HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL
CO · Facility ID 060023 · FY2026
Total HAC Score
-0.2306
Percentile
36.7th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.2306. 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 0.064
- CLABSIz -0.326
- CAUTIz 0.002
- SSIz 0.424
- CDIz -0.746
- MRSAz -0.803
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 0.0640 | -0.4885 | 0.1772 | 0.6657 |
| CAUTI | 0.0023 | -0.4508 | 0.1667 | 0.6175 |
| MRSA | -0.8031 | -0.3397 | 0.2741 | 0.6137 |
| CDI | -0.7458 | -0.3500 | 0.2592 | 0.6092 |
| CLABSI | -0.3255 | -0.4108 | 0.1970 | 0.6078 |
| SSI | 0.4244 | -0.5441 | 0.0606 | 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 CO (49 scored): 41.8th
Hospital score -0.2306. Penalty threshold 0.3792. Distribution of 49 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 32.9th
Hospital score -0.2306. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.2306; 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.