HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
HCA FLORIDA LAKE CITY HOSPITAL
FL · Facility ID 100156 · FY2026
Total HAC Score
-0.5611
Percentile
17.0th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.5611. 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 -1.086
- CLABSIz 0.860
- CAUTIz 0.010
- SSIz -0.823
- CDIz -0.870
- MRSAz -1.457
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.0862 | -0.6272 | 0.0385 | 0.6657 |
| CAUTI | 0.0096 | -0.7824 | -0.1649 | 0.6175 |
| MRSA | -1.4573 | -0.5611 | 0.0527 | 0.6137 |
| CDI | -0.8697 | -0.6598 | -0.0506 | 0.6092 |
| CLABSI | 0.8600 | -0.9388 | -0.3310 | 0.6078 |
| SSI | -0.8227 | -0.6667 | -0.0620 | 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): 19.1th
Hospital score -0.5611. Penalty threshold 0.3792. Distribution of 165 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 11.0th
Hospital score -0.5611. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.5611; 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.