HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
ST MARY MEDICAL CENTER
CA · Facility ID 050191 · FY2026
Total HAC Score
-0.2277
Percentile
36.9th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.2277. 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 0.066
- CLABSIz -0.451
- CAUTIz -0.362
- SSIz -0.656
- CDIz -0.479
- MRSAz 0.516
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 0.0660 | -0.4859 | 0.1799 | 0.6658 |
| CAUTI | -0.3616 | -0.3871 | 0.2303 | 0.6175 |
| MRSA | 0.5156 | -0.5565 | 0.0573 | 0.6137 |
| CDI | -0.4787 | -0.3916 | 0.2176 | 0.6092 |
| CLABSI | -0.4507 | -0.3869 | 0.2208 | 0.6078 |
| SSI | -0.6565 | -0.3610 | 0.2437 | 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 CA (277 scored): 35.6th
Hospital score -0.2277. Penalty threshold 0.3792. Distribution of 277 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 33.2th
Hospital score -0.2277. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.2277; 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.