HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
ADVENTIST HEALTH CASTLE
HI · Facility ID 120006 · FY2026
Total HAC Score
-0.8533
Percentile
6.9th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.8533. 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 -1.268
- CLABSIz -0.527
- CAUTIz -0.952
- SSIz -0.872
- CDIz -0.788
- MRSAz -0.711
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.2684 | -0.8891 | -0.2234 | 0.6657 |
| CAUTI | -0.9522 | -0.9144 | -0.2969 | 0.6175 |
| MRSA | -0.7112 | -0.9777 | -0.3639 | 0.6137 |
| CDI | -0.7884 | -0.9656 | -0.3564 | 0.6092 |
| CLABSI | -0.5273 | -0.9998 | -0.3920 | 0.6078 |
| SSI | -0.8723 | -0.9507 | -0.3460 | 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 HI (11 scored): 4.5th
Hospital score -0.8533. Penalty threshold 0.3792. Distribution of 11 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 3.2th
Hospital score -0.8533. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.8533; 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.