CMS

Hospital Medicare payment programs

Penalties and bonuses under the Readmissions Reduction, Hospital-Acquired Condition, and Value-Based Purchasing programs, plus Medicare spending per beneficiary.

Published by CMS Finest detail facility Tables 4

How we use this · on 3 desks

“Which hospitals are paying the biggest Medicare penalties?”

Where you'll see it

CareSite Ops: Facility dossier
Health Markets: Hospitals under pressure
Health Care Loans & Sales: Facility dossier
AI & Spreadsheets: at Level 3, link it into Excel or Google Sheets, download it, or ask your AI assistant about it

What we added

Penalties and bonuses from three programs side by side for each hospital
Set next to each hospital's margins, to show who can least afford them

See the desks →

Value-Based Purchasing score Sample of 25 rows out of about 2,446 · 18 columns

id	fiscal_year	facility_id	facility_name	address	city	state	zip	county	clinical_outcomes_unweighted	clinical_outcomes_weighted	person_engagement_unweighted	person_engagement_weighted	safety_unweighted	safety_weighted	efficiency_unweighted	efficiency_weighted	total_performance_score
1	2026	010001	SOUTHEAST HEALTH MEDICAL CENTER	1108 ROSS CLARK CIRCLE	DOTHAN	AL	36301	HOUSTON	24.000000	6.000000	43.000000	10.750000	51.666667	12.916667	10.000000	2.500000	32.166667
2	2026	010005	MARSHALL MEDICAL CENTERS	2505 U S HIGHWAY 431 NORTH	BOAZ	AL	35957	MARSHALL	5.000000	1.250000	37.000000	9.250000	31.666667	7.916667	10.000000	2.500000	20.916667
3	2026	010006	NORTH ALABAMA MEDICAL CENTER	1701 VETERANS DRIVE	FLORENCE	AL	35630	LAUDERDALE	3.333333	0.833333	15.000000	3.750000	85.000000	21.250000	0.000000	0.000000	25.833333
4	2026	010012	DEKALB REGIONAL MEDICAL CENTER	200 MED CENTER DRIVE	FORT PAYNE	AL	35968	DEKALB	4.000000	1.000000	45.000000	11.250000	43.333333	10.833333	30.000000	7.500000	30.583333
5	2026	010016	SHELBY BAPTIST MEDICAL CENTER	1000 FIRST STREET NORTH	ALABASTER	AL	35007	SHELBY	18.333333	4.583333	19.000000	4.750000	43.333333	10.833333	10.000000	2.500000	22.666667
6	2026	010019	HELEN KELLER HOSPITAL	1300 SOUTH MONTGOMERY AVENUE	SHEFFIELD	AL	35660	COLBERT	0.000000	0.000000	65.000000	16.250000	68.333333	17.083333	0.000000	0.000000	33.333333
7	2026	010023	BAPTIST MEDICAL CENTER SOUTH	2105 EAST SOUTH BOULEVARD	MONTGOMERY	AL	36116	MONTGOMERY	25.000000	6.250000	43.000000	10.750000	28.333333	7.083333	20.000000	5.000000	29.083333
8	2026	010024	JACKSON HOSPITAL & CLINIC INC	1725 PINE STREET	MONTGOMERY	AL	36106	MONTGOMERY	34.000000	8.500000	28.000000	7.000000	41.666667	10.416667	20.000000	5.000000	30.916667
9	2026	010029	THE EAST ALABAMA HEALTHCARE AUTHORITY	2000 PEPPERELL PARKWAY	OPELIKA	AL	36801	LEE	6.666667	1.666667	48.000000	12.000000	25.000000	6.250000	30.000000	7.500000	27.416667
10	2026	010033	UNIVERSITY OF ALABAMA HOSPITAL	619 SOUTH 19TH STREET	BIRMINGHAM	AL	35233	JEFFERSON	28.333333	7.083333	50.000000	12.500000	26.666667	6.666667	10.000000	2.500000	28.750000
11	2026	010035	CULLMAN REGIONAL MEDICAL CENTER	1912 ALABAMA HIGHWAY 157	CULLMAN	AL	35058	CULLMAN	10.000000	2.500000	30.000000	7.500000	41.666667	10.416667	10.000000	2.500000	22.916667
12	2026	010036	ANDALUSIA HEALTH	849 SOUTH THREE NOTCH STREET	ANDALUSIA	AL	36420	COVINGTON	2.500000	0.625000	38.000000	9.500000	65.000000	16.250000	20.000000	5.000000	31.375000
13	2026	010039	HUNTSVILLE HOSPITAL	101 SIVLEY RD	HUNTSVILLE	AL	35801	MADISON	18.333333	4.583333	38.000000	9.500000	16.666667	4.166667	0.000000	0.000000	18.250000
14	2026	010040	GADSDEN REGIONAL MEDICAL CENTER	1007 GOODYEAR AVENUE	GADSDEN	AL	35903	ETOWAH	23.333333	5.833333	27.000000	6.750000	48.333333	12.083333	0.000000	0.000000	24.666667
15	2026	010045	FAYETTE MEDICAL CENTER	1653 TEMPLE AVENUE NORTH	FAYETTE	AL	35555	FAYETTE	3.333333	0.833333	94.000000	23.500000	10.000000	2.500000	30.000000	7.500000	34.333333
16	2026	010046	RIVERVIEW REGIONAL MEDICAL CENTER	600 SOUTH THIRD STREET	GADSDEN	AL	35901	ETOWAH	10.000000	2.500000	39.000000	9.750000	62.000000	15.500000	0.000000	0.000000	27.750000
17	2026	010049	MEDICAL CENTER ENTERPRISE	400 N EDWARDS STREET	ENTERPRISE	AL	36330	COFFEE	0.000000	0.000000	54.000000	13.500000	65.000000	16.250000	40.000000	10.000000	39.750000
18	2026	010055	FLOWERS HOSPITAL	4370 WEST MAIN STREET	DOTHAN	AL	36302	HOUSTON	5.000000	1.250000	47.000000	11.750000	78.333333	19.583333	0.000000	0.000000	32.583333
19	2026	010061	HIGHLANDS MEDICAL CENTER	380 WOODS COVE ROAD	SCOTTSBORO	AL	35768	JACKSON	0.000000	0.000000	54.000000	13.500000	50.000000	12.500000	50.000000	12.500000	38.500000
20	2026	010065	RUSSELL MEDICAL CENTER	3316 HIGHWAY 280	ALEXANDER CITY	AL	35010	TALLAPOOSA	8.000000	2.000000	31.000000	7.750000	33.333333	8.333333	30.000000	7.500000	25.583333
21	2026	010078	NORTHEAST ALABAMA REGIONAL MEDICAL CENTER	400 EAST 10TH STREET	ANNISTON	AL	36207	CALHOUN	12.000000	3.000000	10.000000	2.500000	48.333333	12.083333	10.000000	2.500000	20.083333
22	2026	010079	ATHENS LIMESTONE HOSPITAL	700 WEST MARKET STREET	ATHENS	AL	35611	LIMESTONE	27.500000	6.875000	68.000000	17.000000	36.000000	9.000000	0.000000	0.000000	32.875000
23	2026	010083	BALDWIN HEALTH	1613 NORTH MCKENZIE STREET	FOLEY	AL	36535	BALDWIN	14.000000	3.500000	49.000000	12.250000	76.666667	19.166667	10.000000	2.500000	37.416667
24	2026	010085	DECATUR MORGAN HOSPITAL - DECATUR CAMPUS	1201 7TH STREET SE	DECATUR	AL	35601	MORGAN	14.000000	3.500000	30.000000	7.500000	65.000000	16.250000	0.000000	0.000000	27.250000
25	2026	010087	USA HEALTH UNIVERSITY HOSPITAL	2451 FILLINGIM STREET	MOBILE	AL	36617	MOBILE	23.333333	5.833333	33.000000	8.250000	11.666667	2.916667	10.000000	2.500000	19.500000

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