HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
VIRTUA MOUNT HOLLY HOSPITAL
NJ · Facility ID 310057 · FY2026
Total HAC Score
-0.2206
Percentile
37.4th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.2206. 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 0.056
- CLABSIz -0.604
- CAUTIz -0.311
- SSIz 0.191
- CDIz -0.595
- MRSAz -0.061
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 0.0559 | -0.4771 | 0.1886 | 0.6658 |
| CAUTI | -0.3110 | -0.3885 | 0.2290 | 0.6175 |
| MRSA | -0.0612 | -0.4533 | 0.1605 | 0.6137 |
| CDI | -0.5948 | -0.3652 | 0.2441 | 0.6092 |
| CLABSI | -0.6038 | -0.3544 | 0.2534 | 0.6078 |
| SSI | 0.1914 | -0.4952 | 0.1095 | 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 NJ (61 scored): 43.4th
Hospital score -0.2206. Penalty threshold 0.3792. Distribution of 61 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 33.7th
Hospital score -0.2206. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.2206; 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.