HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
SANFORD MEDICAL CENTER FARGO
ND · Facility ID 350011 · FY2026
Total HAC Score
-0.3139
Percentile
31.4th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.3139. 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 0.655
- CLABSIz -0.652
- CAUTIz -1.123
- SSIz 0.042
- CDIz -0.242
- MRSAz -0.563
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 0.6553 | -0.6704 | -0.0046 | 0.6657 |
| CAUTI | -1.1234 | -0.3464 | 0.2710 | 0.6175 |
| MRSA | -0.5628 | -0.4630 | 0.1507 | 0.6137 |
| CDI | -0.2425 | -0.5172 | 0.0920 | 0.6092 |
| CLABSI | -0.6525 | -0.4396 | 0.1682 | 0.6078 |
| SSI | 0.0424 | -0.5637 | 0.0410 | 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 ND (6 scored): 25.0th
Hospital score -0.3139. Penalty threshold 0.3792. Distribution of 6 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 26.8th
Hospital score -0.3139. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.3139; 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.