HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
ST JOSEPH'S HOSPITAL
AZ · Facility ID 030011 · FY2026
Total HAC Score
-0.9114
Percentile
5.3th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.9114. 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 -0.833
- CLABSIz -1.407
- CAUTIz -1.196
- SSIz 0.046
- CDIz -0.912
- MRSAz -1.167
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.8328 | -1.0198 | -0.3541 | 0.6657 |
| CAUTI | -1.1957 | -0.9319 | -0.3144 | 0.6175 |
| MRSA | -1.1668 | -0.9598 | -0.3461 | 0.6137 |
| CDI | -0.9123 | -1.0030 | -0.3938 | 0.6092 |
| CLABSI | -1.4065 | -0.9114 | -0.3036 | 0.6078 |
| SSI | 0.0458 | -1.1618 | -0.5571 | 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): 5.7th
Hospital score -0.9114. Penalty threshold 0.3792. Distribution of 61 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 2.2th
Hospital score -0.9114. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.9114; 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.