HCA Florida · Post-Acute Network Intelligence · Broward County
Post-Acute Performance Analysis
Executive Narrative — April 2026
Confidential
HCA Florida · Post-Acute Network Intelligence · Broward County
Executive Narrative — April 2026
Across HCA Florida's four Broward County hospitals — Northwest, Westside, Woodmont, and University — our analysis of FFS discharge data (Q4 2024–Q3 2025) identifies 1,080 Medicare fee-for-service patients discharged to 135 unique SNF destinations. The data reveal a post-acute footprint with meaningful variation in performance, limited system-level visibility, and a concentration of risk in the highest-volume relationships that is invisible without a unified monitoring capability.
This analysis is not a summary of problems. It is a map of opportunity. Across your four hospitals, there is an active downstream SNF network — 135 facilities, hundreds of patient relationships, and an entirely unmanaged performance signal. Puzzle can help HCA Florida see that network clearly, prioritize where intervention will matter most, and establish a structured presence in the facilities where your patients are most at risk.
Health systems that have taken this step have seen it transform their post-acute relationships. OSF HealthCare, for example, introduced Puzzle to 60 of their downstream nursing home partners — creating a shared performance feedback loop that would not have been possible from the hospital side alone. What follows is what that opportunity looks like at HCA Florida.
The analysis surfaces five findings that collectively define the risk profile of HCA Florida's downstream post-acute relationships.
Receiving 33 confirmed Woodmont patients, NSPIRE Tamarac posted an 83.5% hospitalization rate — more than 4 out of every 5 patients hospitalized during their SNF stay. This is paired with a 38.1% 90-day readmission rate, a facility risk score of 5.37 (Very High), and a 2-star CMS rating. NSPIRE Tamarac also appears in the Northwest discharge flow. There is no credible clinical rationale for continued routing to this facility at current volumes, and no mechanism in the current state to detect it.
West Broward carries a facility risk score of 14.08 at University Hospital — more than double the Very High threshold of 5.0. At Westside, 28 confirmed patients were hospitalized at a rate of 69.2%. This facility does not appear in the CMS dataset, meaning it operates without the regulatory accountability that star ratings provide. Its presence across all four hospitals, with no centralized oversight, represents the highest concentration of unmanaged network risk in the system.
With an estimated 236+ FFS patients across three hospitals, Sunrise is the dominant discharge destination in the HCA Broward network. Facility risk scores range from 4.21 to 4.80 (Very High) and hospitalization rates run 46–52%. Volume concentration without performance management is not a strategy — it is exposure. This is precisely the type of high-volume, high-risk relationship where an embedded Puzzle presence downstream would give HCA Florida both performance data and leverage.
Regents Park holds a 3-star CMS rating but posted a 59.8% hospitalization rate on 63 Westside patients (FR 5.06). Covenant Village holds a 5-star rating but carries Very High facility risk scores across every hospital relationship. CMS star ratings measure facility-level quality in isolation — they cannot detect discharge-to-readmission performance at the hospital-relationship level. This is a signal only visible when post-acute intelligence is applied systemically.
With just 35 confirmed FFS SNF patients and a utilization rate of 0.31% vs. the 8.61% Florida state average, University is in the formative stage of its post-acute relationships. Its current partners carry facility risk scores of 14.08, 11.06, and 4.80 — the highest risk concentration in the system. Every quarter without a managed preferred network is a quarter of exposure that becomes harder to reverse. University represents a clean-slate opportunity to build a high-performing post-acute network from the ground up.
Puzzle's model works at scale — and scale requires introductions.
For Puzzle to establish a meaningful operational presence in your downstream SNF network — dedicated staff, performance feedback loops, facility-level data relationships — we need sufficient facility coverage to justify that investment. Based on our experience, 10 or more facilities is the threshold where embedded resources become economically viable and clinically impactful.
HCA Florida's Broward network spans 135 unique SNF destinations across four hospitals. Even focusing only on the facilities where you send meaningful volume, there are dozens of relationships where a Puzzle presence would reduce readmissions, improve post-acute performance, and give your care management teams real-time data they currently do not have.
When OSF HealthCare introduced Puzzle to 60 of their downstream nursing home partners, it created a shared performance infrastructure that neither organization could have built independently. HCA Florida has the same opportunity — a network of downstream partners, active patient relationships, and the scale to make it matter.
The ask is simple: introduce us to your SNF partners. We will take it from there.
A structured path from current-state visibility to active network management.
NSPIRE Tamarac, West Broward Rehab, and Regents Park of Sunrise collectively account for measurable hospitalization and readmission events that exceed any defensible performance threshold. This review should establish exit triggers or time-bound performance improvement plans, applied uniformly across all HCA Broward hospitals. Puzzle's network prioritization capability provides the data structure and monitoring logic to operationalize this without adding burden to existing staff.
Four hospitals independently routing patients to overlapping SNF networks with no shared visibility makes it impossible to detect system-level patterns before they become adverse event patterns. A unified view of facility risk, hospitalization rates, and readmission trends at the network level is the foundational capability that every other step depends on — and it is the core of what Puzzle delivers.
This is the step that creates leverage. A warm introduction from HCA Florida gives Puzzle the credibility to begin building data relationships, embedding quality improvement resources, and creating the performance feedback loop that hospitals cannot build from the hospital side alone. We are not asking to replace existing relationships — we are asking for the introduction that lets us make them better. The facilities where your patients go most frequently are the right place to start.
HCA Florida's Broward system discharges more than 1,000 Medicare FFS patients per year into a post-acute network with meaningful variation, limited visibility, and no shared performance management infrastructure. The findings in this analysis represent what is visible from the hospital side. What becomes possible — for your patients, your care management teams, and your downstream SNF partners — when Puzzle is embedded in that network is the conversation we are asking to have.
We are ready to move quickly. The next step starts with an introduction.