HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
MEMORIAL HEALTHCARE SYSTEM, INC
TN · Facility ID 440091 · FY2026
Total HAC Score
-0.4789
Percentile
21.7th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.4789. 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 -1.004
- CLABSIz -0.606
- CAUTIz -0.482
- SSIz -0.000
- CDIz -0.324
- MRSAz -0.456
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.0045 | -0.5587 | 0.1070 | 0.6657 |
| CAUTI | -0.4822 | -0.6183 | -0.0008 | 0.6175 |
| MRSA | -0.4562 | -0.6457 | -0.0320 | 0.6137 |
| CDI | -0.3238 | -0.6686 | -0.0594 | 0.6092 |
| CLABSI | -0.6062 | -0.6123 | -0.0045 | 0.6078 |
| SSI | -0.0004 | -0.7216 | -0.1169 | 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 TN (73 scored): 25.3th
Hospital score -0.4789. Penalty threshold 0.3792. Distribution of 73 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 16.2th
Hospital score -0.4789. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.4789; 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.