Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

← All audits

Hospital audit

GATEWAY REGIONAL MEDICAL CENTER

IL · Facility ID 140125 · FY2026

Total HAC Score

-0.1591

Percentile

41.8th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.1591

Hospital score -0.1591. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.

Data completeness

Reported on 4 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.

  • PSI-90z -0.231
  • CLABSIz -1.407
  • CAUTIz 0.504
  • SSIN/A
  • CDIz 0.497
  • MRSAN/A

Fragility

Each reported measure moves the score by 0.2500 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 fate-0.2308-0.47230.52630.9986
CAUTI0.5037-0.61470.31150.9262
CDI0.4971-0.64900.26490.9138
CLABSI-1.4065-0.15910.75260.9117

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): 37.9th

Score distributionThreshold 0.3792Hospital -0.1591

Hospital score -0.1591. Penalty threshold 0.3792. Distribution of 112 scored hospitals.

Percentile among hospitals with 4 reported measures (139 scored): 42.1th

Score distributionThreshold 0.3792Hospital -0.1591

Hospital score -0.1591. Penalty threshold 0.3792. Distribution of 139 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.1591; threshold 0.3792).

Reported on 4 of 6 measures; each reported measure moves the equal-weighted score by 0.2500 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.

Scan a hospital system →