HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
ASCENSION ST VINCENT'S SOUTHSIDE
FL · Facility ID 100307 · FY2026
Total HAC Score
-0.4089
Percentile
25.6th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.4089. 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 -0.348
- CLABSIz 0.946
- CAUTIz -0.832
- SSIz -0.838
- CDIz -0.877
- MRSAz -0.504
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.3476 | -0.5982 | 0.0675 | 0.6657 |
| CAUTI | -0.8317 | -0.4901 | 0.1274 | 0.6175 |
| MRSA | -0.5043 | -0.5677 | 0.0460 | 0.6137 |
| CDI | -0.8775 | -0.5063 | 0.1029 | 0.6092 |
| CLABSI | 0.9458 | -0.8010 | -0.1932 | 0.6078 |
| SSI | -0.8381 | -0.5120 | 0.0927 | 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): 39.1th
Hospital score -0.4089. Penalty threshold 0.3792. Distribution of 165 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 20.3th
Hospital score -0.4089. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.4089; 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.