HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON
NY · Facility ID 330185 · FY2026
Total HAC Score
-0.5047
Percentile
20.3th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.5047. 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 -0.370
- CLABSIz -0.822
- CAUTIz -0.769
- SSIz -1.004
- CDIz -1.090
- MRSAz 1.028
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.3705 | -0.6902 | -0.0245 | 0.6657 |
| CAUTI | -0.7690 | -0.5963 | 0.0212 | 0.6175 |
| MRSA | 1.0276 | -0.9189 | -0.3052 | 0.6137 |
| CDI | -1.0904 | -0.5667 | 0.0425 | 0.6092 |
| CLABSI | -0.8219 | -0.6022 | 0.0056 | 0.6078 |
| SSI | -1.0042 | -0.5801 | 0.0246 | 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 NY (126 scored): 17.9th
Hospital score -0.5047. Penalty threshold 0.3792. Distribution of 126 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 14.7th
Hospital score -0.5047. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.5047; 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.