HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS
MO · Facility ID 260091 · FY2026
Total HAC Score
-0.0729
Percentile
48.1th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.0729. 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 1.118
- CLABSIz -0.423
- CAUTIz -0.747
- SSIz -0.093
- CDIz 0.060
- MRSAz -0.352
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 1.1177 | -0.5064 | 0.1593 | 0.6658 |
| CAUTI | -0.7473 | -0.1681 | 0.4493 | 0.6175 |
| MRSA | -0.3517 | -0.2572 | 0.3565 | 0.6137 |
| CDI | 0.0596 | -0.3266 | 0.2827 | 0.6092 |
| CLABSI | -0.4229 | -0.2369 | 0.3709 | 0.6078 |
| SSI | -0.0929 | -0.3002 | 0.3045 | 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): 42.7th
Hospital score -0.0729. Penalty threshold 0.3792. Distribution of 62 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 45.6th
Hospital score -0.0729. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.0729; 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.