HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
SAINT FRANCIS MEDICAL CENTER
MO · Facility ID 260183 · FY2026
Total HAC Score
-0.0645
Percentile
48.7th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.0645. 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 1.072
- CLABSIz -0.026
- CAUTIz 0.456
- SSIz -1.107
- CDIz -0.304
- MRSAz -0.477
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 1.0722 | -0.4904 | 0.1753 | 0.6657 |
| CAUTI | 0.4555 | -0.3602 | 0.2573 | 0.6175 |
| MRSA | -0.4771 | -0.2279 | 0.3859 | 0.6137 |
| CDI | -0.3044 | -0.2575 | 0.3518 | 0.6092 |
| CLABSI | -0.0262 | -0.2946 | 0.3132 | 0.6078 |
| SSI | -1.1070 | -0.1227 | 0.4820 | 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): 44.4th
Hospital score -0.0645. Penalty threshold 0.3792. Distribution of 62 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 46.3th
Hospital score -0.0645. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.0645; 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.