HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
LUTHERAN MEDICAL CENTER
CO · Facility ID 060009 · FY2026
Total HAC Score
-0.1697
Percentile
41.2th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.1697. 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 0.099
- CLABSIz -1.165
- CAUTIz 0.142
- SSIz 0.137
- CDIz -0.060
- MRSAz -0.170
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 0.0987 | -0.4334 | 0.2324 | 0.6657 |
| CAUTI | 0.1422 | -0.4131 | 0.2043 | 0.6175 |
| MRSA | -0.1699 | -0.3843 | 0.2295 | 0.6137 |
| CDI | -0.0605 | -0.4033 | 0.2059 | 0.6092 |
| CLABSI | -1.1652 | -0.2099 | 0.3979 | 0.6078 |
| SSI | 0.1366 | -0.4352 | 0.1695 | 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 CO (49 scored): 45.9th
Hospital score -0.1697. Penalty threshold 0.3792. Distribution of 49 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 38.2th
Hospital score -0.1697. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.1697; 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.