Hospital audit

HAC Penalty Risk Auditor

HAC Penalty Risk Auditor

FY2026 · structural fragility of Total HAC Scores

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Hospital audit

ADVANCED SURGICAL HOSPITAL

PA · Facility ID 390323 · FY2026

Total HAC Score

-0.3085

Percentile

31.7th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792)

Score distributionThreshold 0.3792Hospital -0.3085

Hospital score -0.3085. 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 -0.308
  • 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).

Score swing if each reported measure were at its Z floor versus Z cap, holding other measures fixed
MeasureCurrent ZScore @ floorScore @ capAbs swing
PSI-90controls fate-0.3085-1.48342.51113.9945

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 PA (130 scored): 24.2th

Score distributionThreshold 0.3792Hospital -0.3085

Hospital score -0.3085. Penalty threshold 0.3792. Distribution of 130 scored hospitals.

Percentile among hospitals with 1 reported measure (182 scored): 41.5th

Score distributionThreshold 0.3792Hospital -0.3085

Hospital score -0.3085. Penalty threshold 0.3792. Distribution of 182 scored hospitals.

Plain-language verdict

As scored, the CMS file lists no payment reduction (Total HAC Score -0.3085; 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).

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.

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