HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
ST LUKE'S REGIONAL MEDICAL CENTER
ID · Facility ID 130006 · FY2026
Total HAC Score
-0.0111
Percentile
52.0th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.0111. 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 -1.003
- CLABSIz 0.333
- CAUTIz 0.492
- SSIz 0.209
- CDIz 0.737
- MRSAz -0.835
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.0027 | -0.0912 | 0.5746 | 0.6658 |
| CAUTI | 0.4917 | -0.3128 | 0.3047 | 0.6175 |
| MRSA | -0.8345 | -0.1149 | 0.4989 | 0.6137 |
| CDI | 0.7372 | -0.3776 | 0.2316 | 0.6092 |
| CLABSI | 0.3334 | -0.3010 | 0.3068 | 0.6078 |
| SSI | 0.2086 | -0.2886 | 0.3161 | 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 ID (15 scored): 63.3th
Hospital score -0.0111. Penalty threshold 0.3792. Distribution of 15 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 50.1th
Hospital score -0.0111. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.0111; 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.