HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
ESSENTIA HEALTH ST MARY'S MEDICAL CENTER
MN · Facility ID 240002 · FY2026
Total HAC Score
-0.3161
Percentile
31.3th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.3161. 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 -0.695
- CLABSIz -0.901
- CAUTIz 0.521
- SSIz -0.151
- CDIz -0.444
- MRSAz -0.226
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.6952 | -0.4475 | 0.2183 | 0.6657 |
| CAUTI | 0.5206 | -0.6227 | -0.0052 | 0.6175 |
| MRSA | -0.2263 | -0.5213 | 0.0924 | 0.6137 |
| CDI | -0.4438 | -0.4858 | 0.1234 | 0.6092 |
| CLABSI | -0.9008 | -0.4004 | 0.2074 | 0.6078 |
| SSI | -0.1512 | -0.5337 | 0.0710 | 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 MN (45 scored): 21.1th
Hospital score -0.3161. Penalty threshold 0.3792. Distribution of 45 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 26.8th
Hospital score -0.3161. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.3161; 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.