HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
GULF COAST MEDICAL CENTER LEE HEALTH
FL · Facility ID 100220 · FY2026
Total HAC Score
-0.2871
Percentile
33.0th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.2871. 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 0.639
- CLABSIz -0.179
- CAUTIz -1.200
- SSIz -0.290
- CDIz -0.297
- MRSAz -0.396
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 0.6392 | -0.6409 | 0.0248 | 0.6657 |
| CAUTI | -1.2005 | -0.3068 | 0.3107 | 0.6175 |
| MRSA | -0.3956 | -0.4641 | 0.1496 | 0.6137 |
| CDI | -0.2967 | -0.4814 | 0.1278 | 0.6092 |
| CLABSI | -0.1793 | -0.4917 | 0.1161 | 0.6078 |
| SSI | -0.2899 | -0.4816 | 0.1231 | 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): 45.2th
Hospital score -0.2871. Penalty threshold 0.3792. Distribution of 165 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 28.8th
Hospital score -0.2871. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.2871; 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.