HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
NEBRASKA SPINE HOSPITAL, LLC
NE · Facility ID 280133 · FY2026
Total HAC Score
1.0027
Percentile
93.8th
Displayed status
Payment reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score 1.0027. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.
Data completeness
Reported on 1 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.
- PSI-90z 1.003
- CLABSIN/A
- CAUTIN/A
- SSIN/A
- CDIN/A
- MRSAN/A
Fragility
Each reported measure moves the score by 1.0000 points (leverage 1.0 — maximal fragility).
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 1.0027 | -1.4834 | 2.5111 | 3.9945 |
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): 93.8th
Hospital score 1.0027. Penalty threshold 0.3792. Distribution of 24 scored hospitals.
Percentile among hospitals with 1 reported measure (182 scored): 82.1th
Hospital score 1.0027. Penalty threshold 0.3792. Distribution of 182 scored hospitals.
Plain-language verdict
As scored, the CMS file lists payment reduction Yes (Total HAC Score 1.0027; threshold 0.3792).
Fragility is maximal: only one measure is reported, so each reported measure moves the score by 1.0000 points (leverage 1.0).
This penalty rests on thin reported data (≤2 measures), so a single measure shift can move status relative to the threshold in a what-if sense — not a CMS prediction.
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.