HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
ST ALEXIUS MEDICAL CENTER
IL · Facility ID 140290 · FY2026
Total HAC Score
-0.3250
Percentile
30.8th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.3250. 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 -0.341
- CLABSIz 0.521
- CAUTIz -0.072
- SSIz -0.257
- CDIz -0.730
- MRSAz -1.071
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.3405 | -0.5155 | 0.1503 | 0.6657 |
| CAUTI | -0.0724 | -0.5327 | 0.0848 | 0.6175 |
| MRSA | -1.0706 | -0.3894 | 0.2243 | 0.6137 |
| CDI | -0.7303 | -0.4470 | 0.1622 | 0.6092 |
| CLABSI | 0.5213 | -0.6463 | -0.0385 | 0.6078 |
| SSI | -0.2574 | -0.5248 | 0.0799 | 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): 29.0th
Hospital score -0.3250. Penalty threshold 0.3792. Distribution of 112 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 26.2th
Hospital score -0.3250. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.3250; 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.