HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
HCA FLORIDA HIGHLANDS HOSPITAL
FL · Facility ID 100049 · FY2026
Total HAC Score
-0.4877
Percentile
20.9th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.4877. 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 0.218
- CLABSIz -0.335
- CAUTIz -1.319
- SSIN/A
- CDIz -1.462
- MRSAz 0.459
Fragility
Each reported measure moves the score by 0.2000 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 0.2177 | -0.8279 | -0.0290 | 0.7989 |
| CAUTI | -1.3186 | -0.4877 | 0.2533 | 0.7410 |
| MRSA | 0.4592 | -0.8710 | -0.1345 | 0.7365 |
| CDI | -1.4622 | -0.4877 | 0.2433 | 0.7311 |
| CLABSI | -0.3347 | -0.7021 | 0.0273 | 0.7293 |
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): 26.4th
Hospital score -0.4877. Penalty threshold 0.3792. Distribution of 165 scored hospitals.
Percentile among hospitals with 5 reported measures (220 scored): 23.9th
Hospital score -0.4877. Penalty threshold 0.3792. Distribution of 220 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.4877; 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.