HAC Penalty Risk Auditor
FY2026 · structural fragility of Total HAC Scores
Hospital audit
ST LUKE'S SUGAR LAND HOSPITAL
TX · Facility ID 670053 · FY2026
Total HAC Score
-0.0044
Percentile
52.5th
Displayed status
No reductionFrom CMS Payment Reduction column (file).
Score vs threshold (0.3792)
Hospital score -0.0044. 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 0.004
- CLABSIz 1.602
- CAUTIz -1.319
- SSIz -0.758
- CDIz -0.250
- MRSAz 0.693
Fragility
Each reported measure moves the score by 0.1667 points.
| Measure | Current Z | Score @ floor | Score @ cap | Abs swing |
|---|---|---|---|---|
| PSI-90controls fate | 0.0045 | -0.2524 | 0.4134 | 0.6658 |
| CAUTI | -1.3186 | -0.0044 | 0.6131 | 0.6175 |
| MRSA | 0.6932 | -0.3628 | 0.2509 | 0.6137 |
| CDI | -0.2502 | -0.2064 | 0.4028 | 0.6092 |
| CLABSI | 1.6023 | -0.5059 | 0.1019 | 0.6078 |
| SSI | -0.7576 | -0.1209 | 0.4838 | 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): 68.4th
Hospital score -0.0044. Penalty threshold 0.3792. Distribution of 255 scored hospitals.
Percentile among hospitals with 6 reported measures (1940 scored): 50.6th
Hospital score -0.0044. Penalty threshold 0.3792. Distribution of 1940 scored hospitals.
Plain-language verdict
As scored, the CMS file lists no payment reduction (Total HAC Score -0.0044; 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.