HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
CULLMAN REGIONAL MEDICAL CENTER
AL · Facility ID 010035 · FY2026
Total HAC Score
-0.0208
Percentile
51.6th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.0208. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.
Data completeness
Reported on 6 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.
- PSI-90z 0.639
- CLABSIz -0.562
- CAUTIz 0.333
- SSIz -0.643
- CDIz 0.145
- MRSAz -0.036
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 0.6389 | -0.3745 | 0.2912 | 0.6657 |
| CAUTI | 0.3326 | -0.2960 | 0.3215 | 0.6175 |
| MRSA | -0.0361 | -0.2577 | 0.3561 | 0.6137 |
| CDI | 0.1447 | -0.2886 | 0.3206 | 0.6092 |
| CLABSI | -0.5621 | -0.1615 | 0.4463 | 0.6078 |
| SSI | -0.6428 | -0.1564 | 0.4483 | 0.6047 |
Swing is a mechanics illustration: replace one reported Z with that measure’s observed floor or cap while holding others fixed. Ranked by absolute swing.
Peer context
Percentile within AL (68 scored): 41.9th
Hospital score -0.0208. Penalty threshold 0.3792. Distribution of 68 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 49.8th
Hospital score -0.0208. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.0208; threshold 0.3792).
Reported on 6 of 6 measures; each reported measure moves the equal-weighted score by 0.1667 points.
Describes scoring mechanics only. Not medical or legal advice. Any “would / would not” language is an illustration against the published threshold, not a CMS prediction.