HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
MONTROSE REGIONAL HEALTH
CO · Facility ID 060006 · FY2026
Total HAC Score
-0.1239
Percentile
44.4th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.1239. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.
Data completeness
Reported on 5 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.
- PSI-90z -0.351
- CLABSIz 0.598
- CAUTIz 0.231
- SSIz -0.723
- CDIz -0.374
- MRSAN/A
Fragility
Each reported measure moves the score by 0.2000 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.3514 | -0.3503 | 0.4486 | 0.7989 |
| CAUTI | 0.2313 | -0.4339 | 0.3071 | 0.7410 |
| CDI | -0.3741 | -0.3416 | 0.3895 | 0.7311 |
| CLABSI | 0.5978 | -0.5248 | 0.2045 | 0.7293 |
| SSI | -0.7233 | -0.2706 | 0.4551 | 0.7256 |
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 CO (49 scored): 50.0th
Hospital score -0.1239. Penalty threshold 0.3792. Distribution of 49 scored hospitals.
Percentile among hospitals with 5 reported measures (220 scored): 44.8th
Hospital score -0.1239. Penalty threshold 0.3792. Distribution of 220 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.1239; threshold 0.3792).
Reported on 5 of 6 measures; each reported measure moves the equal-weighted score by 0.2000 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.