HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
HCA FLORIDA TWIN CITIES HOSPITAL
FL · Facility ID 100054 · FY2026
Total HAC Score
-1.1058
Percentile
2.9th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -1.1058. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.
Data completeness
Reported on 4 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.
- PSI-90z -0.822
- CLABSIN/A
- CAUTIz -1.319
- SSIz -0.821
- CDIz -1.462
- MRSAN/A
Fragility
Each reported measure moves the score by 0.2500 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.8215 | -1.2713 | -0.2727 | 0.9986 |
| CAUTI | -1.3186 | -1.1058 | -0.1796 | 0.9262 |
| CDI | -1.4622 | -1.1058 | -0.1920 | 0.9138 |
| SSI | -0.8210 | -1.2647 | -0.3577 | 0.9071 |
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): 4.5th
Hospital score -1.1058. Penalty threshold 0.3792. Distribution of 165 scored hospitals.
Percentile among hospitals with 4 reported measures (139 scored): 2.5th
Hospital score -1.1058. Penalty threshold 0.3792. Distribution of 139 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -1.1058; threshold 0.3792).
Reported on 4 of 6 measures; each reported measure moves the equal-weighted score by 0.2500 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.