HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
GUNDERSEN LUTHERAN MEDICAL CENTER
WI · Facility ID 520087 · FY2026
Total HAC Score
-0.0374
Percentile
50.5th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.0374. 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 0.378
- CLABSIz -0.082
- CAUTIz -1.159
- SSIz 0.752
- CDIz 0.532
- MRSAz -0.644
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 0.3780 | -0.3476 | 0.3181 | 0.6657 |
| CAUTI | -1.1595 | -0.0639 | 0.5536 | 0.6175 |
| MRSA | -0.6443 | -0.1729 | 0.4409 | 0.6137 |
| CDI | 0.5319 | -0.3697 | 0.2395 | 0.6092 |
| CLABSI | -0.0819 | -0.2581 | 0.3497 | 0.6078 |
| SSI | 0.7516 | -0.4054 | 0.1993 | 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 WI (62 scored): 37.9th
Hospital score -0.0374. Penalty threshold 0.3792. Distribution of 62 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 48.5th
Hospital score -0.0374. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.0374; 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.