HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
ST LUKE'S PATIENTS MEDICAL CENTER
TX · Facility ID 670031 · FY2026
Total HAC Score
-0.4387
Percentile
24.1th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.4387. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.
Data completeness
Reported on 5 of 6. Missing measures show N/A with the CMS footnote; footnote 18 values are imputed worst-case, not measured performance.
- PSI-90z -0.535
- CLABSIz -0.170
- CAUTIz -0.634
- SSIz 0.128
- CDIz -0.982
- MRSAN/A
Fragility
Each reported measure moves the score by 0.2000 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | -0.5354 | -0.6283 | 0.1706 | 0.7989 |
| CAUTI | -0.6340 | -0.5756 | 0.1654 | 0.7410 |
| CDI | -0.9820 | -0.5347 | 0.1964 | 0.7311 |
| CLABSI | -0.1700 | -0.6860 | 0.0434 | 0.7293 |
| SSI | 0.1281 | -0.7556 | -0.0299 | 0.7256 |
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): 37.1th
Hospital score -0.4387. Penalty threshold 0.3792. Distribution of 255 scored hospitals.
Percentile among hospitals with 5 reported measures (220 scored): 28.4th
Hospital score -0.4387. Penalty threshold 0.3792. Distribution of 220 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.4387; threshold 0.3792).
Reported on 5 of 6 measures; each reported measure moves the equal-weighted score by 0.2000 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.