HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
GEISINGER ST. LUKE'S HOSPITAL
PA · Facility ID 390332 · FY2026
Total HAC Score
-0.4897
Percentile
20.8th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.4897. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.
Data completeness
Reported on 5 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.
- PSI-90z -0.734
- CLABSIz 0.009
- CAUTIz -1.319
- SSIN/A
- CDIz -0.374
- MRSAz -0.030
Fragility
Each reported measure moves the score by 0.2000 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.7343 | -0.6395 | 0.1594 | 0.7989 |
| CAUTI | -1.3186 | -0.4897 | 0.2513 | 0.7410 |
| MRSA | -0.0299 | -0.7751 | -0.0387 | 0.7365 |
| CDI | -0.3741 | -0.7073 | 0.0238 | 0.7311 |
| CLABSI | 0.0086 | -0.7727 | -0.0433 | 0.7293 |
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): 18.1th
Hospital score -0.4897. Penalty threshold 0.3792. Distribution of 130 scored hospitals.
Percentile among hospitals with 5 reported measures (220 scored): 23.4th
Hospital score -0.4897. Penalty threshold 0.3792. Distribution of 220 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.4897; threshold 0.3792).
Reported on 5 of 6 measures; each reported measure moves the equal-weighted score by 0.2000 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.