Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

← All audits

Hospital audit

SPRINGHILL MEDICAL CENTER

AL · Facility ID 010144 · FY2026

Total HAC Score

-0.4764

Percentile

21.7th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.4764

Hospital score -0.4764. 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 -0.139
  • CLABSIz -0.158
  • CAUTIz -0.571
  • SSIz -1.318
  • CDIz -0.653
  • MRSAz -0.019

Fragility

Each reported measure moves the score by 0.1667 points.

Score swing if each reported measure were at its Z floor versus Z cap, holding other measures fixed
MeasureCurrent ZScore @ floorScore @ capAbs swing
PSI-90controls fate-0.1386-0.7005-0.03480.6657
CAUTI-0.5714-0.60090.01650.6175
MRSA-0.0194-0.7161-0.10230.6137
CDI-0.6529-0.6113-0.00210.6092
CLABSI-0.1584-0.6844-0.07660.6078
SSI-1.3177-0.49950.10520.6047

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): 28.7th

Score distributionThreshold 0.3792Hospital -0.4764

Hospital score -0.4764. Penalty threshold 0.3792. Distribution of 68 scored hospitals.

Percentile among hospitals with 6 reported measures (1940 scored): 16.3th

Score distributionThreshold 0.3792Hospital -0.4764

Hospital score -0.4764. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.4764; 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.

Scan a hospital system →