Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

THOREK MEMORIAL HOSPITAL

IL · Facility ID 140115 · FY2026

Total HAC Score

0.8083

Percentile

90.2th

Displayed status

Payment reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital 0.8083

Hospital score 0.8083. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.

Data completeness

Reported on 2 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.

  • PSI-90z 0.972
  • CLABSIN/A
  • CAUTIN/A
  • SSIN/A
  • CDIz 0.644
  • MRSAN/A

Fragility

Each reported measure moves the score by 0.5000 points.

Score swing if each reported measure were at its Z floor versus Z cap, holding other measures fixed
MeasureCurrent ZScore @ floorScore @ capAbs swing
PSI-90controls fate0.9724-0.41961.57761.9972
CDI0.6442-0.24491.58271.8276

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 IL (112 scored): 87.1th

Score distributionThreshold 0.3792Hospital 0.8083

Hospital score 0.8083. Penalty threshold 0.3792. Distribution of 112 scored hospitals.

Percentile among hospitals with 2 reported measures (252 scored): 81.5th

Score distributionThreshold 0.3792Hospital 0.8083

Hospital score 0.8083. Penalty threshold 0.3792. Distribution of 252 scored hospitals.

Plain-language verdict

As scored, the CMS file lists payment reduction Yes (Total HAC Score 0.8083; threshold 0.3792).

Reported on 2 of 6 measures; each reported measure moves the equal-weighted score by 0.5000 points.

This penalty rests on thin reported data (≤2 measures), so a single measure shift can move status relative to the threshold in a what-if sense — not a CMS prediction.

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.

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