HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
PROVIDENCE SAINT JOSEPH MEDICAL CTR
CA · Facility ID 050235 · FY2026
Total HAC Score
-0.2155
Percentile
37.7th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.2155. 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 -0.176
- CLABSIz 0.183
- CAUTIz 0.284
- SSIz -1.095
- CDIz 0.098
- MRSAz -0.588
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.1756 | -0.4335 | 0.2322 | 0.6657 |
| CAUTI | 0.2844 | -0.4827 | 0.1348 | 0.6175 |
| MRSA | -0.5879 | -0.3604 | 0.2533 | 0.6137 |
| CDI | 0.0983 | -0.4756 | 0.1336 | 0.6092 |
| CLABSI | 0.1826 | -0.4804 | 0.1274 | 0.6078 |
| SSI | -1.0950 | -0.2758 | 0.3289 | 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): 36.3th
Hospital score -0.2155. Penalty threshold 0.3792. Distribution of 277 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 34.1th
Hospital score -0.2155. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.2155; 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.