HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
MERCY HOSPITAL SOUTH
MO · Facility ID 260077 · FY2026
Total HAC Score
-0.1816
Percentile
40.4th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.1816. 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 -1.220
- CLABSIz 0.078
- CAUTIz -0.263
- SSIz 0.572
- CDIz -0.459
- MRSAz 0.202
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.2196 | -0.2256 | 0.4402 | 0.6657 |
| CAUTI | -0.2628 | -0.3576 | 0.2599 | 0.6175 |
| MRSA | 0.2021 | -0.4582 | 0.1555 | 0.6137 |
| CDI | -0.4593 | -0.3488 | 0.2605 | 0.6092 |
| CLABSI | 0.0782 | -0.4291 | 0.1787 | 0.6078 |
| SSI | 0.5717 | -0.5196 | 0.0851 | 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 MO (62 scored): 37.9th
Hospital score -0.1816. Penalty threshold 0.3792. Distribution of 62 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 37.3th
Hospital score -0.1816. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.1816; 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.