HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
MEMORIAL REGIONAL HOSPITAL
FL · Facility ID 100038 · FY2026
Total HAC Score
-0.0295
Percentile
51.0th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.0295. 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 0.094
- CLABSIz 0.060
- CAUTIz 0.340
- SSIz -0.747
- CDIz 0.021
- MRSAz 0.056
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 0.0943 | -0.2925 | 0.3733 | 0.6658 |
| CAUTI | 0.3398 | -0.3059 | 0.3116 | 0.6175 |
| MRSA | 0.0558 | -0.2817 | 0.3320 | 0.6137 |
| CDI | 0.0208 | -0.2767 | 0.3325 | 0.6092 |
| CLABSI | 0.0596 | -0.2738 | 0.3339 | 0.6078 |
| SSI | -0.7473 | -0.1477 | 0.4570 | 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 FL (165 scored): 66.4th
Hospital score -0.0295. Penalty threshold 0.3792. Distribution of 165 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 49.0th
Hospital score -0.0295. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.0295; 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.