HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
SAINT FRANCIS HOSPITAL-EVANSTON
IL · Facility ID 140080 · FY2026
Total HAC Score
-1.0149
Percentile
3.7th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -1.0149. 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 -1.016
- CLABSIz -0.831
- CAUTIz -0.521
- SSIz -1.456
- CDIz -0.808
- MRSAz -1.457
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.0163 | -1.0928 | -0.4271 | 0.6658 |
| CAUTI | -0.5207 | -1.1480 | -0.5305 | 0.6175 |
| MRSA | -1.4573 | -1.0150 | -0.4012 | 0.6137 |
| CDI | -0.8078 | -1.1240 | -0.5148 | 0.6092 |
| CLABSI | -0.8312 | -1.1109 | -0.5031 | 0.6078 |
| SSI | -1.4565 | -1.0150 | -0.4103 | 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 IL (112 scored): 2.2th
Hospital score -1.0149. Penalty threshold 0.3792. Distribution of 112 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 1.3th
Hospital score -1.0149. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -1.0149; 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.