HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER
MN · Facility ID 240075 · FY2026
Total HAC Score
-0.0732
Percentile
48.0th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.0732. 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 1.644
- CLABSIz -1.407
- CAUTIz -0.545
- SSIz 0.301
- CDIz -0.452
- MRSAz 0.018
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 1.6444 | -0.5945 | 0.0712 | 0.6657 |
| CAUTI | -0.5448 | -0.2022 | 0.4153 | 0.6175 |
| MRSA | 0.0182 | -0.3191 | 0.2946 | 0.6137 |
| CDI | -0.4516 | -0.2416 | 0.3676 | 0.6092 |
| CLABSI | -1.4065 | -0.0732 | 0.5346 | 0.6078 |
| SSI | 0.3011 | -0.3661 | 0.2386 | 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): 43.3th
Hospital score -0.0732. Penalty threshold 0.3792. Distribution of 45 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 45.5th
Hospital score -0.0732. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.0732; 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.