HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
ELMHURST MEMORIAL HOSPITAL
IL · Facility ID 140200 · FY2026
Total HAC Score
-0.4546
Percentile
23.0th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.4546. 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 -0.657
- CLABSIz -1.123
- CAUTIz 0.566
- SSIz -1.090
- CDIz -1.001
- MRSAz 0.578
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.6574 | -0.5923 | 0.0735 | 0.6657 |
| CAUTI | 0.5664 | -0.7688 | -0.1513 | 0.6175 |
| MRSA | 0.5783 | -0.7939 | -0.1801 | 0.6137 |
| CDI | -1.0014 | -0.5314 | 0.0778 | 0.6092 |
| CLABSI | -1.1235 | -0.5018 | 0.1060 | 0.6078 |
| SSI | -1.0899 | -0.5157 | 0.0890 | 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 IL (112 scored): 23.7th
Hospital score -0.4546. Penalty threshold 0.3792. Distribution of 112 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 17.8th
Hospital score -0.4546. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.4546; 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.