HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
ADVENTIST HEALTH TULARE
CA · Facility ID 050784 · FY2026
Total HAC Score
-0.4640
Percentile
22.3th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.4640. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.
Data completeness
Reported on 4 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.
- PSI-90z -0.293
- CLABSIz 0.296
- CAUTIz -1.319
- SSIN/A
- CDIz -0.541
- MRSAN/A
Fragility
Each reported measure moves the score by 0.2500 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.2930 | -0.7616 | 0.2370 | 0.9986 |
| CAUTI | -1.3186 | -0.4640 | 0.4622 | 0.9262 |
| CDI | -0.5406 | -0.6944 | 0.2194 | 0.9138 |
| CLABSI | 0.2962 | -0.8897 | 0.0220 | 0.9117 |
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 CA (277 scored): 21.8th
Hospital score -0.4640. Penalty threshold 0.3792. Distribution of 277 scored hospitals.
Percentile among hospitals with 4 reported measures (139 scored): 24.8th
Hospital score -0.4640. Penalty threshold 0.3792. Distribution of 139 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.4640; threshold 0.3792).
Reported on 4 of 6 measures; each reported measure moves the equal-weighted score by 0.2500 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.