HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
ST JOSEPH MEDICAL CENTER
TX · Facility ID 450035 · FY2026
Total HAC Score
-0.5319
Percentile
18.4th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.5319. 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 -0.306
- CLABSIz -0.149
- CAUTIz 0.506
- SSIz -1.456
- CDIz -1.323
- MRSAz -0.463
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.3064 | -0.7280 | -0.0623 | 0.6658 |
| CAUTI | 0.5061 | -0.8360 | -0.2185 | 0.6175 |
| MRSA | -0.4625 | -0.6977 | -0.0839 | 0.6137 |
| CDI | -1.3228 | -0.5551 | 0.0541 | 0.6092 |
| CLABSI | -0.1492 | -0.7414 | -0.1336 | 0.6078 |
| SSI | -1.4565 | -0.5319 | 0.0728 | 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 TX (255 scored): 29.6th
Hospital score -0.5319. Penalty threshold 0.3792. Distribution of 255 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 12.6th
Hospital score -0.5319. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.5319; 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.