HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
AVERA HEART HOSPITAL OF SOUTH DAKOTA
SD · Facility ID 430095 · FY2026
Total HAC Score
-0.7320
Percentile
11.6th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.7320. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.
Data completeness
Reported on 2 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.
- PSI-90z -0.377
- CLABSIN/A
- CAUTIN/A
- SSIN/A
- CDIz -1.087
- MRSAN/A
Fragility
Each reported measure moves the score by 0.5000 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.3774 | -1.2850 | 0.7122 | 1.9973 |
| CDI | -1.0866 | -0.9198 | 0.9078 | 1.8276 |
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): 34.4th
Hospital score -0.7320. Penalty threshold 0.3792. Distribution of 16 scored hospitals.
Percentile among hospitals with 2 reported measures (252 scored): 38.3th
Hospital score -0.7320. Penalty threshold 0.3792. Distribution of 252 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.7320; threshold 0.3792).
Reported on 2 of 6 measures; each reported measure moves the equal-weighted score by 0.5000 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.