Hospital rankings
Hospitals in Hawaii with the lowest hospital-acquired condition score
11 Hawaii hospitals ranked by hospital-acquired condition score in the 2026 Medicare (CMS) data. Leading: Adventist Health Castle, Pali Momi Medical Center, Kuakini Medical Center. Filter by type, ownership and size, choose the measures you care about, and sort by any column.
| # | Hospital | Hospital-acquired condition scorelower is better | Net Medicare quality adjustmenthigher is better | Readmissions penaltyhigher is better | Value-based purchasing scorehigher is better | Value-based purchasing adjustmenthigher is better | Compare |
|---|---|---|---|---|---|---|---|
| National average | 0.00 | −0.48% | −0.34% | 31 | +0.13% | ||
| 1 | Adventist Health Castle | −0.85, 93rd percentile | +1.55%, 97th percentile | −0.04%, 71st percentile | 52, 95th percentile | +1.59%, 95th percentile | Compare Adventist Health Castle |
| 2 | Pali Momi Medical Center | −0.26, 65th percentile | +0.31%, 82nd percentile | −0.30%, 39th percentile | 38, 75th percentile | +0.61%, 75th percentile | Compare Pali Momi Medical Center |
| 3 | Kuakini Medical Center | −0.12, 56th percentile | +0.41%, 84th percentile | −0.07%, 66th percentile | 36, 72nd percentile | +0.48%, 72nd percentile | Compare Kuakini Medical Center |
| 4 | Hilo Benioff Medical Center | +0.08, 42nd percentile | +0.76%, 90th percentile | −0.24%, 44th percentile | 43, 86th percentile | +1.00%, 86th percentile | Compare Hilo Benioff Medical Center |
| 5 | Wilcox Memorial Hospital | +0.45, 22nd percentile | −0.98%, 31st percentile | −0.77%, 13th percentile | 41, 81st percentile | +0.79%, 81st percentile | Compare Wilcox Memorial Hospital |
| 6 | Kona Community Hospital | +0.46, 21st percentile | −0.53%, 46th percentile | −0.10%, 61st percentile | 37, 74th percentile | +0.57%, 74th percentile | Compare Kona Community Hospital |
| 7 | Straub Clinic And Hospital | +0.57, 17th percentile | −0.83%, 35th percentile | −0.13%, 56th percentile | 33, 65th percentile | +0.30%, 65th percentile | Compare Straub Clinic And Hospital |
| 8 | Kaiser Foundation Hospital | +0.61, 16th percentile | +0.64%, 88th percentile | −0.11%, 60th percentile | 54, 96th percentile | +1.75%, 96th percentile | Compare Kaiser Foundation Hospital |
| 9 | The Queens Medical Center | +0.87, 9th percentile | −1.05%, 26th percentile | −0.23%, 45th percentile | 32, 59th percentile | +0.18%, 58th percentile | Compare The Queens Medical Center |
| 10 | Maui Memorial Medical Center | +1.17, 3rd percentile | −0.58%, 43rd percentile | −0.05%, 69th percentile | 36, 71st percentile | +0.47%, 71st percentile | Compare Maui Memorial Medical Center |
| 11 | North Hawaii Community Hospital, Inc | +1.76, 1st percentile | +0.29%, 81st percentile | 0.00%, 89th percentile | 48, 91st percentile | +1.29%, 91st percentile | Compare North Hawaii Community Hospital, Inc |
About these rankings
Rankings use the 2026 release of CMS Care Compare data. Hospitals share a rank (“T”) when their values are equal, and only hospitals with a reported value for the sorted measure are ranked. Shading compares each value with every hospital in the country, so it doesn’t change with your filters. Small differences are often not statistically meaningful; use the methodology and glossary for context.
- Hospital-acquired condition score
- Total score in the Hospital-Acquired Condition Reduction Program, from patient safety events and infections (weighted z-scores; 0 is about average, higher is worse). Medicare cuts payments 1% for the worst-scoring quarter of hospitals..
- Net Medicare quality adjustment
- Approximate combined change to the hospital's Medicare inpatient payments from the three pay-for-performance programs, added together: the readmissions penalty, the value-based purchasing bonus or penalty, and the 1% cut for hospital-acquired conditions. Inpatient prospective payment system hospitals only; Maryland hospitals are exempt..
- Readmissions penalty
- Change to Medicare payments under the Hospital Readmissions Reduction Program, which cuts payments (by up to 3%) to hospitals with more readmissions than expected. 0% means no penalty..
- Value-based purchasing score
- Hospital Value-Based Purchasing Total Performance Score (0-100), from outcomes, safety, patient experience and efficiency. It sets a Medicare bonus or penalty..
- Value-based purchasing adjustment
- Change to Medicare payments under Hospital Value-Based Purchasing: a bonus (positive) or penalty (negative, up to 2%) based on the Total Performance Score..