HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
MUNSON HEALTHCARE CADILLAC HOSPITAL
MI · Facility ID 230081 · FY2026
Total HAC Score
-0.4227
Percentile
24.8th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.4227. 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 0.081
- CLABSIN/A
- CAUTIz 0.149
- SSIz -0.973
- CDIz -0.947
- MRSAN/A
Fragility
Each reported measure moves the score by 0.2500 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 0.0805 | -0.8136 | 0.1850 | 0.9986 |
| CAUTI | 0.1494 | -0.7897 | 0.1365 | 0.9262 |
| CDI | -0.9472 | -0.5514 | 0.3624 | 0.9138 |
| SSI | -0.9734 | -0.5434 | 0.3636 | 0.9070 |
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 MI (88 scored): 18.8th
Hospital score -0.4227. Penalty threshold 0.3792. Distribution of 88 scored hospitals.
Percentile among hospitals with 4 reported measures (139 scored): 27.7th
Hospital score -0.4227. Penalty threshold 0.3792. Distribution of 139 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.4227; 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.