HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
ESSENTIA HEALTH VIRGINIA
MN · Facility ID 240084 · FY2026
Total HAC Score
-0.7918
Percentile
9.0th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.7918. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.
Data completeness
Reported on 5 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.
- PSI-90z -0.353
- CLABSIz -1.407
- CAUTIz 0.270
- SSIz -1.456
- CDIz -1.013
- MRSAN/A
Fragility
Each reported measure moves the score by 0.2000 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.3530 | -1.0179 | -0.2190 | 0.7989 |
| CAUTI | 0.2699 | -1.1095 | -0.3685 | 0.7410 |
| CDI | -1.0130 | -0.8817 | -0.1506 | 0.7311 |
| CLABSI | -1.4065 | -0.7918 | -0.0625 | 0.7293 |
| SSI | -1.4565 | -0.7918 | -0.0662 | 0.7256 |
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): 1.1th
Hospital score -0.7918. Penalty threshold 0.3792. Distribution of 45 scored hospitals.
Percentile among hospitals with 5 reported measures (220 scored): 10.2th
Hospital score -0.7918. Penalty threshold 0.3792. Distribution of 220 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.7918; threshold 0.3792).
Reported on 5 of 6 measures; each reported measure moves the equal-weighted score by 0.2000 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.