HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
INSPIRA MEDICAL CENTER MULLICA HILL
NJ · Facility ID 310069 · FY2026
Total HAC Score
-0.1963
Percentile
38.8th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.1963. 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 0.315
- CLABSIz -0.629
- CAUTIz -0.530
- SSIz 0.399
- CDIz 0.180
- MRSAz -0.912
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 0.3152 | -0.4961 | 0.1696 | 0.6658 |
| CAUTI | -0.5304 | -0.3277 | 0.2898 | 0.6175 |
| MRSA | -0.9118 | -0.2873 | 0.3265 | 0.6137 |
| CDI | 0.1796 | -0.4700 | 0.1392 | 0.6092 |
| CLABSI | -0.6294 | -0.3259 | 0.2819 | 0.6078 |
| SSI | 0.3987 | -0.5056 | 0.0991 | 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): 46.7th
Hospital score -0.1963. Penalty threshold 0.3792. Distribution of 61 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 35.6th
Hospital score -0.1963. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.1963; 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.