HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
MEDICAL CITY DENTON
TX · Facility ID 450634 · FY2026
Total HAC Score
-1.0790
Percentile
3.1th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -1.0790. 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 -0.725
- CLABSIz -1.223
- CAUTIz -1.181
- SSIz -1.456
- CDIz -0.738
- MRSAz -1.150
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.7248 | -1.2054 | -0.5397 | 0.6657 |
| CAUTI | -1.1812 | -1.1019 | -0.4844 | 0.6175 |
| MRSA | -1.1500 | -1.1302 | -0.5165 | 0.6137 |
| CDI | -0.7381 | -1.1997 | -0.5904 | 0.6092 |
| CLABSI | -1.2232 | -1.1095 | -0.5017 | 0.6078 |
| SSI | -1.4565 | -1.0790 | -0.4743 | 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 TX (255 scored): 4.1th
Hospital score -1.0790. Penalty threshold 0.3792. Distribution of 255 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 0.9th
Hospital score -1.0790. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -1.0790; 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.