HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
ST JOSEPHS HOSPITAL
FL · Facility ID 100075 · FY2026
Total HAC Score
-0.4870
Percentile
21.0th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.4870. 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 -0.818
- CLABSIz -0.555
- CAUTIz -0.012
- SSIz -0.425
- CDIz -0.727
- MRSAz -0.385
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.8178 | -0.5979 | 0.0678 | 0.6657 |
| CAUTI | -0.0121 | -0.7047 | -0.0872 | 0.6175 |
| MRSA | -0.3851 | -0.6657 | -0.0519 | 0.6137 |
| CDI | -0.7265 | -0.6096 | -0.0004 | 0.6092 |
| CLABSI | -0.5551 | -0.6289 | -0.0211 | 0.6078 |
| SSI | -0.4252 | -0.6589 | -0.0541 | 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 FL (165 scored): 27.0th
Hospital score -0.4870. Penalty threshold 0.3792. Distribution of 165 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 15.4th
Hospital score -0.4870. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.4870; 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.