HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
ST FRANCIS-DOWNTOWN
SC · Facility ID 420023 · FY2026
Total HAC Score
-0.1941
Percentile
39.0th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.1941. 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 -1.290
- CLABSIz -0.172
- CAUTIz -0.663
- SSIz 0.445
- CDIz -0.777
- MRSAz 1.293
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.2905 | -0.2263 | 0.4395 | 0.6658 |
| CAUTI | -0.6630 | -0.3034 | 0.3141 | 0.6175 |
| MRSA | 1.2930 | -0.6525 | -0.0388 | 0.6137 |
| CDI | -0.7768 | -0.3083 | 0.3009 | 0.6092 |
| CLABSI | -0.1724 | -0.3998 | 0.2080 | 0.6078 |
| SSI | 0.4450 | -0.5110 | 0.0937 | 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 SC (51 scored): 44.1th
Hospital score -0.1941. Penalty threshold 0.3792. Distribution of 51 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 35.9th
Hospital score -0.1941. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.1941; 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.