HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
HCA-HEALTHONE DBA SWEDISH MEDICAL CENTER
CO · Facility ID 060034 · FY2026
Total HAC Score
-0.4831
Percentile
21.4th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.4831. 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 -0.171
- CLABSIz -0.813
- CAUTIz -0.099
- SSIz -0.430
- CDIz -0.486
- MRSAz -0.899
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.1711 | -0.7018 | -0.0361 | 0.6658 |
| CAUTI | -0.0989 | -0.6864 | -0.0689 | 0.6175 |
| MRSA | -0.8993 | -0.5761 | 0.0376 | 0.6137 |
| CDI | -0.4864 | -0.6457 | -0.0365 | 0.6092 |
| CLABSI | -0.8126 | -0.5821 | 0.0257 | 0.6078 |
| SSI | -0.4304 | -0.6541 | -0.0494 | 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): 17.3th
Hospital score -0.4831. Penalty threshold 0.3792. Distribution of 49 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 15.9th
Hospital score -0.4831. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.4831; 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.