HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
ST. MARY'S HOSPITAL
AZ · Facility ID 030010 · FY2026
Total HAC Score
-0.2762
Percentile
33.7th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.2762. 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 -0.084
- CLABSIz -0.527
- CAUTIz -0.273
- SSIz -1.456
- CDIz 0.671
- MRSAz 0.012
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.0840 | -0.5094 | 0.1563 | 0.6657 |
| CAUTI | -0.2725 | -0.4505 | 0.1669 | 0.6175 |
| MRSA | 0.0119 | -0.5211 | 0.0927 | 0.6137 |
| CDI | 0.6713 | -0.6318 | -0.0226 | 0.6092 |
| CLABSI | -0.5273 | -0.4227 | 0.1851 | 0.6078 |
| SSI | -1.4565 | -0.2762 | 0.3285 | 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 AZ (61 scored): 33.6th
Hospital score -0.2762. Penalty threshold 0.3792. Distribution of 61 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 29.6th
Hospital score -0.2762. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.2762; 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.