HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
SANFORD MEDICAL CENTER BISMARCK
ND · Facility ID 350015 · FY2026
Total HAC Score
-0.1685
Percentile
41.3th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.1685. 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 0.539
- CLABSIz -0.982
- CAUTIz -0.159
- SSIz -0.091
- CDIz -0.091
- MRSAz -0.226
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 0.5393 | -0.5056 | 0.1601 | 0.6657 |
| CAUTI | -0.1592 | -0.3617 | 0.2558 | 0.6175 |
| MRSA | -0.2263 | -0.3737 | 0.2401 | 0.6137 |
| CDI | -0.0915 | -0.3969 | 0.2123 | 0.6092 |
| CLABSI | -0.9820 | -0.2392 | 0.3685 | 0.6078 |
| SSI | -0.0912 | -0.3960 | 0.2087 | 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): 58.3th
Hospital score -0.1685. Penalty threshold 0.3792. Distribution of 6 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 38.3th
Hospital score -0.1685. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.1685; 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.