HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
AVERA ST LUKES
SD · Facility ID 430014 · FY2026
Total HAC Score
-0.3820
Percentile
27.3th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.3820. 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 0.450
- CLABSIz -1.407
- CAUTIz -1.319
- SSIz -1.456
- CDIz 1.821
- MRSAN/A
Fragility
Each reported measure moves the score by 0.2000 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 0.4501 | -0.7687 | 0.0302 | 0.7989 |
| CAUTI | -1.3186 | -0.3820 | 0.3589 | 0.7410 |
| CDI | 1.8213 | -1.0387 | -0.3077 | 0.7311 |
| CLABSI | -1.4065 | -0.3820 | 0.3473 | 0.7293 |
| SSI | -1.4565 | -0.3820 | 0.3436 | 0.7256 |
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 SD (16 scored): 53.1th
Hospital score -0.3820. Penalty threshold 0.3792. Distribution of 16 scored hospitals.
Percentile among hospitals with 5 reported measures (220 scored): 32.0th
Hospital score -0.3820. Penalty threshold 0.3792. Distribution of 220 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.3820; 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.