HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
CHRISTUS SPOHN HOSPITAL ALICE
TX · Facility ID 450828 · FY2026
Total HAC Score
-0.8507
Percentile
7.0th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.8507. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.
Data completeness
Reported on 4 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.
- PSI-90z -0.416
- CLABSIN/A
- CAUTIz -1.319
- SSIz -0.737
- CDIz -0.932
- MRSAN/A
Fragility
Each reported measure moves the score by 0.2500 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.4157 | -1.1177 | -0.1190 | 0.9986 |
| CAUTI | -1.3186 | -0.8507 | 0.0755 | 0.9262 |
| CDI | -0.9317 | -0.9834 | -0.0695 | 0.9138 |
| SSI | -0.7370 | -1.0306 | -0.1236 | 0.9071 |
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): 11.6th
Hospital score -0.8507. Penalty threshold 0.3792. Distribution of 255 scored hospitals.
Percentile among hospitals with 4 reported measures (139 scored): 6.8th
Hospital score -0.8507. Penalty threshold 0.3792. Distribution of 139 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.8507; threshold 0.3792).
Reported on 4 of 6 measures; each reported measure moves the equal-weighted score by 0.2500 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.