HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
ST LUKE'S HOSPITAL - ANDERSON CAMPUS
PA · Facility ID 390326 · FY2026
Total HAC Score
-0.8145
Percentile
8.1th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.8145. 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 -1.103
- CLABSIz -0.782
- CAUTIz -1.085
- SSIz -0.122
- CDIz -0.920
- MRSAz -0.874
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.1032 | -0.8778 | -0.2121 | 0.6657 |
| CAUTI | -1.0848 | -0.8534 | -0.2360 | 0.6175 |
| MRSA | -0.8742 | -0.9116 | -0.2979 | 0.6137 |
| CDI | -0.9201 | -0.9048 | -0.2956 | 0.6092 |
| CLABSI | -0.7825 | -0.9185 | -0.3107 | 0.6078 |
| SSI | -0.1220 | -1.0369 | -0.4322 | 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): 5.0th
Hospital score -0.8145. Penalty threshold 0.3792. Distribution of 130 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 4.2th
Hospital score -0.8145. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.8145; 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.