HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
CHI HEALTH IMMANUEL
NE · Facility ID 280081 · FY2026
Total HAC Score
-0.3776
Percentile
27.5th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.3776. 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 -1.040
- CLABSIz -0.295
- CAUTIz -1.319
- SSIz 2.071
- CDIz -0.889
- MRSAz -0.793
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.0404 | -0.4514 | 0.2143 | 0.6657 |
| CAUTI | -1.3186 | -0.3776 | 0.2399 | 0.6175 |
| MRSA | -0.7927 | -0.4884 | 0.1254 | 0.6137 |
| CDI | -0.8891 | -0.4731 | 0.1361 | 0.6092 |
| CLABSI | -0.2953 | -0.5628 | 0.0450 | 0.6078 |
| SSI | 2.0706 | -0.9654 | -0.3607 | 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 NE (24 scored): 35.4th
Hospital score -0.3776. Penalty threshold 0.3792. Distribution of 24 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 22.2th
Hospital score -0.3776. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.3776; 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.