HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
ADVENTHEALTH FISH MEMORIAL
FL · Facility ID 100072 · FY2026
Total HAC Score
-0.4724
Percentile
21.8th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.4724. 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 0.007
- CLABSIz 0.287
- CAUTIz -0.996
- SSIz -0.655
- CDIz -0.928
- MRSAz -0.550
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 0.0070 | -0.7208 | -0.0551 | 0.6657 |
| CAUTI | -0.9956 | -0.5262 | 0.0912 | 0.6175 |
| MRSA | -0.5502 | -0.6236 | -0.0099 | 0.6137 |
| CDI | -0.9278 | -0.5615 | 0.0477 | 0.6092 |
| CLABSI | 0.2870 | -0.7547 | -0.1469 | 0.6078 |
| SSI | -0.6548 | -0.6060 | -0.0013 | 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): 28.8th
Hospital score -0.4724. Penalty threshold 0.3792. Distribution of 165 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 16.4th
Hospital score -0.4724. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.4724; 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.