HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
WELLSPAN GOOD SAMARITAN HOSPITAL
PA · Facility ID 390066 · FY2026
Total HAC Score
-0.5243
Percentile
18.9th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.5243. 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 -1.349
- CLABSIz -0.360
- CAUTIz 0.130
- SSIz -0.898
- CDIz 0.214
- MRSAz -0.882
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.3493 | -0.5466 | 0.1191 | 0.6657 |
| CAUTI | 0.1301 | -0.7657 | -0.1482 | 0.6175 |
| MRSA | -0.8825 | -0.6201 | -0.0063 | 0.6137 |
| CDI | 0.2144 | -0.8037 | -0.1945 | 0.6092 |
| CLABSI | -0.3603 | -0.6986 | -0.0908 | 0.6078 |
| SSI | -0.8980 | -0.6173 | -0.0126 | 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): 16.5th
Hospital score -0.5243. Penalty threshold 0.3792. Distribution of 130 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 13.1th
Hospital score -0.5243. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.5243; 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.