HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
ALTRU HOSPITAL
ND · Facility ID 350019 · FY2026
Total HAC Score
-0.0753
Percentile
47.9th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.0753. 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 -0.541
- CLABSIz 0.069
- CAUTIz -0.427
- SSIz 0.803
- CDIz 0.048
- MRSAz -0.404
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.5406 | -0.2324 | 0.4334 | 0.6658 |
| CAUTI | -0.4267 | -0.2239 | 0.3936 | 0.6175 |
| MRSA | -0.4040 | -0.2508 | 0.3629 | 0.6137 |
| CDI | 0.0479 | -0.3269 | 0.2823 | 0.6092 |
| CLABSI | 0.0689 | -0.3211 | 0.2866 | 0.6078 |
| SSI | 0.8030 | -0.4518 | 0.1529 | 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 ND (6 scored): 75.0th
Hospital score -0.0753. Penalty threshold 0.3792. Distribution of 6 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 45.3th
Hospital score -0.0753. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.0753; 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.