HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
MEDICAL CITY ALLIANCE
TX · Facility ID 670103 · FY2026
Total HAC Score
-0.4532
Percentile
23.2th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.4532. 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 0.217
- CLABSIz -0.847
- CAUTIz -1.319
- SSIz -0.518
- CDIz -1.253
- MRSAz 1.000
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 0.2172 | -0.7366 | -0.0709 | 0.6658 |
| CAUTI | -1.3186 | -0.4532 | 0.1643 | 0.6175 |
| MRSA | 1.0004 | -0.8628 | -0.2491 | 0.6137 |
| CDI | -1.2531 | -0.4880 | 0.1212 | 0.6092 |
| CLABSI | -0.8474 | -0.5464 | 0.0614 | 0.6078 |
| SSI | -0.5177 | -0.6097 | -0.0050 | 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): 35.1th
Hospital score -0.4532. Penalty threshold 0.3792. Distribution of 255 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 18.0th
Hospital score -0.4532. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.4532; 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.