HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
ST MARY'S MEDICAL CENTER
MO · Facility ID 260193 · FY2026
Total HAC Score
-0.5251
Percentile
18.7th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.5251. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.
Data completeness
Reported on 4 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.
- PSI-90z -0.595
- CLABSIz 0.292
- CAUTIz -1.319
- SSIN/A
- CDIz -0.479
- MRSAN/A
Fragility
Each reported measure moves the score by 0.2500 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.5948 | -0.7473 | 0.2514 | 0.9986 |
| CAUTI | -1.3186 | -0.5251 | 0.4011 | 0.9262 |
| CDI | -0.4787 | -0.7710 | 0.1428 | 0.9138 |
| CLABSI | 0.2916 | -0.9496 | -0.0380 | 0.9117 |
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): 15.3th
Hospital score -0.5251. Penalty threshold 0.3792. Distribution of 62 scored hospitals.
Percentile among hospitals with 4 reported measures (139 scored): 21.9th
Hospital score -0.5251. Penalty threshold 0.3792. Distribution of 139 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.5251; threshold 0.3792).
Reported on 4 of 6 measures; each reported measure moves the equal-weighted score by 0.2500 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.