HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
SAINT JOSEPH LONDON
KY · Facility ID 180011 · FY2026
Total HAC Score
-0.3937
Percentile
26.6th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.3937. 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 0.838
- CLABSIz -1.407
- CAUTIz -0.410
- SSIz -0.413
- CDIz -0.924
- MRSAz -0.047
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 0.8382 | -0.7806 | -0.1149 | 0.6657 |
| CAUTI | -0.4099 | -0.5451 | 0.0724 | 0.6175 |
| MRSA | -0.0466 | -0.6288 | -0.0151 | 0.6137 |
| CDI | -0.9239 | -0.4834 | 0.1258 | 0.6092 |
| CLABSI | -1.4065 | -0.3937 | 0.2141 | 0.6078 |
| SSI | -0.4133 | -0.5675 | 0.0372 | 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 KY (56 scored): 17.0th
Hospital score -0.3937. Penalty threshold 0.3792. Distribution of 56 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 21.3th
Hospital score -0.3937. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.3937; 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.