HCA Florida North Florida Division — Post-Acute Analytics Dashboard

Priority Intervention Targets · System-Wide

Top 15 SNF Partners by Hospitalization Leverage 1,149 SNF patients (named) across priority targets

1SOLARIS HEALTHCARE OSCEOLA34 pts · 88.7% FSHR 2BEDROCK REHABILITATION AND NURSING CENTER AT SUWANNEE93 pts · 52.6% FSHR · 4H 3THE TERRACE OF KISSIMMEE51 pts · 60.0% FSHR · 2H 4COMMUNITY HEALTH AND REHABILITATION CENTER76 pts · 52.3% FSHR · 2H 5SOLARIS HEALTHCARE LAKE CITY LLC217 pts · 45.3% FSHR · 3H 6HUNTER'S CREEK NURSING & REHAB CENTER28 pts · 65.1% FSHR · 2H 7TUSKAWILLA NURSING & REHAB CENTER36 pts · 59.8% FSHR · 2H 8PRUITTHEALTH - SOUTHWOOD39 pts · 57.7% FSHR 9GAINESVILLE FL OPCO LLC12 pts · 92.3% FSHR · 3H 10SEVEN HILLS HEALTH & REHABILITATION CENTER63 pts · 51.2% FSHR · 4H 11HAWTHORNE OCALA OPERATIONS LLC106 pts · 47.4% FSHR · 4H 12PRUITTHEALTH - PENSACOLA, LLC74 pts · 49.5% FSHR · 3H 13LIFE CARE CENTER OF OCALA162 pts · 45.5% FSHR · 3H 14AVIATA AT NORTH FLORIDA27 pts · 61.1% FSHR · 3H 15AYERS HEALTH & REHABILITATION CENTER, LLC131 pts · 46.1% FSHR · 4H

Priority score combines FSHR magnitude, patient volume, and multi-hospital presence. FSHR = Facility Hospitalization Rate from CMS Medicare FFS Claims. System FSHR benchmark: 42.3%. Data period: 2025 Q1 – 2025 Q4 (FFS) — Trella pull 2026-09-04.

Key Findings

Meaningful FSHR Variation Across HCA Florida North Florida Division: 32.0% to 57.4%

The system-wide weighted average FSHR is 42.3%, but individual hospital performance ranges from 32.0% (Twin Cities) to 57.4% (West Marion). This 25.4 percentage point spread represents significant, actionable variation in post-acute network performance across HCA Florida North Florida Division that is not yet fully visible within the current care management infrastructure.

15 SNF Partners Account for Concentrated Hospitalization Risk

15 priority target SNFs serve 1,149 patients system-wide with above-average FSHR rates. The top target, Solaris Healthcare Osceola, carries a 88.7% FSHR — 46.4 percentage points above the system average. These facilities represent the highest-leverage engagement opportunities for HCA Florida North Florida Division's post-acute network management program.

140 Cross-System SNFs Create System-Level Engagement Opportunities

140 SNFs receive patients from 2 or more HCA Florida North Florida Division hospitals, creating system-level leverage for preferred network conversations. The highest-volume cross-system SNF, Bridgewater Park Health & Rehabilitation Center, serves 299 patients across 3 hospitals. Coordinated engagement at these facilities allows HCA Florida North Florida Division to move network-wide performance with a single partnership conversation.

Limited Visibility Across 13 Hospitals: 303 Destinations, Partial FSHR Ratings

HCA Florida North Florida Division's 13 active hospitals collectively discharge to 303 distinct SNF destinations. Many SNF relationships lack facility-level FSHR data due to CMS suppression thresholds for small-volume relationships. This limited visibility constrains HCA Florida North Florida Division's ability to systematically identify underperforming partners and build a high-performing preferred post-acute network. Structured SNF engagement and preferred network designation would create the monitoring infrastructure needed to close this gap.

Marion Community Shared License — Ocala & West Marion Tracked Distinctly

HCA Florida Ocala Hospital (NPI 1841237930, General Acute Care) and HCA Florida West Marion Hospital (NPI 1659017978, Rehabilitation Unit subpart) both operate under Marion Community Hospital, Inc. — a shared CCN 100212. CMS Medicare FFS Claims data returns distinct SNF referral patterns per NPI, so both entities render as independent hospitals in this analysis. Ocala's higher-volume acute discharge network and West Marion's rehab-focused referral pool have different top destinations and different concentration profiles; treating them as one entity would mask real intervention opportunities in each. All 13 hospitals in the Division return measurable FFS post-acute data — this is not a data gap, it is a data-integrity note about how the Marion market is represented.

Hospital Portfolio · 13 Active Entities

West Marion

Ocala, FL

57.4%

34SNF Pts (named)

21SNF Dests

15.3% utilSNF Util

Osceola

Kissimmee, FL

56.4%

295SNF Pts (named)

56SNF Dests

15.1% utilSNF Util

Oviedo

Oviedo, FL

51.4%

88SNF Pts (named)

26SNF Dests

13.6% utilSNF Util

Capital

Tallahassee, FL

47.3%

347SNF Pts (named)

37SNF Dests

19.7% utilSNF Util

Gulf Coast

Panama City, FL

46.0%

377SNF Pts (named)

36SNF Dests

14.4% utilSNF Util

Poinciana

Kissimmee, FL

44.4%

26SNF Pts (named)

18SNF Dests

9.0% utilSNF Util

Lake City

Lake City, FL

43.3%

499SNF Pts (named)

34SNF Dests

24.4% utilSNF Util

North Florida

Gainesville, FL

41.4%

1,442SNF Pts (named)

80SNF Dests

22.0% utilSNF Util

West

Pensacola, FL

40.5%

621SNF Pts (named)

39SNF Dests

19.1% utilSNF Util

Fort Walton-Destin

Fort Walton Beach, FL

40.2%

580SNF Pts (named)

43SNF Dests

18.8% utilSNF Util

Putnam

Palatka, FL

40.0%

194SNF Pts (named)

29SNF Dests

21.8% utilSNF Util

Ocala

Ocala, FL

39.2%

1,261SNF Pts (named)

81SNF Dests

16.2% utilSNF Util

Twin Cities

Niceville, FL

32.0%

102SNF Pts (named)

13SNF Dests

15.2% utilSNF Util

Patient Risk Distribution

Very High

0.2%

High

10.1%

Medium

61.6%

Low

23.6%

Very Low

4.4%

Facility Risk Distribution

Very High

45.5%

High

45.7%

Medium

7.2%

Low

1.6%

Very Low

0.0%

Hospital Profiles

Click a card to view SNF destination table

13 Hospitals Analyzed

West Marion

Ocala, FL

57.4%

34SNF Pts (named)

21SNF Dests

15.3% utilSNF Util

Osceola

Kissimmee, FL

56.4%

295SNF Pts (named)

56SNF Dests

15.1% utilSNF Util

Oviedo

Oviedo, FL

51.4%

88SNF Pts (named)

26SNF Dests

13.6% utilSNF Util

Capital

Tallahassee, FL

47.3%

347SNF Pts (named)

37SNF Dests

19.7% utilSNF Util

Gulf Coast

Panama City, FL

46.0%

377SNF Pts (named)

36SNF Dests

14.4% utilSNF Util

Poinciana

Kissimmee, FL

44.4%

26SNF Pts (named)

18SNF Dests

9.0% utilSNF Util

Lake City

Lake City, FL

43.3%

499SNF Pts (named)

34SNF Dests

24.4% utilSNF Util

North Florida

Gainesville, FL

41.4%

1,442SNF Pts (named)

80SNF Dests

22.0% utilSNF Util

West

Pensacola, FL

40.5%

621SNF Pts (named)

39SNF Dests

19.1% utilSNF Util

Fort Walton-Destin

Fort Walton Beach, FL

40.2%

580SNF Pts (named)

43SNF Dests

18.8% utilSNF Util

Putnam

Palatka, FL

40.0%

194SNF Pts (named)

29SNF Dests

21.8% utilSNF Util

Ocala

Ocala, FL

39.2%

1,261SNF Pts (named)

81SNF Dests

16.2% utilSNF Util

Twin Cities

Niceville, FL

32.0%

102SNF Pts (named)

13SNF Dests

15.2% utilSNF Util

SNF Destination Detail

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Select a hospital to view SNF destination table.

Priority Intervention Targets

SNFs with above-system FSHR sorted by excess-FSHR proxy score

15 SNFs

#	SNF Facility	Patients	FSHR	Δ vs System	Hospitals	Key Partners
1	SOLARIS HEALTHCARE OSCEOLA	34	88.7%	+46.4pp	1	Osceola Hospital
2	BEDROCK REHABILITATION AND NURSING CENTER AT SUWANNEE	93	52.6%	+10.3pp	4	North Florida Hospital, Ocala Hospital, Lake City Hospital
3	THE TERRACE OF KISSIMMEE	51	60.0%	+17.7pp	2	Osceola Hospital, Poinciana Hospital
4	COMMUNITY HEALTH AND REHABILITATION CENTER	76	52.3%	+10.0pp	2	Fort Walton-Destin Hospital, Gulf Coast Hospital
5	SOLARIS HEALTHCARE LAKE CITY LLC	217	45.3%	+3.0pp	3	North Florida Hospital, Ocala Hospital, Lake City Hospital
6	HUNTER'S CREEK NURSING & REHAB CENTER	28	65.1%	+22.8pp	2	Osceola Hospital, Poinciana Hospital
7	TUSKAWILLA NURSING & REHAB CENTER	36	59.8%	+17.5pp	2	Ocala Hospital, Oviedo Medical Center
8	PRUITTHEALTH - SOUTHWOOD	39	57.7%	+15.4pp	1	Capital Hospital
9	GAINESVILLE FL OPCO LLC	12	92.3%	+50.0pp	3	North Florida Hospital, Ocala Hospital, West Marion Hospital
10	SEVEN HILLS HEALTH & REHABILITATION CENTER	63	51.2%	+8.9pp	4	North Florida Hospital, Fort Walton-Destin Hospital, Gulf Coast Hospital
11	HAWTHORNE OCALA OPERATIONS LLC	106	47.4%	+5.1pp	4	North Florida Hospital, Ocala Hospital, Putnam Hospital
12	PRUITTHEALTH - PENSACOLA, LLC	74	49.5%	+7.2pp	3	West Hospital, Fort Walton-Destin Hospital, Capital Hospital
13	LIFE CARE CENTER OF OCALA	162	45.5%	+3.2pp	3	North Florida Hospital, Ocala Hospital, West Marion Hospital
14	AVIATA AT NORTH FLORIDA	27	61.1%	+18.8pp	3	North Florida Hospital, Ocala Hospital, Putnam Hospital
15	AYERS HEALTH & REHABILITATION CENTER, LLC	131	46.1%	+3.8pp	4	North Florida Hospital, Ocala Hospital, Lake City Hospital

Priority targets = cross-system or high-volume SNFs with FSHR above system average (42.3%), sorted by excess-FSHR proxy (patients × excess FSHR pp). System FSHR: 42.3%. Data: CMS Medicare FFS Claims, 2025 Q1 – 2025 Q4 (FFS) — Trella pull 2026-09-04.

Cross-System SNF Network

Top 50 of 140 SNFs appearing at 2+ HCA Florida North Florida Division hospitals

140 Total Cross-System SNFs

#	SNF Facility	Total Patients	Hospitals	FSHR	Hospital Partners
1	BRIDGEWATER PARK HEALTH & REHABILITATION CENTER	299	3	40.0%	North Florida Hospital, Ocala Hospital, West Marion Hospital
2	MAGNOLIA RIDGE HRC, LLC	278	4	43.4%	North Florida Hospital, Ocala Hospital, Lake City Hospital, Putnam Hospital
3	THE MANOR AT BLUE WATER BAY	232	3	39.8%	West Hospital, Fort Walton-Destin Hospital, Twin Cities Hospital
4	SOLARIS HEALTHCARE LAKE CITY LLC	217	3	45.3%	North Florida Hospital, Ocala Hospital, Lake City Hospital
5	LIFE CARE CENTER OF OCALA	162	3	45.5%	North Florida Hospital, Ocala Hospital, West Marion Hospital
6	BEDROCK REHABILITATION AND NURSING CENTER AT LAKE CITY	161	3	41.3%	North Florida Hospital, Ocala Hospital, Lake City Hospital
7	PALATKA CENTER FOR REHABILITATION AND HEALING	161	4	40.6%	North Florida Hospital, Ocala Hospital, Lake City Hospital, Putnam Hospital
8	PRUITTHEALTH - PANAMA CITY	156	3	41.8%	Fort Walton-Destin Hospital, Gulf Coast Hospital, Capital Hospital
9	FORT WALTON REHABILITATION CENTER, LLC	152	3	35.7%	West Hospital, Fort Walton-Destin Hospital, Twin Cities Hospital
10	OAK HAMMOCK AT THE UNIVERSITY OF FLORIDA INC	148	4	28.7%	North Florida Hospital, Ocala Hospital, Lake City Hospital, West Marion Hospital
11	TIMBERRIDGE OPERATIONS LLC	144	4	45.2%	North Florida Hospital, Ocala Hospital, Lake City Hospital, West Marion Hospital
12	OLIVE BRANCH OPERATING INVESTMENTS LLC	143	5	36.4%	North Florida Hospital, West Hospital, Fort Walton-Destin Hospital, Gulf Coast Hospital
13	WESTWOOD OPERATIONS, LLC	133	3	39.1%	West Hospital, Fort Walton-Destin Hospital, Twin Cities Hospital
14	AYERS HEALTH & REHABILITATION CENTER, LLC	131	4	46.1%	North Florida Hospital, Ocala Hospital, Lake City Hospital, Putnam Hospital
15	HAWTHORNE OCALA OPERATIONS LLC	106	4	47.4%	North Florida Hospital, Ocala Hospital, Putnam Hospital, West Marion Hospital
16	DE LUNA OPERATING INVESTMENTS LLC	103	2	45.5%	West Hospital, Fort Walton-Destin Hospital
17	BEDROCK REHABILITATION AND NURSING CENTER AT SUWANNEE	93	4	52.6%	North Florida Hospital, Ocala Hospital, Lake City Hospital, Capital Hospital
18	CHATHAM GLEN HEALTHCARE AND REHABILITATION CENTER	88	4	32.2%	North Florida Hospital, Ocala Hospital, Putnam Hospital, West Marion Hospital
19	PALM GARDEN OF OCALA	87	3	41.6%	North Florida Hospital, Ocala Hospital, West Marion Hospital
20	TRI COUNTY NURSING HOME	83	3	32.8%	North Florida Hospital, Ocala Hospital, Lake City Hospital

Cross-system SNFs appear in the CMS Medicare FFS Claims discharge destination records of 2 or more HCA Florida North Florida Division hospitals. Canonical cross-system SNF count: 140. Showing top 50 by total patient volume. Data: CMS Medicare FFS Claims, 2025 Q1 – 2025 Q4 (FFS) — Trella pull 2026-09-04.

Methodology

Data Source

All post-acute performance data in this report is derived from CMS Medicare Fee-for-Service (FFS) Claims. This is the same claims data used in CMS star ratings, value-based purchasing programs, and public quality reporting. Data reflects discharges from HCA Florida North Florida Division hospitals to skilled nursing facilities during the period 2025 Q1 – 2025 Q4 (FFS) — Trella pull 2026-09-04.

Facility Hospitalization Rate (FSHR)

FSHR (Facility Hospitalization Rate) measures the percentage of SNF patient-days that result in an acute hospital readmission, calculated at the SNF-hospital relationship level. Unlike simple 30-day readmission rates, FSHR captures rehospitalization across the full SNF stay, providing a more comprehensive view of post-acute performance. The HCA Florida North Florida Division system-wide weighted average FSHR is 42.3% for 2025 Q1 – 2025 Q4 (FFS) — Trella pull 2026-09-04. For context, the Florida state average 30-day readmission rate is approximately 17.1% — FSHR is a distinct metric that covers the full SNF stay rather than a fixed 30-day window.

Priority Score Methodology

Priority scores combine three factors: (1) FSHR magnitude above the system average, (2) total patient volume at the facility, and (3) multi-hospital presence within HCA Florida North Florida Division. SNFs appearing at 2+ hospitals receive a multiplier reflecting their system-wide engagement leverage. Scores are relative within the HCA Florida North Florida Division system.

CMS Suppression & Data Availability

CMS suppresses FSHR values for SNF-hospital relationships with fewer than 11 patients in the measurement period. Of HCA Florida North Florida Division's 303 unique SNF destinations, only those with sufficient volume have FSHR data. Additionally, HCA Florida Ocala Hospital and HCA Florida West Marion Hospital share CCN 100212 under Marion Community Hospital, Inc.; they render as two distinct entities because CMS Medicare FFS Claims data returns separate SNF referral profiles per NPI (Ocala — general acute care; West Marion — rehab unit subpart). “Suppressed” SNF destinations are counted but not rated in this analysis. All 13 hospitals in the HCA Florida North Florida Division roster drive measurable FFS post-acute data.

FSHR Color Coding

Throughout this portal, FSHR values are color-coded relative to the HCA Florida North Florida Division system average (42.3%): Red = ≥47.3% (5+ pp above system); Amber = ≥44.3% (2+ pp above); Green = ≤39.3% (3+ pp below). Uncolored values are within ±2–3 pp of system average.

Prepared By

This analysis was prepared by Puzzle Healthcare using CMS Medicare FFS Claims data. For questions about methodology, data access, or the preferred network engagement program, contact your Puzzle Healthcare account team.