HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
ST LUKES HOSPITAL BETHLEHEM
PA · Facility ID 390049 · FY2026
Total HAC Score
-0.6834
Percentile
13.3th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.6834. 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 -1.483
- CLABSIz -0.708
- CAUTIz -0.928
- SSIz 0.013
- CDIz -0.552
- MRSAz -0.442
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.4834 | -0.6834 | -0.0176 | 0.6657 |
| CAUTI | -0.9281 | -0.7485 | -0.1310 | 0.6175 |
| MRSA | -0.4416 | -0.8527 | -0.2389 | 0.6137 |
| CDI | -0.5522 | -0.8350 | -0.2258 | 0.6092 |
| CLABSI | -0.7082 | -0.7997 | -0.1920 | 0.6078 |
| SSI | 0.0133 | -0.9283 | -0.3236 | 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 PA (130 scored): 11.2th
Hospital score -0.6834. Penalty threshold 0.3792. Distribution of 130 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 7.4th
Hospital score -0.6834. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.6834; 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.