HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
ST JOSEPH MEDICAL CENTER
WA · Facility ID 500108 · FY2026
Total HAC Score
-0.6681
Percentile
13.7th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.6681. 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 -1.096
- CLABSIz -0.235
- CAUTIz -0.487
- SSIz -1.088
- CDIz -0.401
- MRSAz -0.701
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -1.0964 | -0.7326 | -0.0668 | 0.6657 |
| CAUTI | -0.4870 | -0.8067 | -0.1892 | 0.6175 |
| MRSA | -0.7007 | -0.7942 | -0.1805 | 0.6137 |
| CDI | -0.4012 | -0.8449 | -0.2357 | 0.6092 |
| CLABSI | -0.2350 | -0.8633 | -0.2556 | 0.6078 |
| SSI | -1.0882 | -0.7295 | -0.1248 | 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): 7.6th
Hospital score -0.6681. Penalty threshold 0.3792. Distribution of 46 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 7.8th
Hospital score -0.6681. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.6681; 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.