HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
BILLINGS CLINIC
MT · Facility ID 270004 · FY2026
Total HAC Score
-0.6233
Percentile
14.8th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.6233. 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 -0.846
- CLABSIz -0.655
- CAUTIz -0.419
- SSIz -0.658
- CDIz -0.568
- MRSAz -0.594
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.8455 | -0.7296 | -0.0639 | 0.6658 |
| CAUTI | -0.4195 | -0.7732 | -0.1557 | 0.6175 |
| MRSA | -0.5941 | -0.7672 | -0.1535 | 0.6137 |
| CDI | -0.5677 | -0.7724 | -0.1632 | 0.6092 |
| CLABSI | -0.6549 | -0.7486 | -0.1408 | 0.6078 |
| SSI | -0.6582 | -0.7564 | -0.1517 | 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 MT (10 scored): 5.0th
Hospital score -0.6233. Penalty threshold 0.3792. Distribution of 10 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 8.9th
Hospital score -0.6233. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.6233; 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.