HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
PEACEHEALTH ST JOHN MEDICAL CENTER
WA · Facility ID 500041 · FY2026
Total HAC Score
-0.3300
Percentile
30.3th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.3300. 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 -0.433
- CLABSIz -0.868
- CAUTIz -0.299
- SSIz 1.618
- CDIz -1.141
- MRSAz -0.858
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.4331 | -0.5051 | 0.1607 | 0.6658 |
| CAUTI | -0.2990 | -0.5000 | 0.1175 | 0.6175 |
| MRSA | -0.8575 | -0.4300 | 0.1837 | 0.6137 |
| CDI | -1.1408 | -0.3836 | 0.2256 | 0.6092 |
| CLABSI | -0.8683 | -0.4197 | 0.1880 | 0.6078 |
| SSI | 1.6184 | -0.8425 | -0.2378 | 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 WA (46 scored): 25.0th
Hospital score -0.3300. Penalty threshold 0.3792. Distribution of 46 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 25.5th
Hospital score -0.3300. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.3300; 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.