HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
OSF SAINT ELIZABETH MDL CTR
IL · Facility ID 140110 · FY2026
Total HAC Score
-0.1184
Percentile
44.7th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.1184. 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 -1.175
- CLABSIz 2.240
- CAUTIz -0.458
- SSIz -0.910
- CDIz -0.382
- MRSAz -0.026
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.1751 | -0.1698 | 0.4959 | 0.6657 |
| CAUTI | -0.4581 | -0.2618 | 0.3556 | 0.6175 |
| MRSA | -0.0257 | -0.3570 | 0.2567 | 0.6137 |
| CDI | -0.3819 | -0.2985 | 0.3107 | 0.6092 |
| CLABSI | 2.2402 | -0.7262 | -0.1184 | 0.6078 |
| SSI | -0.9100 | -0.2095 | 0.3952 | 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): 39.7th
Hospital score -0.1184. Penalty threshold 0.3792. Distribution of 112 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 42.0th
Hospital score -0.1184. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.1184; 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.