HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
MARYMOUNT HOSPITAL
OH · Facility ID 360143 · FY2026
Total HAC Score
-0.4236
Percentile
24.8th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.4236. 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 -1.217
- CLABSIz 0.264
- CAUTIz -0.639
- SSIz 0.125
- CDIz -0.428
- MRSAz -0.646
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.2166 | -0.4681 | 0.1977 | 0.6657 |
| CAUTI | -0.6388 | -0.5369 | 0.0806 | 0.6175 |
| MRSA | -0.6464 | -0.5588 | 0.0550 | 0.6137 |
| CDI | -0.4283 | -0.5959 | 0.0133 | 0.6092 |
| CLABSI | 0.2638 | -0.7020 | -0.0942 | 0.6078 |
| SSI | 0.1246 | -0.6871 | -0.0824 | 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 OH (114 scored): 19.7th
Hospital score -0.4236. Penalty threshold 0.3792. Distribution of 114 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 19.6th
Hospital score -0.4236. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.4236; 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.