P&P, Paid & Penalized

Public Medicare data, made visible.

Metro area

Grand Rapids-Wyoming-Kentwood, MI

2 of 8 hospitals take a cut in FY2027: 25% of the 8 measured on at least one condition. The average cut, counting all 8 hospitals, is 0.07%. Estimated total: $75Kestimate.

Grand Rapids-Wyoming-Kentwood, MI · FY2027Compared with all hospitals nationally

1Hospitals

8

2Penalized

25%

of 8 measured · −58 pts vs nation

3Average cut

0.07%

−0.28 pts vs nation

4Cut 1% or more

0

0% of hospitals (nation 8%)

5At the 3% cap

0

6Estimated dollars

$75Kestimate

Hospitals on the map

Figure 1. 2 of the 8 hospitals here take a cut; the largest, 0.34%, is at Spectrum Health United Hospital.
Bronson Methodist Hospital, Kalamazoo, MI: cut 1.18%Covenant Medical Center, Saginaw, MI: cut 0.48%Edward W Sparrow Hospital, Lansing, MI: no cutLakeland Hospital, St Joseph, St Joseph, MI: cut 0.06%McLaren Bay Region, Bay City, MI: cut 1.64%Trinity Health Muskegon Hospital, Muskegon, MI: no cutBronson Battle Creek Hospital, Battle Creek, MI: cut 0.52%Mymichigan Medical Center Saginaw, Saginaw, MI: cut 0.22%Henry Ford Allegiance Health, Jackson, MI: cut 0.60%Borgess Medical Center, Kalamazoo, MI: cut 0.22%McLaren Greater Lansing, Lansing, MI: cut 0.06%Mymichigan Medical Center Midland, Midland, MI: cut 0.11%ProMedica Charles and Virginia Hickman Hospital, Adrian, MI: cut 0.39%Three Rivers Health, Three Rivers, MI: cut 0.32%Insight Hospital and Medical Center Coldwater, Coldwater, MI: cut 0.23%Mymichigan Medical Center Alma, Alma, MI: cut 0.21%Hillsdale Hospital, Hillsdale, MI: no cutTrinity Health Livingston Hospital, Howell, MI: cut 0.20%Corewell Health Watervliet Hospital, Watervliet, MI: no cutMcLaren Central Michigan, Mount Pleasant, MI: cut 0.05%Bronson South Haven Hospital, South Haven, MI: cut 0.13%Corewell Health Big Rapids Hospital, Big Rapids, MI: no cutCorewell Health Ludington Hospital, Ludington, MI: cut 0.06%Memorial Healthcare, Owosso, MI: cut 0.57%Mymichigan Medical Center Clare, Clare, MI: cut 0.17%Oaklawn Hospital, Marshall, MI: cut 0.03%Chelsea Hospital, Chelsea, MI: cut 0.11%Spectrum Health, Grand Rapids, MI: no cutUniversity of Michigan Health - West, Wyoming, MI: no cutCorewell Health Zeeland Hospital, Zeeland, MI: no cutHolland Hospital, Holland, MI: no cutTrinity Health Grand Haven Hospital, Grand Haven, MI: no cutUniversity of Michigan Health-Sparrow Carson, Carson City, MI: no cutMercy Health Saint Mary's, Grand Rapids, MI: cut 0.25%Spectrum Health United Hospital, Greenville, MI: cut 0.34% Bronson Methodist Hospital, Kalamazoo, MI: cut 1.18%Covenant Medical Center, Saginaw, MI: cut 0.48%Edward W Sparrow Hospital, Lansing, MI: no cutLakeland Hospital, St Joseph, St Joseph, MI: cut 0.06%McLaren Bay Region, Bay City, MI: cut 1.64%Trinity Health Muskegon Hospital, Muskegon, MI: no cutBronson Battle Creek Hospital, Battle Creek, MI: cut 0.52%Mymichigan Medical Center Saginaw, Saginaw, MI: cut 0.22%Henry Ford Allegiance Health, Jackson, MI: cut 0.60%Borgess Medical Center, Kalamazoo, MI: cut 0.22%McLaren Greater Lansing, Lansing, MI: cut 0.06%Mymichigan Medical Center Midland, Midland, MI: cut 0.11%ProMedica Charles and Virginia Hickman Hospital, Adrian, MI: cut 0.39%Three Rivers Health, Three Rivers, MI: cut 0.32%Insight Hospital and Medical Center Coldwater, Coldwater, MI: cut 0.23%Mymichigan Medical Center Alma, Alma, MI: cut 0.21%Hillsdale Hospital, Hillsdale, MI: no cutTrinity Health Livingston Hospital, Howell, MI: cut 0.20%Corewell Health Watervliet Hospital, Watervliet, MI: no cutMcLaren Central Michigan, Mount Pleasant, MI: cut 0.05%Bronson South Haven Hospital, South Haven, MI: cut 0.13%Corewell Health Big Rapids Hospital, Big Rapids, MI: no cutCorewell Health Ludington Hospital, Ludington, MI: cut 0.06%Memorial Healthcare, Owosso, MI: cut 0.57%Mymichigan Medical Center Clare, Clare, MI: cut 0.17%Oaklawn Hospital, Marshall, MI: cut 0.03%Chelsea Hospital, Chelsea, MI: cut 0.11%Spectrum Health, Grand Rapids, MI: no cutUniversity of Michigan Health - West, Wyoming, MI: no cutCorewell Health Zeeland Hospital, Zeeland, MI: no cutHolland Hospital, Holland, MI: no cutTrinity Health Grand Haven Hospital, Grand Haven, MI: no cutUniversity of Michigan Health-Sparrow Carson, Carson City, MI: no cutMercy Health Saint Mary's, Grand Rapids, MI: cut 0.25%Spectrum Health United Hospital, Greenville, MI: cut 0.34%

Hospital dots, by cut

  • No cut
  • Under 0.25%
  • 0.25%–0.49%
  • 0.50%–0.99%
  • 1.00%–1.99%
  • 2.00%–3.00%
  • Other hospitals

Dots are sized by Medicare volume and shaded by cut. Select one to open it. Gray dots are other hospitals in the state.

CMS FY2027 Hospital Readmissions Reduction Program Supplemental Data File. Locations geocoded from street addresses (U.S. Census Bureau Geocoder), else ZIP or county centers.

Show table
HospitalCityCutBase payments (dot size)
Spectrum Health United HospitalGreenville0.34%$4.1M
Mercy Health Saint Mary'sGrand Rapids0.25%$24.3M
Corewell Health Zeeland HospitalZeeland0.00%$2.7M
Holland HospitalHolland0.00%$8.5M
Spectrum HealthGrand Rapids0.00%$109M
Trinity Health Grand Haven HospitalGrand Haven0.00%$1.4M
University of Michigan Health - WestWyoming0.00%$18.6M
University of Michigan Health-Sparrow CarsonCarson City0.00%$1.2M

Size of the cuts

Figure 2. 6 of the 8 hospitals here take no cut, against 20% of all hospitals; the average cut is 0.07%.
0%20%40%60%80% No cut: 6 here (75%); 20% of all hospitals0.0% to 0.1%: 0 here (0%); 18% of all hospitals0.1% to 0.2%: 0 here (0%); 11% of all hospitals0.2% to 0.3%: 1 here (13%); 10% of all hospitals0.3% to 0.4%: 1 here (13%); 8% of all hospitals0.4% to 0.5%: 0 here (0%); 6% of all hospitals0.5% to 0.6%: 0 here (0%); 6% of all hospitals0.6% to 0.7%: 0 here (0%); 4% of all hospitals0.7% to 0.8%: 0 here (0%); 3% of all hospitals0.8% to 0.9%: 0 here (0%); 3% of all hospitals0.9% to 1.0%: 0 here (0%); 2% of all hospitals1.0% to 1.1%: 0 here (0%); 2% of all hospitals1.1% to 1.2%: 0 here (0%); 1% of all hospitals1.2% to 1.3%: 0 here (0%); 1% of all hospitals1.3% to 1.4%: 0 here (0%); 1% of all hospitals1.4% to 1.5%: 0 here (0%); 1% of all hospitals1.5% to 1.6%: 0 here (0%); 1% of all hospitals1.6% to 1.7%: 0 here (0%); 0% of all hospitals1.7% to 1.8%: 0 here (0%); 0% of all hospitals1.8% to 1.9%: 0 here (0%); 0% of all hospitals1.9% to 2.0%: 0 here (0%); 0% of all hospitals2.0% to 2.1%: 0 here (0%); 0% of all hospitals2.1% to 2.2%: 0 here (0%); 0% of all hospitals2.2% to 2.3%: 0 here (0%); 0% of all hospitals2.3% to 2.4%: 0 here (0%); 0% of all hospitals2.4% to 2.5%: 0 here (0%); 0% of all hospitals2.5% to 2.6%: 0 here (0%); 0% of all hospitals2.6% to 2.7%: 0 here (0%); 0% of all hospitals2.7% to 2.8%: 0 here (0%); 0% of all hospitals2.8% to 2.9%: 0 here (0%); 0% of all hospitals2.9% to 3.0%: 0 here (0%); 0% of all hospitals 1%2%3%average 0.07%none 0%20%40%60%80% No cut: 6 here (75%); 20% of all hospitals0.0% to 0.1%: 0 here (0%); 18% of all hospitals0.1% to 0.2%: 0 here (0%); 11% of all hospitals0.2% to 0.3%: 1 here (13%); 10% of all hospitals0.3% to 0.4%: 1 here (13%); 8% of all hospitals0.4% to 0.5%: 0 here (0%); 6% of all hospitals0.5% to 0.6%: 0 here (0%); 6% of all hospitals0.6% to 0.7%: 0 here (0%); 4% of all hospitals0.7% to 0.8%: 0 here (0%); 3% of all hospitals0.8% to 0.9%: 0 here (0%); 3% of all hospitals0.9% to 1.0%: 0 here (0%); 2% of all hospitals1.0% to 1.1%: 0 here (0%); 2% of all hospitals1.1% to 1.2%: 0 here (0%); 1% of all hospitals1.2% to 1.3%: 0 here (0%); 1% of all hospitals1.3% to 1.4%: 0 here (0%); 1% of all hospitals1.4% to 1.5%: 0 here (0%); 1% of all hospitals1.5% to 1.6%: 0 here (0%); 1% of all hospitals1.6% to 1.7%: 0 here (0%); 0% of all hospitals1.7% to 1.8%: 0 here (0%); 0% of all hospitals1.8% to 1.9%: 0 here (0%); 0% of all hospitals1.9% to 2.0%: 0 here (0%); 0% of all hospitals2.0% to 2.1%: 0 here (0%); 0% of all hospitals2.1% to 2.2%: 0 here (0%); 0% of all hospitals2.2% to 2.3%: 0 here (0%); 0% of all hospitals2.3% to 2.4%: 0 here (0%); 0% of all hospitals2.4% to 2.5%: 0 here (0%); 0% of all hospitals2.5% to 2.6%: 0 here (0%); 0% of all hospitals2.6% to 2.7%: 0 here (0%); 0% of all hospitals2.7% to 2.8%: 0 here (0%); 0% of all hospitals2.8% to 2.9%: 0 here (0%); 0% of all hospitals2.9% to 3.0%: 0 here (0%); 0% of all hospitals 0.5%1%1.5%2%2.5%3%average 0.07%none

Bars: Grand Rapids-Wyoming-Kentwood, MI. Outline: all hospitals. Both as shares, so areas of any size compare. The bar at the left is hospitals with no cut.

CMS FY2027 Hospital Readmissions Reduction Program Supplemental Data File.

Show table
Cut fromtoHospitals hereShare hereShare of all hospitals
No cut—675%20%
0.0%0.1%00%18%
0.1%0.2%00%11%
0.2%0.3%113%10%
0.3%0.4%113%8%
0.4%0.5%00%6%
0.5%0.6%00%6%
0.6%0.7%00%4%
0.7%0.8%00%3%
0.8%0.9%00%3%
0.9%1.0%00%2%
1.0%1.1%00%2%
1.1%1.2%00%1%
1.2%1.3%00%1%
1.3%1.4%00%1%
1.4%1.5%00%1%
1.5%1.6%00%1%
1.6%1.7%00%0%
1.7%1.8%00%0%
1.8%1.9%00%0%
1.9%2.0%00%0%
2.0%2.1%00%0%
2.1%2.2%00%0%
2.2%2.3%00%0%
2.3%2.4%00%0%
2.4%2.5%00%0%
2.5%2.6%00%0%
2.6%2.7%00%0%
2.7%2.8%00%0%
2.8%2.9%00%0%
2.9%3.0%00%0%

Peer groups

Figure 3. The largest group here is group 2, with 4 of the 8 hospitals.
Group 1: no hospital hereGroup 1none0Group 2: 4 hospitals, average cut 0.00%Group 2avg cut 0.00%4Group 3: 2 hospitals, average cut 0.00%Group 3avg cut 0.00%2Group 4: 2 hospitals, average cut 0.30%Group 4avg cut 0.30%2Group 5: no hospital hereGroup 5none0 Group 1: no hospital hereGroup 1none0Group 2: 4 hospitals, average cut 0.00%Group 2avg cut 0.00%4Group 3: 2 hospitals, average cut 0.00%Group 3avg cut 0.00%2Group 4: 2 hospitals, average cut 0.30%Group 4avg cut 0.30%2Group 5: no hospital hereGroup 5none0

How many hospitals here fall in each dual-eligible peer group. Group 1 serves the fewest low-income patients, group 5 the most. Under each group: its average cut here.

CMS FY2027 Hospital Readmissions Reduction Program Supplemental Data File.

Show table
Peer groupHospitals hereAverage cut
Group 10none
Group 240.00%
Group 320.00%
Group 420.30%
Group 50none

Which conditions drive the penalties here

Figure 4. Pneumonia is the largest part of the estimated dollars here, 79%.
  • All hospitals

Penalized on this condition

Heart attack: 0 of 4 measured hospitals penalized, 0%; all hospitals 50%Heart attack0 of 40%COPD: 1 of 8 measured hospitals penalized, 13%; all hospitals 50%COPD1 of 813%Heart failure: 1 of 8 measured hospitals penalized, 13%; all hospitals 50%Heart failure1 of 813%Pneumonia: 1 of 8 measured hospitals penalized, 13%; all hospitals 50%Pneumonia1 of 813%Bypass surgery: 0 of 2 measured hospitals penalized, 0%; all hospitals 49%Bypass (CABG)0 of 20%Hip/knee replacement: 0 of 3 measured hospitals penalized, 0%; all hospitals 50%Hip/knee0 of 30% Heart attack: 0 of 4 measured hospitals penalized, 0%; all hospitals 50%Heart attack0 of 4 measured0%COPD: 1 of 8 measured hospitals penalized, 13%; all hospitals 50%COPD1 of 8 measured13%Heart failure: 1 of 8 measured hospitals penalized, 13%; all hospitals 50%Heart failure1 of 8 measured13%Pneumonia: 1 of 8 measured hospitals penalized, 13%; all hospitals 50%Pneumonia1 of 8 measured13%Bypass surgery: 0 of 2 measured hospitals penalized, 0%; all hospitals 49%Bypass surgery0 of 2 measured0%Hip/knee replacement: 0 of 3 measured hospitals penalized, 0%; all hospitals 50%Hip/knee replacement0 of 3 measured0%

Share of estimated dollars

Pneumonia: $59K of the modeled dollars, 79%Pneumonia≈ $59K79%Heart failure: $14K of the modeled dollars, 19%Heart failure≈ $14K19%COPD: $2K of the modeled dollars, 2%COPD≈ $2K2%Heart attack: $0 of the modeled dollars, 0%Heart attack≈ $00%Bypass surgery: $0 of the modeled dollars, 0%Bypass (CABG)≈ $00%Hip/knee replacement: $0 of the modeled dollars, 0%Hip/knee≈ $00% Pneumonia: $59K of the modeled dollars, 79%Pneumonia≈ $59K79%Heart failure: $14K of the modeled dollars, 19%Heart failure≈ $14K19%COPD: $2K of the modeled dollars, 2%COPD≈ $2K2%Heart attack: $0 of the modeled dollars, 0%Heart attack≈ $00%Bypass surgery: $0 of the modeled dollars, 0%Bypass surgery≈ $00%Hip/knee replacement: $0 of the modeled dollars, 0%Hip/knee replacement≈ $00%

Left: share of measured hospitals penalized on each condition (tick: all hospitals, about half). Right: share of the estimated dollars. Each condition flags about half of the hospitals measured on it by design, because CMS compares a hospital with the median of its peer group, so a bar near the tick is not a finding on its own. Dollars are modeled here: each cut hospital’s estimated dollars split by its conditions’ parts of the cut.

Estimate · CMS FY2027 Hospital Readmissions Reduction Program Supplemental Data File; dollars are modeled here.

Show table
ConditionMeasured herePenalized hereShare penalizedAll hospitals’ shareModeled dollarsShare of dollars
Heart attack400%50%$00%
COPD8113%50%$2K2%
Heart failure8113%50%$14K19%
Pneumonia8113%50%$59K79%
Bypass surgery200%49%$00%
Hip/knee replacement300%50%$00%

Average cut over time

Figure 5. In FY2027, the average cut in Grand Rapids-Wyoming-Kentwood, MI was 0.07%, against 0.35% across all hospitals in the program.
Shaded: the years whose data reach the claims of January 1, 2020 to June 30, 2020, which CMS left out. 0%0.5%1% 3% cap FY2013: 0.07% here; 0.28% across all hospitals in the programFY2014: 0.01% here; 0.26% across all hospitals in the programFY2015: 0.40% here; 0.50% across all hospitals in the programFY2016: 0.38% here; 0.49% across all hospitals in the programFY2017: 0.26% here; 0.60% across all hospitals in the programFY2018: 0.16% here; 0.61% across all hospitals in the programFY2019: 0.32% here; 0.59% across all hospitals in the programFY2020: 0.58% here; 0.60% across all hospitals in the programFY2021: 0.88% here; 0.58% across all hospitals in the programFY2022: 0.80% here; 0.54% across all hospitals in the programFY2023: 0.43% here; 0.33% across all hospitals in the programFY2024: 0.16% here; 0.34% across all hospitals in the programFY2025: 0.17% here; 0.33% across all hospitals in the programFY2026: 0.14% here; 0.35% across all hospitals in the programFY2027: 0.07% here; 0.35% across all hospitals in the program0.07% ’13’15’17’19’21’23’25’27 Shaded: the years whose data reach the claims of January 1, 2020 to June 30, 2020, which CMS left out. 0%0.5%1% 2%3% cap FY2013: 0.07% here; 0.28% across all hospitals in the programFY2014: 0.01% here; 0.26% across all hospitals in the programFY2015: 0.40% here; 0.50% across all hospitals in the programFY2016: 0.38% here; 0.49% across all hospitals in the programFY2017: 0.26% here; 0.60% across all hospitals in the programFY2018: 0.16% here; 0.61% across all hospitals in the programFY2019: 0.32% here; 0.59% across all hospitals in the programFY2020: 0.58% here; 0.60% across all hospitals in the programFY2021: 0.88% here; 0.58% across all hospitals in the programFY2022: 0.80% here; 0.54% across all hospitals in the programFY2023: 0.43% here; 0.33% across all hospitals in the programFY2024: 0.16% here; 0.34% across all hospitals in the programFY2025: 0.17% here; 0.33% across all hospitals in the programFY2026: 0.14% here; 0.35% across all hospitals in the programFY2027: 0.07% here; 0.35% across all hospitals in the program0.07% The pandemic years’13’14’15’16’17’18’19’20’21’22’23’24’25’26’27

Red: hospitals in Grand Rapids-Wyoming-Kentwood, MI that are in the FY2027 program. Dashed: every hospital in the FY2027 program, nationwide. Each year averages those in that year’s file. The cap on the cut changed over the years, so a cut in one year is not the same size of penalty in another. Shaded: the years whose data reach the claims of January 1, 2020 to June 30, 2020, which CMS left out.

This site recomputes · CMS Hospital Readmissions Reduction Program supplemental data files, FY2013–FY2027.

Show table
Fiscal yearAverage cut hereAverage cut, all hospitals in the program
FY20130.07%0.28%
FY20140.01%0.26%
FY20150.40%0.50%
FY20160.38%0.49%
FY20170.26%0.60%
FY20180.16%0.61%
FY20190.32%0.59%
FY20200.58%0.60%
FY20210.88%0.58%
FY20220.80%0.54%
FY20230.43%0.33%
FY20240.16%0.34%
FY20250.17%0.33%
FY20260.14%0.35%
FY20270.07%0.35%

Hospitals in Grand Rapids-Wyoming-Kentwood, MI

Largest cut first. Select a hospital to open its page.

Hospitals in Grand Rapids-Wyoming-Kentwood, MI, largest cut first
HospitalCutEstimated dollarsPeer groupConditionsBeds
Spectrum Health United HospitalGreenville, MI · CCN 2300350.34%$14K4Heart attack: too few cases to be measured; COPD: measured, adds nothing; Heart failure: adds to the cut; Pneumonia: measured, adds nothing; Bypass surgery: too few cases to be measured; Hip/knee replacement: too few cases to be measuredCounted toward the cut: Heart failure48
Mercy Health Saint Mary'sGrand Rapids, MI · CCN 2300590.25%$61K4Heart attack: measured, adds nothing; COPD: adds to the cut; Heart failure: measured, adds nothing; Pneumonia: adds to the cut; Bypass surgery: too few cases to be measured; Hip/knee replacement: measured, adds nothingCounted toward the cut: COPD and Pneumonia230
Corewell Health Zeeland HospitalZeeland, MI · CCN 2300030.00%$02Heart attack: too few cases to be measured; COPD: measured, adds nothing; Heart failure: measured, adds nothing; Pneumonia: measured, adds nothing; Bypass surgery: too few cases to be measured; Hip/knee replacement: too few cases to be measuredNo condition counted57
Spectrum HealthGrand Rapids, MI · CCN 2300380.00%$03Heart attack: measured, adds nothing; COPD: measured, adds nothing; Heart failure: measured, adds nothing; Pneumonia: measured, adds nothing; Bypass surgery: measured, adds nothing; Hip/knee replacement: measured, adds nothingNo condition counted1,135
Holland HospitalHolland, MI · CCN 2300720.00%$02Heart attack: measured, adds nothing; COPD: measured, adds nothing; Heart failure: measured, adds nothing; Pneumonia: measured, adds nothing; Bypass surgery: too few cases to be measured; Hip/knee replacement: too few cases to be measuredNo condition counted193
Trinity Health Grand Haven HospitalGrand Haven, MI · CCN 2301740.00%$02Heart attack: too few cases to be measured; COPD: measured, adds nothing; Heart failure: measured, adds nothing; Pneumonia: measured, adds nothing; Bypass surgery: too few cases to be measured; Hip/knee replacement: too few cases to be measuredNo condition counted81
University of Michigan Health-Sparrow CarsonCarson City, MI · CCN 2302080.00%$03Heart attack: too few cases to be measured; COPD: measured, adds nothing; Heart failure: measured, adds nothing; Pneumonia: measured, adds nothing; Bypass surgery: too few cases to be measured; Hip/knee replacement: too few cases to be measuredNo condition counted87
University of Michigan Health - WestWyoming, MI · CCN 2302360.00%$02Heart attack: measured, adds nothing; COPD: measured, adds nothing; Heart failure: measured, adds nothing; Pneumonia: measured, adds nothing; Bypass surgery: measured, adds nothing; Hip/knee replacement: measured, adds nothingNo condition counted208

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