412325.0%24.9%
FY202512866.7%24.8%
FY202611763.6%24.9%

Its metro areas

Hospitals CMS cut, of those with a payment decision, and the middle score, by place.

PlaceWith a decisionHospitals cutShare cutMedian scoreEst. cut ($, modeled)
Kahului-Wailuku, HI111.1743$396K
Urban Honolulu, HI630.2228$2.1M
Outside any metro area430.4549$348K

Every hospital in Hawaii

The sortable table of this place’s hospitals needs JavaScript; the CSV file holds every hospital’s values.

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. Hawaii: hospital-acquired conditions, FY2026. https://paidandpenalized.org/hacrp/state/hi/. Source: CMS Provider Data Catalog, HACRP FY2026 (yq43-i98g), released August 13, 2026.