HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
ESSENTIA HEALTH ST MARYS - DETROIT LAKES
MN · Facility ID 240101 · FY2026
Total HAC Score
-0.3979
Percentile
26.4th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.3979. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.
Data completeness
Reported on 3 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.
- PSI-90z -0.309
- CLABSIN/A
- CAUTIN/A
- SSIz -0.650
- CDIz -0.235
- MRSAN/A
Fragility
Each reported measure moves the score by 0.3333 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.3094 | -0.7893 | 0.5422 | 1.3315 |
| CDI | -0.2347 | -0.8071 | 0.4113 | 1.2184 |
| SSI | -0.6497 | -0.6669 | 0.5425 | 1.2094 |
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): 12.2th
Hospital score -0.3979. Penalty threshold 0.3792. Distribution of 45 scored hospitals.
Percentile among hospitals with 3 reported measures (196 scored): 35.5th
Hospital score -0.3979. Penalty threshold 0.3792. Distribution of 196 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.3979; threshold 0.3792).
Reported on 3 of 6 measures; each reported measure moves the equal-weighted score by 0.3333 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.