HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
SANFORD USD MEDICAL CENTER
SD · Facility ID 430027 · FY2026
Total HAC Score
-0.2461
Percentile
35.7th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.2461. 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 -1.483
- CLABSIz -0.571
- CAUTIz 0.202
- SSIz 0.392
- CDIz 0.245
- MRSAz -0.262
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.4834 | -0.2462 | 0.4196 | 0.6657 |
| CAUTI | 0.2024 | -0.4996 | 0.1178 | 0.6175 |
| MRSA | -0.2618 | -0.4454 | 0.1683 | 0.6137 |
| CDI | 0.2454 | -0.5307 | 0.0785 | 0.6092 |
| CLABSI | -0.5714 | -0.3853 | 0.2225 | 0.6078 |
| SSI | 0.3919 | -0.5542 | 0.0505 | 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 SD (16 scored): 59.4th
Hospital score -0.2461. Penalty threshold 0.3792. Distribution of 16 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 31.8th
Hospital score -0.2461. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.2461; 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.