HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
ST JOSEPH HOSPITAL
NH · Facility ID 300011 · FY2026
Total HAC Score
-0.6098
Percentile
15.2th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.6098. 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 -0.447
- CLABSIz -1.014
- CAUTIz -0.962
- SSIz -0.913
- CDIz -0.804
- MRSAz 0.482
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.4472 | -0.7825 | -0.1167 | 0.6657 |
| CAUTI | -0.9619 | -0.6692 | -0.0517 | 0.6175 |
| MRSA | 0.4822 | -0.9330 | -0.3193 | 0.6137 |
| CDI | -0.8039 | -0.7195 | -0.1103 | 0.6092 |
| CLABSI | -1.0144 | -0.6751 | -0.0673 | 0.6078 |
| SSI | -0.9135 | -0.7003 | -0.0956 | 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 NH (13 scored): 11.5th
Hospital score -0.6098. Penalty threshold 0.3792. Distribution of 13 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 9.3th
Hospital score -0.6098. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.6098; 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.