HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
GARDEN CITY HOSPITAL
MI · Facility ID 230244 · FY2026
Total HAC Score
-0.8204
Percentile
7.9th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.8204. 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 -0.716
- CLABSIz -1.407
- CAUTIz -1.051
- SSIz -0.379
- CDIz -0.680
- MRSAz -0.690
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.7158 | -0.9484 | -0.2826 | 0.6658 |
| CAUTI | -1.0510 | -0.8650 | -0.2476 | 0.6175 |
| MRSA | -0.6903 | -0.9483 | -0.3345 | 0.6137 |
| CDI | -0.6800 | -0.9508 | -0.3416 | 0.6092 |
| CLABSI | -1.4065 | -0.8204 | -0.2126 | 0.6078 |
| SSI | -0.3790 | -1.0000 | -0.3953 | 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 MI (88 scored): 5.1th
Hospital score -0.8204. Penalty threshold 0.3792. Distribution of 88 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 4.0th
Hospital score -0.8204. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.8204; 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.