Puzzle Healthcare
Post-Acute Performance Analytics

Ascension National

An eight-quarter review of FFS SNF discharge patterns, destination concentration, and FSHR performance across a 53-hospital national health system spanning Texas, Indiana, Wisconsin, Florida, Tennessee, Oklahoma, and Kansas — from Ascension Seton in Austin to Ascension Saint Thomas in Nashville, Ascension St. Vincent in Indianapolis, Ascension Wisconsin in Milwaukee, Ascension Sacred Heart in Pensacola, Ascension St. John in Tulsa, and Ascension Via Christi in Wichita.

Prepared by: Puzzle Healthcare
Date: 2026-09-07
Data Period: CMS Medicare FFS Claims: 2025 Q1 – 2025 Q4
System: Ascension National (Ascension National, Inc.)
Confidential 38 hospitals analyzed  ·  8,708 FFS SNF patients  ·  557 SNF destinations  ·  TX · IN · WI · FL · TN · OK · KS
38
Hospitals
Analyzed
8,708
FFS SNF
Patients
557
Unique SNF
Destinations
168
Cross-System
SNFs (2+ Hosps)
20
Priority SNF
Targets
8
Quarters
Analyzed

FSHR Elevation, Network Fragmentation, and the Opportunity to Coordinate a System-Wide Post-Acute Network

Ascension National operates the seven-state national footprint, spanning 53 hospitals across seven states. Its post-acute discharge picture is one of meaningful scale — 8,708 Medicare fee-for-service patients flowing across 557 SNF destinations over eight quarters — with limited cross-hospital coordination and no unified preferred-network infrastructure to manage FSHR performance systematically.

Over eight quarters (CMS Medicare FFS Claims: 2025 Q1 – 2025 Q4), Ascension National hospitals collectively discharged 8,708 fee-for-service Medicare patients to skilled nursing facilities, reaching 557 distinct SNF destinations across seven-state national footprint. Ascension Saint Thomas Hospital West leads the system in post-acute volume with 935 patients across 25 SNF destinations — the single largest Ascension National post-acute relationship set in the analysis. Ascension Saint Thomas Rutherford is the second-highest volume hospital in the system, contributing 897 FFS SNF patients.

Aggregate state SNF utilization across Ascension National's seven-state footprint averages 16.5% (FFS). What the data reveals is a system-wide FSHR elevation and destination fragmentation story: across 38 active hospitals, 8,708 patients are distributed to 557 SNFs, most operating without a structured performance framework or preferred-network accountability from Ascension National care teams.

Within Ascension National’s existing discharge patterns is a structural starting point for coordination: 168 SNFs already serve two or more Ascension National hospitals simultaneously. These shared facilities are the organic preferred network — facilities that Ascension National hospitals have collectively chosen through discharge patterns without any formal coordination. Puzzle Healthcare’s role is to formalize that organic network, extend its reach, and make FSHR performance systematically measurable and accountable.

The 20 priority SNF targets identified in this analysis — facilities with elevated FSHR rates appearing across multiple Ascension National hospitals — represent the highest-impact starting cohort for an embedded clinical program. Together they account for significant patient volume and carry FSHR rates meaningfully above the system-wide average of 35.5%.

01
System-wide FSHR of 35.5%: elevated above Florida state average with limited coordination infrastructure
Across 38 Ascension National hospitals, the weighted FSHR stands at 35.5% — indicating that nearly half of all SNF patients are returning to the hospital within the skilled stay. Individual hospital FSHR rates range from 14.6% to 50.0% (Seton Northwest (Austin)), a spread that underscores the heterogeneity of the post-acute challenge across Ascension National’s geographically dispersed network.
02
20 priority SNF targets with elevated FSHR appearing across multiple Ascension National hospitals
The priority target analysis surfaces 20 SNFs with FSHR rates significantly above the system average and appearing in two or more hospital discharge networks. These facilities represent the highest-risk, highest-leverage intervention points — natural candidates for an embedded clinical presence and preferred-network performance standards across the Ascension National system.
03
168 SNFs already serve multiple Ascension National hospitals — a natural preferred-network foundation
Of the 557 SNF destinations across the Ascension National network, 168 are shared across two or more Ascension National hospitals. These shared facilities represent existing trust relationships that can be formalized into a coordinated preferred network without requiring new partnerships to be built from scratch. The 25 SNFs serving three or more Ascension National hospitals are the natural anchor points for initial engagement.

53 Hospitals, One Shared Post-Acute Challenge

Ascension National operates 53 acute-care hospitals across the seven-state national footprint — a dense, single-state community hospital network spanning nine counties. Each hospital draws from a distinct patient population and sends patients to a partially overlapping, partially distinct set of SNF partners across the state.

Ascension Saint Thomas Hospital West
Nashville, TN  ·  643 Beds  ·  Nashville, TN
FFS SNF Patients935
SNF Destinations25
FSHR35.0%
Ascension Saint Thomas Rutherford
Murfreesboro, TN  ·  354 Beds  ·  Murfreesboro, TN
FFS SNF Patients897
SNF Destinations25
FSHR34.8%
Ascension Sacred Heart Pensacola
Pensacola, FL  ·  547 Beds  ·  Pensacola, FL
FFS SNF Patients893
SNF Destinations25
FSHR41.8%
Ascension St. Vincent Hospital - Indianapolis
Indianapolis, IN  ·  — Beds  ·  Indianapolis, IN
FFS SNF Patients738
SNF Destinations25
FSHR32.3%
Ascension St. John Medical Center
Tulsa, OK  ·  567 Beds  ·  Tulsa, OK
FFS SNF Patients485
SNF Destinations25
FSHR39.5%
Ascension St. Vincent Evansville
Evansville, IN  ·  — Beds  ·  Evansville, IN
FFS SNF Patients472
SNF Destinations25
FSHR27.8%
Ascension St. Vincent's Riverside
Jacksonville, FL  ·  528 Beds  ·  Jacksonville, FL
FFS SNF Patients418
SNF Destinations25
FSHR35.7%
Ascension Sacred Heart Bay
Panama City, FL  ·  202 Beds  ·  Panama City, FL
FFS SNF Patients307
SNF Destinations25
FSHR41.9%
Ascension Columbia St. Mary's Hospital - Milwaukee Campus
Milwaukee, WI  ·  — Beds  ·  Milwaukee, WI
FFS SNF Patients252
SNF Destinations25
FSHR32.7%
Ascension SE Wisconsin Hospital - St. Joseph Campus
Milwaukee, WI  ·  298 Beds  ·  Milwaukee, WI
FFS SNF Patients252
SNF Destinations25
FSHR32.7%
Ascension Providence Hospital
Waco, TX  ·  278 Beds  ·  Waco, TX
FFS SNF Patients243
SNF Destinations25
FSHR37.4%
Ascension St. Vincent's Clay County
Middleburg, FL  ·  98 Beds  ·  Middleburg, FL
FFS SNF Patients206
SNF Destinations25
FSHR38.9%
Ascension St. Vincent Kokomo
Kokomo, IN  ·  — Beds  ·  Kokomo, IN
FFS SNF Patients202
SNF Destinations24
FSHR33.5%
Ascension Sacred Heart Emerald Coast
Miramar Beach, FL  ·  76 Beds  ·  Miramar Beach, FL
FFS SNF Patients197
SNF Destinations24
FSHR42.2%
Ascension Via Christi Hospital in Manhattan
Manhattan, KS  ·  — Beds  ·  Manhattan, KS
FFS SNF Patients195
SNF Destinations25
FSHR27.5%
Ascension St. Vincent's Southside
Jacksonville, FL  ·  313 Beds  ·  Jacksonville, FL
FFS SNF Patients193
SNF Destinations25
FSHR39.1%
Ascension St. John Jane Phillips Medical Center
Bartlesville, OK  ·  114 Beds  ·  Bartlesville, OK
FFS SNF Patients178
SNF Destinations25
FSHR42.8%
Ascension Seton Williamson
Round Rock, TX  ·  181 Beds  ·  Round Rock, TX
FFS SNF Patients147
SNF Destinations25
FSHR35.7%
Ascension Via Christi St. Francis
Wichita, KS  ·  421 Beds  ·  Wichita, KS
FFS SNF Patients147
SNF Destinations25
FSHR29.4%
Ascension Seton Medical Center Austin
Austin, TX  ·  399 Beds  ·  Austin, TX
FFS SNF Patients140
SNF Destinations25
FSHR46.6%
Ascension All Saints Hospital - Spring Street Campus
Racine, WI  ·  222 Beds  ·  Racine, WI
FFS SNF Patients128
SNF Destinations21
FSHR40.4%
Ascension Saint Thomas River Park
McMinnville, TN  ·  82 Beds  ·  McMinnville, TN
FFS SNF Patients123
SNF Destinations18
FSHR35.5%
Ascension SE Wisconsin Hospital - Elmbrook Campus
Brookfield, WI  ·  166 Beds  ·  Brookfield, WI
FFS SNF Patients121
SNF Destinations25
FSHR32.7%
Ascension St. Vincent Carmel
Carmel, IN  ·  195 Beds  ·  Carmel, IN
FFS SNF Patients111
SNF Destinations25
FSHR32.9%
Ascension Seton Cedar Park
Cedar Park, TX  ·  126 Beds  ·  Cedar Park, TX
FFS SNF Patients106
SNF Destinations17
FSHR30.1%
Ascension Seton Medical Center Hays
Kyle, TX  ·  112 Beds  ·  Kyle, TX
FFS SNF Patients102
SNF Destinations25
FSHR29.6%
Ascension St. Vincent Anderson
Anderson, IN  ·  149 Beds  ·  Anderson, IN
FFS SNF Patients80
SNF Destinations25
FSHR30.4%
Ascension Seton Medical Center Harker Heights
Harker Heights, TX  ·  83 Beds  ·  Harker Heights, TX
FFS SNF Patients78
SNF Destinations21
FSHR45.6%
Ascension NE Wisconsin - St. Elizabeth Campus
Appleton, WI  ·  — Beds  ·  Appleton, WI
FFS SNF Patients70
SNF Destinations24
FSHR33.1%
Ascension St. Vincent's St. Johns County
St. Johns, FL  ·  — Beds  ·  St. Johns, FL
FFS SNF Patients61
SNF Destinations25
FSHR32.5%
Dell Seton Medical Center at The University of Texas
Austin, TX  ·  210 Beds  ·  Austin, TX
FFS SNF Patients56
SNF Destinations25
FSHR32.4%
Ascension Saint Thomas Highlands
Sparta, TN  ·  26 Beds  ·  Sparta, TN
FFS SNF Patients49
SNF Destinations9
FSHR31.0%
Ascension Saint Thomas Three Rivers
Waverly, TN  ·  — Beds  ·  Waverly, TN
FFS SNF Patients46
SNF Destinations6
FSHR14.6%
Ascension St. Vincent Williamsport
Williamsport, IN  ·  — Beds  ·  Williamsport, IN
FFS SNF Patients22
SNF Destinations11
FSHR25.0%
Ascension Seton Northwest
Austin, TX  ·  124 Beds  ·  Austin, TX
FFS SNF Patients17
SNF Destinations25
FSHR50.0%
Ascension Saint Thomas DeKalb
Smithville, TN  ·  18 Beds  ·  Smithville, TN
FFS SNF Patients16
SNF Destinations5
FSHR18.9%
Ascension St. John Nowata
Nowata, OK  ·  — Beds  ·  Nowata, OK
FFS SNF Patients13
SNF Destinations6
FSHR22.6%
Ascension Seton Edgar B. Davis
Luling, TX  ·  25 Beds  ·  Luling, TX
FFS SNF Patients12
SNF Destinations11
FSHR25.0%
Ascension Saint Thomas Rutherford Stones River
Woodbury, TN  ·  43 Beds  ·  Woodbury, TN
FFS SNF PatientsNo data
SNF Destinations4
FSHR
Ascension St. Vincent Fishers
Fishers, IN  ·  — Beds  ·  Fishers, IN
FFS SNF PatientsNo data
SNF Destinations20
FSHR
Ascension Calumet Hospital
Chilton, WI  ·  — Beds  ·  Chilton, WI
FFS SNF PatientsNo data
SNF Destinations1
FSHR
Ascension NE Wisconsin - Mercy Campus
Oshkosh, WI  ·  — Beds  ·  Oshkosh, WI
FFS SNF PatientsNo data
SNF Destinations14
FSHR
Ascension Sacred Heart Gulf
Port St. Joe, FL  ·  19 Beds  ·  Port St. Joe, FL
FFS SNF PatientsNo data
SNF Destinations8
FSHR
Ascension Saint Thomas Hickman
Centerville, TN  ·  — Beds  ·  Centerville, TN
FFS SNF PatientsNo data
SNF Destinations4
FSHR
Ascension Seton Highland Lakes
Burnet, TX  ·  25 Beds  ·  Burnet, TX
FFS SNF PatientsNo data
SNF Destinations10
FSHR
Ascension Seton Smithville Hospital
Smithville, TX  ·  25 Beds  ·  Smithville, TX
FFS SNF PatientsNo data
SNF Destinations3
FSHR
Ascension Seton Southwest
Austin, TX  ·  28 Beds  ·  Austin, TX
FFS SNF PatientsNo data
SNF Destinations3
FSHR
Ascension St. Francis Hospital
Milwaukee, WI  ·  270 Beds  ·  Milwaukee, WI
FFS SNF PatientsNo data
SNF Destinations17
FSHR
Ascension St. John Broken Arrow
Broken Arrow, OK  ·  68 Beds  ·  Broken Arrow, OK
FFS SNF PatientsNo data
SNF Destinations25
FSHR
Ascension St. John Owasso
Owasso, OK  ·  36 Beds  ·  Owasso, OK
FFS SNF PatientsNo data
SNF Destinations12
FSHR
Ascension St. John Sapulpa
Sapulpa, OK  ·  25 Beds  ·  Sapulpa, OK
FFS SNF PatientsNo data
SNF Destinations6
FSHR
Ascension St. Vincent Randolph
Winchester, IN  ·  25 Beds  ·  Winchester, IN
FFS SNF PatientsNo data
SNF Destinations7
FSHR
Ascension St. Vincent Warrick
Boonville, IN  ·  — Beds  ·  Boonville, IN
FFS SNF PatientsNo data
SNF Destinations3
FSHR
* Data Availability Note: Ascension National's post-acute footprint spans seven states — Texas (Seton), Indiana (St. Vincent), Wisconsin, Florida (Sacred Heart & St. Vincent's), Tennessee (Saint Thomas), Oklahoma (St. John), and Kansas (Via Christi). Each hospital is independently registered in CMS with its own CCN and CMS Medicare FFS Claims pull. Three hospitals carry an acknowledged FSHR-coverage exception where third-ranked SNF destinations show CMS <11 patient suppression on FSHR (top-2 destinations remain fully reported) — see acknowledged-exception protocol. All reported system totals (8,708 FFS patients, 557 SNF destinations) reflect only the 38 hospitals with active CMS Medicare FFS Claims data.

Ascension National’s geographic span across seven states represents both a strategic complexity and a significant opportunity. The system’s hospitals serve distinct regional communities — from the Ascension Seton flagship in Austin, TX and the Ascension Saint Thomas hospitals in the Nashville metro, to Ascension St. Vincent in Indianapolis, Ascension Wisconsin in Milwaukee, Ascension Sacred Heart in Pensacola and Ascension St. Vincent’s in Jacksonville, Ascension St. John in Tulsa and northeast Oklahoma, and Ascension Via Christi in Wichita. This diversity means that post-acute discharge patterns, local SNF networks, and FSHR drivers differ meaningfully across facilities and markets. A coordinated preferred-network framework delivers the greatest operational value precisely in this kind of heterogeneous multi-state system: unified performance standards, embedded clinical presence, and real-time visibility that operates consistently across all 38 hospitals regardless of geography.


A Long Tail: Top 5 SNFs Capture a minority share, Many More Share the Rest

Ascension Saint Thomas Hospital West’s 25-facility SNF destination network illustrates a pattern common to high-volume academic medical centers: a small number of facilities receive outsized volume, while the majority consist of lower-volume relationships that are difficult to manage systematically. This concentration and fragmentation dynamic — replicated across 38 hospitals and 557 SNF destinations — is the core visibility challenge at the heart of Ascension National’s post-acute situation.

Ascension Saint Thomas Hospital West — Top SNF Partners by Volume (FSHR shown)
SNF Name
FSHR
Volume / Share
Nhc Place At The Trace
138 pts  ·  10.3% share
Blakeford At Green Hills Corporation
123 pts  ·  9.2% share
Advanced Health Care Of Nashville
111 pts  ·  8.3% share
Richland Place Inc
102 pts  ·  7.6% share
Nhc Place At Cool Springs
57 pts  ·  4.2% share
Nashville Center For Rehabilitation And Healing Llc
45 pts  ·  3.4% share
Green Hills Center For Rehabilitation And Healing Llc
44 pts  ·  3.3% share
Madison Pointe Center For Rehabilitation And Healing Llc
29 pts  ·  2.2% share
Saint Thomas Hospital West (Nashville): top-SNF concentration not pre-computed — see individual rows above.

The concentration pattern at Ascension Saint Thomas Hospital West is characteristic of a large academic medical center in a geographically concentrated state. Its top SNF partners already have the volume to support an embedded clinical presence — and they clearly have established relationships with Saint Thomas Hospital West (Nashville)’s discharge planning teams. The coordination gap lives in the long tail: the facilities receiving smaller patient volumes with no systematic performance framework or preferred-network accountability.

Multiplied across 38 Ascension National hospitals and 557 total SNF destinations system-wide, that long tail represents hundreds of downstream facilities operating beyond the horizon of Ascension National’s visibility. That is precisely the structural problem a unified preferred-network framework addresses — starting with the 168 cross-system facilities that already appear in multiple Ascension National discharge networks simultaneously.


Reading the FSHR Signals: Performance Across 38 Ascension National Hospitals

Florida state SNF utilization benchmark: 16.5% (CMS Medicare FFS Claims). The system-wide weighted-average FSHR of 35.5% serves as the primary internal reference point for identifying hospitals with elevated return-to-hospital rates and high-impact intervention opportunities across Ascension National.

Ascension Saint Thomas Hospital West
Nashville, TN  ·  643 Beds  ·  Opportunity Score: 53
Near-Term Priority
935
FFS SNF Patients
25
SNF Destinations
35.0%
FSHR (-0.5pp vs system)
35.5%
System FSHR Avg

Ascension Saint Thomas Hospital West discharged 935 FFS patients to 25 distinct SNF destinations over the analysis period. FSHR stands at 35.0%, -0.5pp vs system average. The leading post-acute destination is Nhc Place At The Trace (138 patients, 10.3% share). The hospital’s SNF network includes 4 facilityies with a “Very High” risk category.

The Saint Thomas Hospital West (Nashville) post-acute network illustrates the broader Ascension National pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at Saint Thomas Hospital West (Nashville)’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.

Top SNF Partners Pts Share FSHR Risk
Nhc Place At The Trace13810.3%33.3%Elevated
Blakeford At Green Hills Corporation1239.2%23.1%Elevated
Advanced Health Care Of Nashville1118.3%34.8%High
Richland Place Inc1027.6%37.5%Elevated
Nhc Place At Cool Springs574.2%34.5%High
Ascension Saint Thomas Rutherford
Murfreesboro, TN  ·  354 Beds  ·  Opportunity Score: 57
Immediate Priority
897
FFS SNF Patients
25
SNF Destinations
34.8%
FSHR (-0.7pp vs system)
35.5%
System FSHR Avg

Ascension Saint Thomas Rutherford discharged 897 FFS patients to 25 distinct SNF destinations over the analysis period. FSHR stands at 34.8%, -0.7pp vs system average. The leading post-acute destination is Adamsplace Llc (245 patients, 26.2% share). The hospital’s SNF network includes 6 facilityies with a “Very High” risk category.

The Saint Thomas Rutherford (Murfreesboro) post-acute network illustrates the broader Ascension National pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at Saint Thomas Rutherford (Murfreesboro)’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.

Top SNF Partners Pts Share FSHR Risk
Adamsplace Llc24526.2%30.8%Elevated
Stones River Advanced Care Center13013.9%41.2%Elevated
National Health Corporation939.9%27.8%High
Life Care Center Of Hickory Woods505.3%34.5%Elevated
Community Care Of Rutherford County, Inc.475.0%32.8%High
Ascension Sacred Heart Pensacola
Pensacola, FL  ·  547 Beds  ·  Opportunity Score: 59
Immediate Priority
893
FFS SNF Patients
25
SNF Destinations
41.8%
FSHR (+6.2pp vs system)
35.5%
System FSHR Avg

Ascension Sacred Heart Pensacola discharged 893 FFS patients to 25 distinct SNF destinations over the analysis period. FSHR stands at 41.8%, +6.2pp vs system average. The leading post-acute destination is De Luna Operating Investments Llc (189 patients, 19.6% share). The hospital’s SNF network includes 15 facilityies with a “Very High” risk category.

The Sacred Heart Pensacola (Pensacola) post-acute network illustrates the broader Ascension National pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at Sacred Heart Pensacola (Pensacola)’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.

Top SNF Partners Pts Share FSHR Risk
De Luna Operating Investments Llc18919.6%40.3%High
Olive Branch Operating Investments Llc14815.4%39.5%High
Pruitthealth - Pensacola, Llc13113.6%29.5%High
Arcadia Operating Investments Llc535.5%40.8%High
Haven Of Our Lady Of Peace, Inc.495.1%37.4%High
Ascension St. Vincent Hospital - Indianapolis
Indianapolis, IN  ·  — Beds  ·  Opportunity Score: 54
Near-Term Priority
738
FFS SNF Patients
25
SNF Destinations
32.3%
FSHR (-3.2pp vs system)
35.5%
System FSHR Avg

Ascension St. Vincent Hospital - Indianapolis discharged 738 FFS patients to 25 distinct SNF destinations over the analysis period. FSHR stands at 32.3%, -3.2pp vs system average. The leading post-acute destination is Retirement Living, Inc. (81 patients, 7.0% share). The hospital’s SNF network includes 7 facilityies with a “Very High” risk category.

The St. Vincent Hospital - Indianapolis (Indianapolis) post-acute network illustrates the broader Ascension National pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at St. Vincent Hospital - Indianapolis (Indianapolis)’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.

Top SNF Partners Pts Share FSHR Risk
Retirement Living, Inc.817.0%29.8%Elevated
The Restoracy Of Whitestown746.4%28.0%High
Copper Trace Health And Living, Llc605.2%28.4%High
Wellbrooke Of Carmel464.0%29.2%High
Hamilton Trace Of Fishers423.6%34.0%High
Ascension St. John Medical Center
Tulsa, OK  ·  567 Beds  ·  Opportunity Score: 56
Immediate Priority
485
FFS SNF Patients
25
SNF Destinations
39.5%
FSHR (+4.0pp vs system)
35.5%
System FSHR Avg

Ascension St. John Medical Center discharged 485 FFS patients to 25 distinct SNF destinations over the analysis period. FSHR stands at 39.5%, +4.0pp vs system average. The leading post-acute destination is Ignite Medical Resort Bartlesville, Llc (53 patients, 7.1% share). The hospital’s SNF network includes 9 facilityies with a “Very High” risk category.

The St. John Medical Center (Tulsa) post-acute network illustrates the broader Ascension National pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at St. John Medical Center (Tulsa)’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.

Top SNF Partners Pts Share FSHR Risk
Ignite Medical Resort Bartlesville, Llc537.1%39.9%Elevated
St Simeons Episcopal Home Inc496.6%46.5%High
The Villages At Southern Hills486.4%34.7%High
St John Sapulpa, Inc445.9%36.2%High
Baptist Village Of Owasso314.2%41.9%High
Ascension St. Vincent Evansville
Evansville, IN  ·  — Beds  ·  Opportunity Score: 56
Immediate Priority
472
FFS SNF Patients
25
SNF Destinations
27.8%
FSHR (-7.8pp vs system)
35.5%
System FSHR Avg

Ascension St. Vincent Evansville discharged 472 FFS patients to 25 distinct SNF destinations over the analysis period. FSHR stands at 27.8%, -7.8pp vs system average. The leading post-acute destination is Heritage Center (82 patients, 12.1% share). The hospital’s SNF network includes 9 facilityies with a “Very High” risk category.

The St. Vincent Evansville (Evansville) post-acute network illustrates the broader Ascension National pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at St. Vincent Evansville (Evansville)’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.

Top SNF Partners Pts Share FSHR Risk
Heritage Center8212.1%17.1%Moderate
Hamilton Pointe Health And Rehab659.6%27.1%High
River Pointe Health Campus629.1%32.5%High
North River Health Campus507.4%29.9%Elevated
Evansville Protestant Home446.5%32.4%High
Ascension St. Vincent's Riverside
Jacksonville, FL  ·  528 Beds  ·  Opportunity Score: 54
Near-Term Priority
418
FFS SNF Patients
25
SNF Destinations
35.7%
FSHR (+0.2pp vs system)
35.5%
System FSHR Avg

Ascension St. Vincent's Riverside discharged 418 FFS patients to 25 distinct SNF destinations over the analysis period. FSHR stands at 35.7%, +0.2pp vs system average. The leading post-acute destination is Riverside Post Acute (109 patients, 20.1% share). The hospital’s SNF network includes 11 facilityies with a “Very High” risk category.

The St. Vincent's Riverside (Jacksonville) post-acute network illustrates the broader Ascension National pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at St. Vincent's Riverside (Jacksonville)’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.

Top SNF Partners Pts Share FSHR Risk
Riverside Post Acute10920.1%33.5%High
Normandy Opco Llc499.1%36.4%High
Middleburg Rehabilitation And Nursing Center356.5%31.0%High
Bartram Crossing346.3%29.9%High
Macclenny Nursing & Rehab Center295.4%42.0%High
Ascension Sacred Heart Bay
Panama City, FL  ·  202 Beds  ·  Opportunity Score: 57
Immediate Priority
307
FFS SNF Patients
25
SNF Destinations
41.9%
FSHR (+6.3pp vs system)
35.5%
System FSHR Avg

Ascension Sacred Heart Bay discharged 307 FFS patients to 25 distinct SNF destinations over the analysis period. FSHR stands at 41.9%, +6.3pp vs system average. The leading post-acute destination is Pruitthealth - Panama City (104 patients, 29.8% share). The hospital’s SNF network includes 5 facilityies with a “Very High” risk category.

The Sacred Heart Bay (Panama City) post-acute network illustrates the broader Ascension National pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at Sacred Heart Bay (Panama City)’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.

Top SNF Partners Pts Share FSHR Risk
Pruitthealth - Panama City10429.8%38.2%High
Community Health And Rehabilitation Center7822.4%47.3%High
Panama City Fl Opco Llc3810.9%42.7%High
Aviata At Emerald Shores339.5%52.8%High
Port St Joe Opco Llc257.2%Moderate
Ascension Columbia St. Mary's Hospital - Milwaukee Campus
Milwaukee, WI  ·  — Beds  ·  Opportunity Score: 45
Near-Term Priority
252
FFS SNF Patients
25
SNF Destinations
32.7%
FSHR (-2.8pp vs system)
35.5%
System FSHR Avg

Ascension Columbia St. Mary's Hospital - Milwaukee Campus discharged 252 FFS patients to 25 distinct SNF destinations over the analysis period. FSHR stands at 32.7%, -2.8pp vs system average. The leading post-acute destination is Newcastle Place Llc (55 patients, 17.5% share). The hospital’s SNF network includes 11 facilityies with a “Very High” risk category.

The Columbia St. Mary's Hospital - Milwaukee Campus (Milwaukee) post-acute network illustrates the broader Ascension National pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at Columbia St. Mary's Hospital - Milwaukee Campus (Milwaukee)’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.

Top SNF Partners Pts Share FSHR Risk
Newcastle Place Llc5517.5%33.3%Elevated
Eastcastle Place Bradford Terrace Convalescent Center4614.6%25.0%High
Milwaukee Catholic Home, Inc.4012.7%38.0%Elevated
Ascension Living Alexian Village Milwaukee299.2%33.9%High
Jewish Home And Care Center268.3%35.4%High
Ascension SE Wisconsin Hospital - St. Joseph Campus
Milwaukee, WI  ·  298 Beds  ·  Opportunity Score: 45
Near-Term Priority
252
FFS SNF Patients
25
SNF Destinations
32.7%
FSHR (-2.8pp vs system)
35.5%
System FSHR Avg

Ascension SE Wisconsin Hospital - St. Joseph Campus discharged 252 FFS patients to 25 distinct SNF destinations over the analysis period. FSHR stands at 32.7%, -2.8pp vs system average. The leading post-acute destination is Newcastle Place Llc (55 patients, 17.5% share). The hospital’s SNF network includes 11 facilityies with a “Very High” risk category.

The SE Wisconsin Hospital - St. Joseph Campus (Milwaukee) post-acute network illustrates the broader Ascension National pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at SE Wisconsin Hospital - St. Joseph Campus (Milwaukee)’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.

Top SNF Partners Pts Share FSHR Risk
Newcastle Place Llc5517.5%33.3%Elevated
Eastcastle Place Bradford Terrace Convalescent Center4614.6%25.0%High
Milwaukee Catholic Home, Inc.4012.7%38.0%Elevated
Ascension Living Alexian Village Milwaukee299.2%33.9%High
Jewish Home And Care Center268.3%35.4%High
Ascension Providence Hospital
Waco, TX  ·  278 Beds  ·  Opportunity Score: 50
Near-Term Priority
243
FFS SNF Patients
25
SNF Destinations
37.4%
FSHR (+1.9pp vs system)
35.5%
System FSHR Avg

Ascension Providence Hospital discharged 243 FFS patients to 25 distinct SNF destinations over the analysis period. FSHR stands at 37.4%, +1.9pp vs system average. The leading post-acute destination is Ascension Living Providence Village (94 patients, 23.1% share). The hospital’s SNF network includes 11 facilityies with a “Very High” risk category.

The Providence Hospital (Waco) post-acute network illustrates the broader Ascension National pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at Providence Hospital (Waco)’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.

Top SNF Partners Pts Share FSHR Risk
Ascension Living Providence Village9423.1%33.3%High
Sunset Home215.2%22.0%High
The Atrium Of Bellmead215.2%49.1%High
Woodway Rehabilitation And Healthcare Center194.7%57.8%High
Lakeshore Village Nursing And Rehabilitation.174.2%39.6%High
Ascension St. Vincent's Clay County
Middleburg, FL  ·  98 Beds  ·  Opportunity Score: 46
Near-Term Priority
206
FFS SNF Patients
25
SNF Destinations
38.9%
FSHR (+3.4pp vs system)
35.5%
System FSHR Avg

Ascension St. Vincent's Clay County discharged 206 FFS patients to 25 distinct SNF destinations over the analysis period. FSHR stands at 38.9%, +3.4pp vs system average. The leading post-acute destination is Middleburg Rehabilitation And Nursing Center (123 patients, 52.3% share). The hospital’s SNF network includes 13 facilityies with a “Very High” risk category.

The St. Vincent's Clay County (Middleburg) post-acute network illustrates the broader Ascension National pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at St. Vincent's Clay County (Middleburg)’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.

Top SNF Partners Pts Share FSHR Risk
Middleburg Rehabilitation And Nursing Center12352.3%41.0%High
Life Care Center Of Orange Park2410.2%31.3%High
Pruitthealth - Fleming Island208.5%35.1%High
Penney Retirement Community, Inc.146.0%Elevated
Orange Park Rehabilitation And Nursing Center135.5%High
Ascension St. Vincent Kokomo
Kokomo, IN  ·  — Beds  ·  Opportunity Score: 45
Near-Term Priority
202
FFS SNF Patients
24
SNF Destinations
33.5%
FSHR (-2.1pp vs system)
35.5%
System FSHR Avg

Ascension St. Vincent Kokomo discharged 202 FFS patients to 24 distinct SNF destinations over the analysis period. FSHR stands at 33.5%, -2.1pp vs system average. The leading post-acute destination is Wellbrooke Of Kokomo (103 patients, 44.8% share). The hospital’s SNF network includes 4 facilityies with a “Very High” risk category.

The St. Vincent Kokomo (Kokomo) post-acute network illustrates the broader Ascension National pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at St. Vincent Kokomo (Kokomo)’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.

Top SNF Partners Pts Share FSHR Risk
Wellbrooke Of Kokomo10344.8%29.8%Elevated
Waterford Place Health Campus6327.4%36.0%High
Century Villa Health Care219.1%44.1%High
North Woods Village156.5%33.3%High
Aperion Care Kokomo<11High
Ascension Sacred Heart Emerald Coast
Miramar Beach, FL  ·  76 Beds  ·  Opportunity Score: 47
Near-Term Priority
197
FFS SNF Patients
24
SNF Destinations
42.2%
FSHR (+6.7pp vs system)
35.5%
System FSHR Avg

Ascension Sacred Heart Emerald Coast discharged 197 FFS patients to 24 distinct SNF destinations over the analysis period. FSHR stands at 42.2%, +6.7pp vs system average. The leading post-acute destination is Grand Boulevard Operating Investments Llc (76 patients, 36.2% share). The hospital’s SNF network includes 3 facilityies with a “Very High” risk category.

The Sacred Heart Emerald Coast (Miramar Beach) post-acute network illustrates the broader Ascension National pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at Sacred Heart Emerald Coast (Miramar Beach)’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.

Top SNF Partners Pts Share FSHR Risk
Grand Boulevard Operating Investments Llc7636.2%41.7%High
Destin Senior Care, Llc7535.7%42.6%High
The Manor At Blue Water Bay3416.2%44.0%High
Chautauqua Springs Health Center125.7%37.8%High
Arabella Health & Wellness Of Pensacola<11Elevated
Ascension Via Christi Hospital in Manhattan
Manhattan, KS  ·  — Beds  ·  Opportunity Score: 46
Near-Term Priority
195
FFS SNF Patients
25
SNF Destinations
27.5%
FSHR (-8.1pp vs system)
35.5%
System FSHR Avg

Ascension Via Christi Hospital in Manhattan discharged 195 FFS patients to 25 distinct SNF destinations over the analysis period. FSHR stands at 27.5%, -8.1pp vs system average. The leading post-acute destination is Meadowlark Hills (78 patients, 31.8% share). The hospital’s SNF network includes 5 facilityies with a “Very High” risk category.

The Via Christi Hospital in Manhattan (Manhattan) post-acute network illustrates the broader Ascension National pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at Via Christi Hospital in Manhattan (Manhattan)’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.

Top SNF Partners Pts Share FSHR Risk
Meadowlark Hills7831.8%27.1%Elevated
Ascension Living Via Christi Village Manhattan6124.9%23.8%High
Wamego Health Center And Wamego Family Clinic239.4%33.3%Elevated
Stoneybrook Retirement Community208.2%33.3%Elevated
Clay County Medical Center135.3%Moderate
Ascension St. Vincent's Southside
Jacksonville, FL  ·  313 Beds  ·  Opportunity Score: 43
Near-Term Priority
193
FFS SNF Patients
25
SNF Destinations
39.1%
FSHR (+3.5pp vs system)
35.5%
System FSHR Avg

Ascension St. Vincent's Southside discharged 193 FFS patients to 25 distinct SNF destinations over the analysis period. FSHR stands at 39.1%, +3.5pp vs system average. The leading post-acute destination is University Crossing (42 patients, 16.1% share). The hospital’s SNF network includes 10 facilityies with a “Very High” risk category.

The St. Vincent's Southside (Jacksonville) post-acute network illustrates the broader Ascension National pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at St. Vincent's Southside (Jacksonville)’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.

Top SNF Partners Pts Share FSHR Risk
University Crossing4216.1%39.7%High
Life Care Center Of Jacksonville3613.8%30.5%High
Atrium Snf Operating Llc197.3%17.9%High
Jax Fl Opco Llc197.3%51.8%High
Woodland Grove Healthcare & Rehabilitation Center Llc197.3%58.1%High
Ascension St. John Jane Phillips Medical Center
Bartlesville, OK  ·  114 Beds  ·  Opportunity Score: 46
Near-Term Priority
178
FFS SNF Patients
25
SNF Destinations
42.8%
FSHR (+7.3pp vs system)
35.5%
System FSHR Avg

Ascension St. John Jane Phillips Medical Center discharged 178 FFS patients to 25 distinct SNF destinations over the analysis period. FSHR stands at 42.8%, +7.3pp vs system average. The leading post-acute destination is Ignite Medical Resort Bartlesville, Llc (91 patients, 41.4% share). The hospital’s SNF network includes 5 facilityies with a “Very High” risk category.

The St. John Jane Phillips Medical Center (Bartlesville) post-acute network illustrates the broader Ascension National pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at St. John Jane Phillips Medical Center (Bartlesville)’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.

Top SNF Partners Pts Share FSHR Risk
Ignite Medical Resort Bartlesville, Llc9141.4%47.3%High
Heritage Villa Healthcare, Llc4420.0%45.4%High
Bartlesville Health & Rehab Community3114.1%26.0%High
Medicalodges Dewey125.5%Elevated
Americare At Montgomery Place Nursing Center Llc<11Moderate
Ascension Seton Williamson
Round Rock, TX  ·  181 Beds  ·  Opportunity Score: 40
Near-Term Priority
147
FFS SNF Patients
25
SNF Destinations
35.7%
FSHR (+0.2pp vs system)
35.5%
System FSHR Avg

Ascension Seton Williamson discharged 147 FFS patients to 25 distinct SNF destinations over the analysis period. FSHR stands at 35.7%, +0.2pp vs system average. The leading post-acute destination is Bel Air At Teravista (41 patients, 16.5% share). The hospital’s SNF network includes 10 facilityies with a “Very High” risk category.

The Seton Williamson (Round Rock) post-acute network illustrates the broader Ascension National pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at Seton Williamson (Round Rock)’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.

Top SNF Partners Pts Share FSHR Risk
Bel Air At Teravista4116.5%34.3%Elevated
Georgetown Nursing And Transitional Care3012.1%23.5%High
The Center At Parmer228.9%53.1%High
San Gabriel Rehabilitation And Care Center208.1%37.7%High
The Springs Healthcare And Rehabilitation124.8%High
Ascension Via Christi St. Francis
Wichita, KS  ·  421 Beds  ·  Opportunity Score: 43
Near-Term Priority
147
FFS SNF Patients
25
SNF Destinations
29.4%
FSHR (-6.1pp vs system)
35.5%
System FSHR Avg

Ascension Via Christi St. Francis discharged 147 FFS patients to 25 distinct SNF destinations over the analysis period. FSHR stands at 29.4%, -6.1pp vs system average. The leading post-acute destination is Ascension Living Via Christi Village Ridge (64 patients, 27.0% share). The hospital’s SNF network includes 6 facilityies with a “Very High” risk category.

The Via Christi St. Francis (Wichita) post-acute network illustrates the broader Ascension National pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at Via Christi St. Francis (Wichita)’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.

Top SNF Partners Pts Share FSHR Risk
Ascension Living Via Christi Village Ridge6427.0%31.3%Elevated
Family Health And Rehabilitation Center Llc3113.1%32.9%Elevated
Azw, Llc208.4%33.3%Elevated
Wichita Presbyterian Manor208.4%14.0%Elevated
Rolling Hills Health And Rehab125.1%High
Ascension Seton Medical Center Austin
Austin, TX  ·  399 Beds  ·  Opportunity Score: 38
Near-Term Priority
140
FFS SNF Patients
25
SNF Destinations
46.6%
FSHR (+11.1pp vs system)
35.5%
System FSHR Avg

Ascension Seton Medical Center Austin discharged 140 FFS patients to 25 distinct SNF destinations over the analysis period. FSHR stands at 46.6%, +11.1pp vs system average. The leading post-acute destination is The Arbour At Westminster Manor (25 patients, 9.2% share). The hospital’s SNF network includes 10 facilityies with a “Very High” risk category.

The Seton Medical Center Austin (Austin) post-acute network illustrates the broader Ascension National pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at Seton Medical Center Austin (Austin)’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.

Top SNF Partners Pts Share FSHR Risk
The Arbour At Westminster Manor259.2%28.1%Elevated
Brookdale Westlake Hills248.8%43.1%Elevated
The Center At Parmer228.1%71.4%High
Ignite Medical Resort Round Rock, Llc165.9%High
Legend Oaks Healthcare And Rehabilitation - North Austin165.9%High
Ascension All Saints Hospital - Spring Street Campus
Racine, WI  ·  222 Beds  ·  Opportunity Score: 41
Near-Term Priority
128
FFS SNF Patients
21
SNF Destinations
40.4%
FSHR (+4.9pp vs system)
35.5%
System FSHR Avg

Ascension All Saints Hospital - Spring Street Campus discharged 128 FFS patients to 21 distinct SNF destinations over the analysis period. FSHR stands at 40.4%, +4.9pp vs system average. The leading post-acute destination is Complete Care At Ridgewood Llc (44 patients, 28.0% share). The hospital’s SNF network includes 14 facilityies with a “Very High” risk category.

The All Saints Hospital - Spring Street Campus (Racine) post-acute network illustrates the broader Ascension National pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at All Saints Hospital - Spring Street Campus (Racine)’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.

Top SNF Partners Pts Share FSHR Risk
Complete Care At Ridgewood Llc4428.0%35.8%High
Ascension Living Lakeshore At Siena3723.6%40.6%Elevated
Lincoln Park Nursing And Rehab2918.5%51.7%High
Oak Ridge Care Center, Inc.1811.5%33.3%High
Alden-Park Strathmoor, Inc.<11High
Ascension Saint Thomas River Park
McMinnville, TN  ·  82 Beds  ·  Opportunity Score: 39
Near-Term Priority
123
FFS SNF Patients
18
SNF Destinations
35.5%
FSHR (-0.1pp vs system)
35.5%
System FSHR Avg

Ascension Saint Thomas River Park discharged 123 FFS patients to 18 distinct SNF destinations over the analysis period. FSHR stands at 35.5%, -0.1pp vs system average. The leading post-acute destination is Nhc Healthcare-Mcminnville Llc (68 patients, 43.9% share). The hospital’s SNF network includes 5 facilityies with a “Very High” risk category.

The Saint Thomas River Park (McMinnville) post-acute network illustrates the broader Ascension National pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at Saint Thomas River Park (McMinnville)’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.

Top SNF Partners Pts Share FSHR Risk
Nhc Healthcare-Mcminnville Llc6843.9%38.4%High
Willow Branch Health And Rehabilitation4327.7%30.8%High
Life Care Center Of Sparta127.7%Elevated
Adamsplace Llc<11High
Bethesda Health Care Center Llc<11Moderate
Ascension SE Wisconsin Hospital - Elmbrook Campus
Brookfield, WI  ·  166 Beds  ·  Opportunity Score: 44
Near-Term Priority
121
FFS SNF Patients
25
SNF Destinations
32.7%
FSHR (-2.8pp vs system)
35.5%
System FSHR Avg

Ascension SE Wisconsin Hospital - Elmbrook Campus discharged 121 FFS patients to 25 distinct SNF destinations over the analysis period. FSHR stands at 32.7%, -2.8pp vs system average. The leading post-acute destination is Congregational Home Inc (32 patients, 12.7% share). The hospital’s SNF network includes 7 facilityies with a “Very High” risk category.

The SE Wisconsin Hospital - Elmbrook Campus (Brookfield) post-acute network illustrates the broader Ascension National pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at SE Wisconsin Hospital - Elmbrook Campus (Brookfield)’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.

Top SNF Partners Pts Share FSHR Risk
Congregational Home Inc3212.7%29.3%Elevated
Ascension Living Franciscan Place2811.2%30.8%High
Imr Oak Creek Opco, Llc166.4%42.9%High
Care-Age Of Brookfield124.8%42.4%High
Aria Of Brookfield Llc114.4%High
Ascension St. Vincent Carmel
Carmel, IN  ·  195 Beds  ·  Opportunity Score: 39
Near-Term Priority
111
FFS SNF Patients
25
SNF Destinations
32.9%
FSHR (-2.6pp vs system)
35.5%
System FSHR Avg

Ascension St. Vincent Carmel discharged 111 FFS patients to 25 distinct SNF destinations over the analysis period. FSHR stands at 32.9%, -2.6pp vs system average. The leading post-acute destination is Copper Trace Health And Living, Llc (31 patients, 17.9% share). The hospital’s SNF network includes 7 facilityies with a “Very High” risk category.

The St. Vincent Carmel (Carmel) post-acute network illustrates the broader Ascension National pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at St. Vincent Carmel (Carmel)’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.

Top SNF Partners Pts Share FSHR Risk
Copper Trace Health And Living, Llc3117.9%28.8%High
Wellbrooke Of Carmel2413.9%33.3%Elevated
Majestic Care Of Carmel158.7%37.1%High
Green House Cottages Of Carmel148.1%Elevated
Wellbrooke Of Westfield148.1%36.8%High
Ascension Seton Cedar Park
Cedar Park, TX  ·  126 Beds  ·  Opportunity Score: 34
Monitor
106
FFS SNF Patients
17
SNF Destinations
30.1%
FSHR (-5.5pp vs system)
35.5%
System FSHR Avg

Ascension Seton Cedar Park discharged 106 FFS patients to 17 distinct SNF destinations over the analysis period. FSHR stands at 30.1%, -5.5pp vs system average. The leading post-acute destination is The Springs Healthcare And Rehabilitation (32 patients, 27.4% share). The hospital’s SNF network includes 4 facilityies with a “Very High” risk category.

The Seton Cedar Park (Cedar Park) post-acute network illustrates the broader Ascension National pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at Seton Cedar Park (Cedar Park)’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.

Top SNF Partners Pts Share FSHR Risk
The Springs Healthcare And Rehabilitation3227.4%44.5%High
Cedar Pointe Health And Wellness Center2319.7%40.0%High
The Center At Parmer1916.2%13.3%Elevated
New Hope Manor1613.7%22.5%Elevated
Sagebrook Nursing And Rehabilitation1613.7%14.3%Elevated
Ascension Seton Medical Center Hays
Kyle, TX  ·  112 Beds  ·  Opportunity Score: 41
Near-Term Priority
102
FFS SNF Patients
25
SNF Destinations
29.6%
FSHR (-5.9pp vs system)
35.5%
System FSHR Avg

Ascension Seton Medical Center Hays discharged 102 FFS patients to 25 distinct SNF destinations over the analysis period. FSHR stands at 29.6%, -5.9pp vs system average. The leading post-acute destination is Legend Oaks Health And Rehabilitation - Kyle (53 patients, 24.1% share). The hospital’s SNF network includes 17 facilityies with a “Very High” risk category.

The Seton Medical Center Hays (Kyle) post-acute network illustrates the broader Ascension National pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at Seton Medical Center Hays (Kyle)’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.

Top SNF Partners Pts Share FSHR Risk
Legend Oaks Health And Rehabilitation - Kyle5324.1%33.1%High
Parkview Nursing And Rehabilitation Center219.5%26.5%High
San Marcos Rehabilitation And Healthcare Center167.3%22.0%High
Deer Creek Nursing And Rehabilitation125.5%High
Avir At Luling<11High
Ascension St. Vincent Anderson
Anderson, IN  ·  149 Beds  ·  Opportunity Score: 40
Near-Term Priority
80
FFS SNF Patients
25
SNF Destinations
30.4%
FSHR (-5.2pp vs system)
35.5%
System FSHR Avg

Ascension St. Vincent Anderson discharged 80 FFS patients to 25 distinct SNF destinations over the analysis period. FSHR stands at 30.4%, -5.2pp vs system average. The leading post-acute destination is Bethany Pointe Health Campus (31 patients, 23.5% share). The hospital’s SNF network includes 7 facilityies with a “Very High” risk category.

The St. Vincent Anderson (Anderson) post-acute network illustrates the broader Ascension National pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at St. Vincent Anderson (Anderson)’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.

Top SNF Partners Pts Share FSHR Risk
Bethany Pointe Health Campus3123.5%29.6%High
Rawlins House Health & Living2922.0%27.5%High
Countryside Manor Health & Living2015.2%35.7%High
Alexandria Care Center<11Elevated
Aperion Care Marion<11Moderate
Ascension Seton Medical Center Harker Heights
Harker Heights, TX  ·  83 Beds  ·  Opportunity Score: 40
Near-Term Priority
78
FFS SNF Patients
21
SNF Destinations
45.6%
FSHR (+10.1pp vs system)
35.5%
System FSHR Avg

Ascension Seton Medical Center Harker Heights discharged 78 FFS patients to 21 distinct SNF destinations over the analysis period. FSHR stands at 45.6%, +10.1pp vs system average. The leading post-acute destination is Harker Heights Nursing & Rehabilitation (30 patients, 28.0% share). The hospital’s SNF network includes 10 facilityies with a “Very High” risk category.

The Seton Medical Center Harker Heights (Harker Heights) post-acute network illustrates the broader Ascension National pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at Seton Medical Center Harker Heights (Harker Heights)’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.

Top SNF Partners Pts Share FSHR Risk
Harker Heights Nursing & Rehabilitation3028.0%29.2%Elevated
Rosewood Heights3028.0%55.6%High
Avir At Killeen1816.8%56.3%High
Adventhealth Rollins Brook<11High
Avir At Adams<11Moderate
Ascension NE Wisconsin - St. Elizabeth Campus
Appleton, WI  ·  — Beds  ·  Opportunity Score: 39
Near-Term Priority
70
FFS SNF Patients
24
SNF Destinations
33.1%
FSHR (-2.4pp vs system)
35.5%
System FSHR Avg

Ascension NE Wisconsin - St. Elizabeth Campus discharged 70 FFS patients to 24 distinct SNF destinations over the analysis period. FSHR stands at 33.1%, -2.4pp vs system average. The leading post-acute destination is Rennes Health Center - Appleton (33 patients, 27.5% share). The hospital’s SNF network includes 7 facilityies with a “Very High” risk category.

The NE Wisconsin - St. Elizabeth Campus (Appleton) post-acute network illustrates the broader Ascension National pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at NE Wisconsin - St. Elizabeth Campus (Appleton)’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.

Top SNF Partners Pts Share FSHR Risk
Rennes Health Center - Appleton3327.5%18.1%Elevated
St Paul Elder Services, Inc2117.5%56.7%High
Brewster Village1613.3%High
Appleton Nursing And Rehab Llc<11Moderate
Ascension Calumet Hospital<11High
Ascension St. Vincent's St. Johns County
St. Johns, FL  ·  — Beds  ·  Opportunity Score: 39
Near-Term Priority
61
FFS SNF Patients
25
SNF Destinations
32.5%
FSHR (-3.0pp vs system)
35.5%
System FSHR Avg

Ascension St. Vincent's St. Johns County discharged 61 FFS patients to 25 distinct SNF destinations over the analysis period. FSHR stands at 32.5%, -3.0pp vs system average. The leading post-acute destination is Bartram Crossing (31 patients, 29.2% share). The hospital’s SNF network includes 12 facilityies with a “Very High” risk category.

The St. Vincent's St. Johns County (St. Johns) post-acute network illustrates the broader Ascension National pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at St. Vincent's St. Johns County (St. Johns)’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.

Top SNF Partners Pts Share FSHR Risk
Bartram Crossing3129.2%38.6%High
Dba Westminster St. Augustine3028.3%26.3%Elevated
Atrium Snf Operating Llc<11Moderate
Avante Villa At Jacksonville Beach, Inc.<11Moderate
Aviata At Green Cove Springs<11High
Dell Seton Medical Center at The University of Texas
Austin, TX  ·  210 Beds  ·  Opportunity Score: 38
Near-Term Priority
56
FFS SNF Patients
25
SNF Destinations
32.4%
FSHR (-3.1pp vs system)
35.5%
System FSHR Avg

Dell Seton Medical Center at The University of Texas discharged 56 FFS patients to 25 distinct SNF destinations over the analysis period. FSHR stands at 32.4%, -3.1pp vs system average. The leading post-acute destination is The Center At Parmer (19 patients, 9.0% share). The hospital’s SNF network includes 13 facilityies with a “Very High” risk category.

The Dell Seton Medical Center at The University of Texas (Austin) post-acute network illustrates the broader Ascension National pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at Dell Seton Medical Center at The University of Texas (Austin)’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.

Top SNF Partners Pts Share FSHR Risk
The Center At Parmer199.0%45.7%High
Brookdale Westlake Hills136.2%12.9%High
The Arbour At Westminster Manor136.2%Moderate
Riverside Nursing And Rehabilitation Center115.2%High
Austin Wellness & Rehabilitation<11Moderate
Ascension Saint Thomas Highlands
Sparta, TN  ·  26 Beds  ·  Opportunity Score: 38
Near-Term Priority
49
FFS SNF Patients
9
SNF Destinations
31.0%
FSHR (-4.5pp vs system)
35.5%
System FSHR Avg

Ascension Saint Thomas Highlands discharged 49 FFS patients to 9 distinct SNF destinations over the analysis period. FSHR stands at 31.0%, -4.5pp vs system average. The leading post-acute destination is Life Care Center Of Sparta (31 patients, 49.2% share). The hospital’s SNF network includes 4 facilityies with a “Very High” risk category.

The Saint Thomas Highlands (Sparta) post-acute network illustrates the broader Ascension National pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at Saint Thomas Highlands (Sparta)’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.

Top SNF Partners Pts Share FSHR Risk
Life Care Center Of Sparta3149.2%31.6%Elevated
Nhc Healthcare, Sparta1828.6%30.0%Elevated
Bethesda Health Care Center Llc<11Moderate
Life Care Center Of Crossville<11High
Mabry Health Care & Rehab Center<11High
Ascension Saint Thomas Three Rivers
Waverly, TN  ·  — Beds  ·  Opportunity Score: 24
Monitor
46
FFS SNF Patients
6
SNF Destinations
14.6%
FSHR (-21.0pp vs system)
35.5%
System FSHR Avg

Ascension Saint Thomas Three Rivers discharged 46 FFS patients to 6 distinct SNF destinations over the analysis period. FSHR stands at 14.6%, -21.0pp vs system average. The leading post-acute destination is Ascension Saint Thomas Three Rivers (32 patients, 80.0% share). The hospital’s SNF network includes 1 facilityy with a “Very High” risk category.

The Saint Thomas Three Rivers (Waverly) post-acute network illustrates the broader Ascension National pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at Saint Thomas Three Rivers (Waverly)’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.

Top SNF Partners Pts Share FSHR Risk
Ascension Saint Thomas Three Rivers3280.0%16.2%Elevated
Humphreys County Care And Rehabilitation1435.0%10.8%Elevated
Life Care Center Of Bruceton-Hollow Rock<11High
Nhc Healthcare-Dickson Llc<11Elevated
Perry County Nursing Home<11High
Ascension St. Vincent Williamsport
Williamsport, IN  ·  — Beds  ·  Opportunity Score: 28
Monitor
22
FFS SNF Patients
11
SNF Destinations
25.0%
FSHR (-10.5pp vs system)
35.5%
System FSHR Avg

Ascension St. Vincent Williamsport discharged 22 FFS patients to 11 distinct SNF destinations over the analysis period. FSHR stands at 25.0%, -10.5pp vs system average. The leading post-acute destination is Ascension St. Vincent Williamsport (22 patients, 62.9% share). The hospital’s SNF network includes 3 facilityies with a “Very High” risk category.

The St. Vincent Williamsport (Williamsport) post-acute network illustrates the broader Ascension National pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at St. Vincent Williamsport (Williamsport)’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.

Top SNF Partners Pts Share FSHR Risk
Ascension St. Vincent Williamsport2262.9%25.0%Elevated
Creasy Springs Health Campus<11High
Harbour Manor Health & Living<11Moderate
Heritage Healthcare<11Elevated
Rosewalk Village At Lafayette<11Moderate
Ascension Seton Northwest
Austin, TX  ·  124 Beds  ·  Opportunity Score: 37
Near-Term Priority
17
FFS SNF Patients
25
SNF Destinations
50.0%
FSHR (+14.5pp vs system)
35.5%
System FSHR Avg

Ascension Seton Northwest discharged 17 FFS patients to 25 distinct SNF destinations over the analysis period. FSHR stands at 50.0%, +14.5pp vs system average. The leading post-acute destination is The Center At Parmer (17 patients, 22.7% share). The hospital’s SNF network includes 7 facilityies with a “Very High” risk category.

The Seton Northwest (Austin) post-acute network illustrates the broader Ascension National pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at Seton Northwest (Austin)’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.

Top SNF Partners Pts Share FSHR Risk
The Center At Parmer1722.7%50.0%High
Austin Wellness & Rehabilitation<11High
Avir At Burnet<11High
Avir At Kingsland<11Elevated
Avir At Magnolia<11Moderate
Ascension Saint Thomas DeKalb
Smithville, TN  ·  18 Beds  ·  Opportunity Score: 25
Monitor
16
FFS SNF Patients
5
SNF Destinations
18.9%
FSHR (-16.6pp vs system)
35.5%
System FSHR Avg

Ascension Saint Thomas DeKalb discharged 16 FFS patients to 5 distinct SNF destinations over the analysis period. FSHR stands at 18.9%, -16.6pp vs system average. The leading post-acute destination is Nhc Healthcare, Smithville (16 patients, 76.2% share). The hospital’s SNF network includes 2 facilityies with a “Very High” risk category.

The Saint Thomas DeKalb (Smithville) post-acute network illustrates the broader Ascension National pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at Saint Thomas DeKalb (Smithville)’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.

Top SNF Partners Pts Share FSHR Risk
Nhc Healthcare, Smithville1676.2%18.9%Elevated
Life Care Center Of Sparta<11High
Nhc Healthcare-Mcminnville Llc<11Moderate
Signature Healthcare Of Putnam County<11High
Willow Branch Health And Rehabilitation<11High
Ascension St. John Nowata
Nowata, OK  ·  — Beds  ·  Opportunity Score: 23
Monitor
13
FFS SNF Patients
6
SNF Destinations
22.6%
FSHR (-12.9pp vs system)
35.5%
System FSHR Avg

Ascension St. John Nowata discharged 13 FFS patients to 6 distinct SNF destinations over the analysis period. FSHR stands at 22.6%, -12.9pp vs system average. The leading post-acute destination is Jane Phillips Nowata Health Center (13 patients, 72.2% share). The hospital’s SNF network includes 1 facilityy with a “Very High” risk category.

The St. John Nowata (Nowata) post-acute network illustrates the broader Ascension National pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at St. John Nowata (Nowata)’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.

Top SNF Partners Pts Share FSHR Risk
Jane Phillips Nowata Health Center1372.2%22.6%Elevated
Bartlesville Health & Rehab Community<11Moderate
El Reno Health Care, Llc<11High
Medicalodges Dewey<11Moderate
Nowata Nursing Center, Inc.<11Moderate
Ascension Seton Edgar B. Davis
Luling, TX  ·  25 Beds  ·  Opportunity Score: 32
Monitor
12
FFS SNF Patients
11
SNF Destinations
25.0%
FSHR (-10.5pp vs system)
35.5%
System FSHR Avg

Ascension Seton Edgar B. Davis discharged 12 FFS patients to 11 distinct SNF destinations over the analysis period. FSHR stands at 25.0%, -10.5pp vs system average. The leading post-acute destination is Ascension Seton Edgar B Davis (12 patients, 42.9% share). The hospital’s SNF network includes 8 facilityies with a “Very High” risk category.

The Seton Edgar B. Davis (Luling) post-acute network illustrates the broader Ascension National pattern: a small number of high-volume SNF relationships account for the top discharge share, while the remaining volume is distributed across a long tail of facilities that operate without systematic performance oversight. A preferred-network framework anchored at Seton Edgar B. Davis (Luling)’s highest-volume destinations — with embedded clinical presence at the most critical facilities — would immediately extend coordinated care management across the majority of this hospital’s post-acute volume.

Top SNF Partners Pts Share FSHR Risk
Ascension Seton Edgar B Davis1242.9%25.0%High
Avir At Luling<11High
Avir At Magnolia<11High
Bastrop Lost Pines Nursing And Rehabilitation Center<11High
Diversicare Of Luling<11High
Benchmark Note: Florida state SNF utilization avg 16.5% and Alabama state SNF utilization avg 10.8% from CMS Medicare FFS Claims are provided here for state-level context only and are excluded from the priority scoring and dashboard hospital tiles. Thirty-day readmission is not used as a primary metric in this portal (only referenced here and in the Methodology section for context); FSHR is the lead metric throughout. System FSHR avg 35.5% is the primary internal reference. Risk scores derived from facility risk category: Very Low=1.0, Low=2.0, Medium=3.0, High=4.0, Very High=5.0. FSHR = facility-specific hospitalization rate (proportion of SNF patients returning to any hospital during the skilled nursing stay).

168 SNFs Already Serve Multiple Ascension National Hospitals — Without Coordination

Of the 557 SNF destinations across the Ascension National network, 168 already serve two or more Ascension National hospitals simultaneously. These shared facilities are the structural backbone of any preferred-network strategy — existing relationships that can be elevated and formalized without requiring new partnerships to be built from scratch.

Top 12 of 168 Cross-System SNFs — Serving Multiple Ascension National Hospitals (FSHR shown)
SNF Name
FSHR
Hospitals Served
The Center At Parmer
47.6%
6 hospitals  ·  99 pts · Ascension Seton Williamson, Ascension Seton Austin, Ascension Seton Cedar Park, Ascension Seton Harker Heights +2
Bel Air At Teravista
34.3%
5 hospitals  ·  41 pts · Ascension Seton Williamson, Ascension Seton Austin, Ascension Seton Cedar Park, Dell Seton at The University of Texas +1
Riverside Post Acute
33.5%
4 hospitals  ·  109 pts · Ascension St. Vincent's Riverside, Ascension St. Vincent's Clay County, Ascension St. Vincent's Southside, Ascension St. Vincent's St. Johns County
Nhc Healthcare-Mcminnville Llc
38.7%
4 hospitals  ·  99 pts · Ascension Saint Thomas Rutherford, Ascension Saint Thomas River Park, Ascension Saint Thomas Highlands, Ascension Saint Thomas DeKalb
Bartram Crossing
32.8%
4 hospitals  ·  79 pts · Ascension St. Vincent's Riverside, Ascension St. Vincent's Clay County, Ascension St. Vincent's Southside, Ascension St. Vincent's St. Johns County
University Crossing
38.9%
4 hospitals  ·  69 pts · Ascension St. Vincent's Riverside, Ascension St. Vincent's Clay County, Ascension St. Vincent's Southside, Ascension St. Vincent's St. Johns County
Life Care Center Of Sparta
37.4%
4 hospitals  ·  59 pts · Ascension Saint Thomas Rutherford, Ascension Saint Thomas River Park, Ascension Saint Thomas Highlands, Ascension Saint Thomas DeKalb
The Springs Healthcare And Rehabilitation
44.5%
4 hospitals  ·  44 pts · Ascension Seton Williamson, Ascension Seton Austin, Ascension Seton Cedar Park, Ascension Seton Northwest
Life Care Center At Wells Crossing
39.4%
4 hospitals  ·  38 pts · Ascension St. Vincent's Riverside, Ascension St. Vincent's Clay County, Ascension St. Vincent's Southside, Ascension St. Vincent's St. Johns County
Ascension Living Lakeshore At Siena
40.6%
4 hospitals  ·  37 pts · Ascension Columbia St. Mary's Hospital - Milwaukee Campus, Ascension SE Wisconsin Hospital - St. Joseph Campus, Ascension All Saints Hospital - Spring Street Campus, Ascension SE Wisconsin Hospital - Elmbrook Campus
Brookdale Westlake Hills
32.5%
4 hospitals  ·  37 pts · Ascension Seton Austin, Ascension Seton Hays, Dell Seton at The University of Texas, Ascension Seton Northwest
Middleburg Rehabilitation And Nursing Center
38.8%
3 hospitals  ·  158 pts · Ascension St. Vincent's Riverside, Ascension St. Vincent's Clay County, Ascension St. Vincent's Southside

The Center At Parmer is among the most connected SNFs in the Ascension National network — serving 6 hospitals with 99 total patients. The other high-volume cross-system facilities represent the tier of shared relationships where a coordinated embedded clinical presence delivers immediate and demonstrable impact across multiple Ascension National hospitals simultaneously.

Of particular note are cross-system facilities with elevated FSHR: SNFs that already appear in multiple Ascension National discharge patterns are precisely the facilities where an embedded clinical presence and preferred-network performance standards create the accountability needed to drive measurable FSHR improvement across the system’s post-acute continuum.

The 168 cross-system facilities represent the natural starting cohort for a coordinated Ascension National preferred network. A structured engagement beginning with these shared partners would immediately extend coverage across the broadest reach of Ascension National hospitals and create the governance layer for performance tracking across the most consequential downstream relationships in the system.


63 Priority SNFs Across 7 State Markets

Ascension operates as a federation of state-level markets — Seton in Texas, St. Vincent in Indiana, Saint Thomas in Tennessee, Sacred Heart/St. Vincent’s in Florida, Wisconsin in Wisconsin, St. John in Oklahoma, Via Christi in Kansas. Each market has its own referral patterns, its own SNF partners, and its own weighted-average FSHR. Priority targets are therefore ranked within each state against the local weighted-average FSHR — not against the national blended number — so the top-priority SNF in each market is the one where a local Ascension operator can move the needle first.

Florida — Ascension Sacred Heart / St. Vincent's
7 hospitals · 2,275 SNF patients · State-market FSHR: 39.9%
Top 10 priority SNFs
SNF Name
FSHR
Volume · Hospitals
1. Santa Rosa Snf Operations Llc
95.2%
17 pts · 1 hosp (+55.3pp vs FL avg) · Sacred Heart Pensacola
2. Coral Bay At Pensacola Llc
77.6%
16 pts · 1 hosp (+37.7pp vs FL avg) · Sacred Heart Pensacola
3. Community Health And Rehabilitation Center
47.3%
78 pts · 1 hosp (+7.4pp vs FL avg) · Sacred Heart Bay
4. Life Care Center Of Pensacola
51.0%
49 pts · 1 hosp (+11.1pp vs FL avg) · Sacred Heart Pensacola
5. Bay Breeze Operating Investments Llc
61.2%
23 pts · 1 hosp (+21.3pp vs FL avg) · Sacred Heart Pensacola
6. Aviata At Emerald Shores
52.8%
33 pts · 1 hosp (+12.9pp vs FL avg) · Sacred Heart Bay
7. Woodland Grove Healthcare & Rehabilitation Center Llc
58.1%
19 pts · 2 hosps (+18.2pp vs FL avg) · St. Vincent's Southside, St. Vincent's St. Johns County
8. Aviata At Jacksonville
58.1%
15 pts · 2 hosps (+18.2pp vs FL avg) · St. Vincent's Riverside, St. Vincent's Southside
9. Fouraker Hills Rehab And Nursing Center
53.5%
18 pts · 2 hosps (+13.6pp vs FL avg) · St. Vincent's Riverside, St. Vincent's Clay County
10. Jax Fl Opco Llc
51.8%
19 pts · 2 hosps (+11.9pp vs FL avg) · St. Vincent's Southside, St. Vincent's St. Johns County
Tennessee — Ascension Saint Thomas
6 hospitals · 2,066 SNF patients · State-market FSHR: 34.2%
Top 10 priority SNFs
SNF Name
FSHR
Volume · Hospitals
1. Stones River Advanced Care Center
41.2%
130 pts · 2 hosps (+7.0pp vs TN avg) · Saint Thomas Rutherford, Saint Thomas River Park
2. Signature Healthcare Of Clarksville
68.1%
17 pts · 1 hosp (+33.9pp vs TN avg) · Saint Thomas Hospital West
3. Nashville Center For Rehabilitation And Healing Llc
46.7%
45 pts · 1 hosp (+12.5pp vs TN avg) · Saint Thomas Hospital West
4. Green Hills Center For Rehabilitation And Healing Llc
44.7%
44 pts · 1 hosp (+10.5pp vs TN avg) · Saint Thomas Hospital West
5. Nhc Healthcare-Mcminnville Llc
38.7%
99 pts · 4 hosps (+4.4pp vs TN avg) · Saint Thomas Rutherford, Saint Thomas River Park, Saint Thomas Highlands +1
6. Richland Place Inc
37.5%
102 pts · 1 hosp (+3.3pp vs TN avg) · Saint Thomas Hospital West
7. Willow Branch Health And Rehabilitation
38.9%
68 pts · 3 hosps (+4.7pp vs TN avg) · Saint Thomas Rutherford, Saint Thomas River Park, Saint Thomas DeKalb
8. Trevecca Center For Rehabilitation And Healing Llc
47.1%
22 pts · 1 hosp (+12.9pp vs TN avg) · Saint Thomas Hospital West
9. Life Care Center Of Sparta
37.4%
59 pts · 4 hosps (+3.2pp vs TN avg) · Saint Thomas Rutherford, Saint Thomas River Park, Saint Thomas Highlands +1
10. Nhc Healthcare, Tullahoma
38.8%
34 pts · 2 hosps (+4.6pp vs TN avg) · Saint Thomas Rutherford, Saint Thomas River Park
Indiana — Ascension St. Vincent
6 hospitals · 1,625 SNF patients · State-market FSHR: 30.9%
Top 10 priority SNFs
SNF Name
FSHR
Volume · Hospitals
1. Carmel Health & Living Community Llc
59.7%
31 pts · 2 hosps (+28.8pp vs IN avg) · St. Vincent Hospital - Indianapolis, St. Vincent Carmel
2. Brickyard Healthcare - Willow Springs Care Center
60.6%
13 pts · 1 hosp (+29.7pp vs IN avg) · St. Vincent Hospital - Indianapolis
3. Woodmont Health Campus
42.0%
31 pts · 1 hosp (+11.1pp vs IN avg) · St. Vincent Evansville
4. Bridgewater Healthcare Center
38.2%
46 pts · 2 hosps (+7.3pp vs IN avg) · St. Vincent Hospital - Indianapolis, St. Vincent Carmel
5. The Terrace At Solarbron
52.6%
15 pts · 1 hosp (+21.7pp vs IN avg) · St. Vincent Evansville
6. Waterford Place Health Campus
36.0%
63 pts · 1 hosp (+5.1pp vs IN avg) · St. Vincent Kokomo
7. Century Villa Health Care
44.1%
21 pts · 1 hosp (+13.2pp vs IN avg) · St. Vincent Kokomo
8. The Retreat At The Stratford
40.0%
26 pts · 2 hosps (+9.1pp vs IN avg) · St. Vincent Hospital - Indianapolis, St. Vincent Carmel
9. Riveroaks Health Campus
48.6%
12 pts · 1 hosp (+17.7pp vs IN avg) · St. Vincent Evansville
10. Wellbrooke Of Westfield
36.4%
35 pts · 3 hosps (+5.5pp vs IN avg) · St. Vincent Hospital - Indianapolis, St. Vincent Carmel, St. Vincent Anderson
Texas — Ascension Seton
9 hospitals · 901 SNF patients · State-market FSHR: 36.8%
Top 10 priority SNFs
SNF Name
FSHR
Volume · Hospitals
1. The Center At Parmer
47.6%
99 pts · 6 hosps (+10.8pp vs TX avg) · Seton Williamson, Seton Austin, Seton Cedar Park +3
2. Rosewood Heights
55.6%
30 pts · 1 hosp (+18.9pp vs TX avg) · Seton Harker Heights
3. Woodway Rehabilitation And Healthcare Center
57.8%
19 pts · 1 hosp (+21.1pp vs TX avg) · Providence Hospital
4. Avir At Killeen
56.3%
18 pts · 1 hosp (+19.6pp vs TX avg) · Seton Harker Heights
5. The Springs Healthcare And Rehabilitation
44.5%
44 pts · 4 hosps (+7.8pp vs TX avg) · Seton Williamson, Seton Austin, Seton Cedar Park +1
6. The Atrium Of Bellmead
49.1%
21 pts · 1 hosp (+12.4pp vs TX avg) · Providence Hospital
7. St. Anthony'S Care Center
44.9%
17 pts · 1 hosp (+8.2pp vs TX avg) · Providence Hospital
8. Cedar Pointe Health And Wellness Center
40.0%
34 pts · 2 hosps (+3.3pp vs TX avg) · Seton Williamson, Seton Cedar Park
9. Lakeshore Village Nursing And Rehabilitation.
39.6%
17 pts · 1 hosp (+2.9pp vs TX avg) · Providence Hospital
10. San Gabriel Rehabilitation And Care Center
37.7%
20 pts · 1 hosp (+1.0pp vs TX avg) · Seton Williamson
Wisconsin — Ascension Wisconsin
5 hospitals · 823 SNF patients · State-market FSHR: 34.0%
Top 9 priority SNFs
SNF Name
FSHR
Volume · Hospitals
1. Lincoln Park Nursing And Rehab
51.7%
29 pts · 1 hosp (+17.7pp vs WI avg) · All Saints Hospital - Spring Street Campus
2. Edenbrook Lakeside
51.4%
28 pts · 2 hosps (+17.4pp vs WI avg) · Columbia St. Mary's Hospital - Milwaukee Campus, SE Wisconsin Hospital - St. Joseph Campus
3. St Paul Elder Services, Inc
56.7%
21 pts · 1 hosp (+22.7pp vs WI avg) · NE Wisconsin - St. Elizabeth Campus
4. Milwaukee Catholic Home, Inc.
38.0%
80 pts · 2 hosps (+4.0pp vs WI avg) · Columbia St. Mary's Hospital - Milwaukee Campus, SE Wisconsin Hospital - St. Joseph Campus
5. Ascension Living Lakeshore At Siena
40.6%
37 pts · 4 hosps (+6.6pp vs WI avg) · Columbia St. Mary's Hospital - Milwaukee Campus, SE Wisconsin Hospital - St. Joseph Campus, All Saints Hospital - Spring Street Campus +1
6. Imr Oak Creek Opco, Llc
42.9%
16 pts · 4 hosps (+8.9pp vs WI avg) · Columbia St. Mary's Hospital - Milwaukee Campus, SE Wisconsin Hospital - St. Joseph Campus, All Saints Hospital - Spring Street Campus +1
7. Care-Age Of Brookfield
42.4%
12 pts · 1 hosp (+8.4pp vs WI avg) · SE Wisconsin Hospital - Elmbrook Campus
8. Complete Care At Ridgewood Llc
35.8%
44 pts · 1 hosp (+1.8pp vs WI avg) · All Saints Hospital - Spring Street Campus
9. Jewish Home And Care Center
35.4%
52 pts · 2 hosps (+1.4pp vs WI avg) · Columbia St. Mary's Hospital - Milwaukee Campus, SE Wisconsin Hospital - St. Joseph Campus
Oklahoma — Ascension St. John
3 hospitals · 676 SNF patients · State-market FSHR: 40.1%
Top 9 priority SNFs
SNF Name
FSHR
Volume · Hospitals
1. Ignite Medical Resort Bartlesville, Llc
44.6%
144 pts · 2 hosps (+4.5pp vs OK avg) · St. John, St. John Jane Phillips
2. North County Center For Nursing And Rehabilitation
62.5%
16 pts · 2 hosps (+22.4pp vs OK avg) · St. John, St. John Jane Phillips
3. St Simeons Episcopal Home Inc
46.5%
49 pts · 1 hosp (+6.4pp vs OK avg) · St. John
4. Heritage Villa Healthcare, Llc
45.4%
59 pts · 2 hosps (+5.3pp vs OK avg) · St. John, St. John Jane Phillips
5. The Highlands At Owasso
44.9%
20 pts · 1 hosp (+4.8pp vs OK avg) · St. John
6. The Gardens
44.4%
14 pts · 1 hosp (+4.3pp vs OK avg) · St. John
7. Baptist Village Of Owasso
41.9%
31 pts · 2 hosps (+1.8pp vs OK avg) · St. John, St. John Jane Phillips
8. Franciscan Villa Llc
42.3%
25 pts · 1 hosp (+2.2pp vs OK avg) · St. John
9. Cearu, Llc
40.7%
15 pts · 2 hosps (+0.6pp vs OK avg) · St. John, St. John Jane Phillips
Kansas — Ascension Via Christi
2 hospitals · 342 SNF patients · State-market FSHR: 28.3%
Top 5 priority SNFs
SNF Name
FSHR
Volume · Hospitals
1. Ascension Living Via Christi Village Ridge
31.3%
64 pts · 1 hosp (+3.0pp vs KS avg) · Via Christi St. Francis
2. Family Health And Rehabilitation Center Llc
32.9%
31 pts · 1 hosp (+4.6pp vs KS avg) · Via Christi St. Francis
3. Wamego Health Center And Wamego Family Clinic
33.3%
23 pts · 1 hosp (+5.0pp vs KS avg) · Via Christi Hospital in Manhattan
4. Stoneybrook Retirement Community
33.3%
20 pts · 1 hosp (+5.0pp vs KS avg) · Via Christi Hospital in Manhattan
5. Azw, Llc
33.3%
20 pts · 1 hosp (+5.0pp vs KS avg) · Via Christi St. Francis

Together the 63 priority targets span 7 state markets and cover relationships with the majority of Ascension’s active hospital portfolio. Each row is a SNF where the local Ascension market has real referral volume and the FSHR sits above that state’s own weighted-average — not a national list flattened across geographies. A market-by-market rollout, starting with the highest-scored SNF in each state, gives every regional Ascension operator a concrete first-move without waiting for a national program to stand up.

Ascension’s endorsement in each market opens those doors, and Puzzle’s embedded clinical model provides the sustained presence to drive FSHR improvement over time.


Where to Focus First

Every active Ascension National hospital is scored on a composite of discharge volume, destination breadth, FSHR elevation, and destination-level facility risk. The index surfaces relative priority — not a critique of any individual hospital’s care quality, but a guide to where systematic post-acute infrastructure delivers the greatest immediate return. FL state SNF utilization benchmark: 16.5% (FFS).

All Ascension National Hospitals — Ranked by Opportunity Score
Hospital Beds SNF Pts Dests FSHR % Score Priority
Ascension Sacred Heart Pensacola5478932541.8%59Immediate
Ascension Saint Thomas Rutherford3548972534.8%57Immediate
Ascension Sacred Heart Bay2023072541.9%57Immediate
Ascension St. John Medical Center5674852539.5%56Immediate
Ascension St. Vincent Evansville4722527.8%56Immediate
Ascension St. Vincent Hospital - Indianapolis7382532.3%54Near-Term
Ascension St. Vincent's Riverside5284182535.7%54Near-Term
Ascension Saint Thomas Hospital West6439352535.0%53Near-Term
Ascension Providence Hospital2782432537.4%50Near-Term
Ascension Sacred Heart Emerald Coast761972442.2%47Near-Term
Ascension St. Vincent's Clay County982062538.9%46Near-Term
Ascension Via Christi Hospital in Manhattan1952527.5%46Near-Term
Ascension St. John Jane Phillips Medical Center1141782542.8%46Near-Term
Ascension Columbia St. Mary's Hospital - Milwaukee Campus2522532.7%45Near-Term
Ascension SE Wisconsin Hospital - St. Joseph Campus2982522532.7%45Near-Term
Ascension St. Vincent Kokomo2022433.5%45Near-Term
Ascension SE Wisconsin Hospital - Elmbrook Campus1661212532.7%44Near-Term
Ascension St. Vincent's Southside3131932539.1%43Near-Term
Ascension Via Christi St. Francis4211472529.4%43Near-Term
Ascension All Saints Hospital - Spring Street Campus2221282140.4%41Near-Term
Ascension Seton Medical Center Hays1121022529.6%41Near-Term
Ascension Seton Williamson1811472535.7%40Near-Term
Ascension St. Vincent Anderson149802530.4%40Near-Term
Ascension Seton Medical Center Harker Heights83782145.6%40Near-Term
Ascension Saint Thomas River Park821231835.5%39Near-Term
Ascension St. Vincent Carmel1951112532.9%39Near-Term
Ascension NE Wisconsin - St. Elizabeth Campus702433.1%39Near-Term
Ascension St. Vincent's St. Johns County612532.5%39Near-Term
Ascension Seton Medical Center Austin3991402546.6%38Near-Term
Dell Seton Medical Center at The University of Texas210562532.4%38Near-Term
Ascension Saint Thomas Highlands2649931.0%38Near-Term
Ascension Seton Northwest124172550.0%37Near-Term
Ascension Seton Cedar Park1261061730.1%34Monitor
Ascension Seton Edgar B. Davis25121125.0%32Monitor
Ascension St. Vincent Williamsport221125.0%28Monitor
Ascension Saint Thomas DeKalb1816518.9%25Monitor
Ascension Saint Thomas Three Rivers46614.6%24Monitor
Ascension St. John Nowata13622.6%23Monitor
Ascension Saint Thomas Rutherford Stones River434No Data
Ascension St. Vincent Fishers20No Data
Ascension Calumet Hospital1No Data
Ascension NE Wisconsin - Mercy Campus14No Data
Ascension Sacred Heart Gulf198No Data
Ascension Saint Thomas Hickman4No Data
Ascension Seton Highland Lakes2510No Data
Ascension Seton Smithville Hospital253No Data
Ascension Seton Southwest283No Data
Ascension St. Francis Hospital27017No Data
Ascension St. John Broken Arrow6825No Data
Ascension St. John Owasso3612No Data
Ascension St. John Sapulpa256No Data
Ascension St. Vincent Randolph257No Data
Ascension St. Vincent Warrick3No Data
Opportunity Score: composite 0–100 (Volume 25 pts · Utilization vs. FL state avg 16.5% 20 pts · FSHR elevation 40 pts · Destination fragmentation 15 pts). Hospitals with no CMS Medicare FFS Claims data score —.

Ascension Sacred Heart Pensacola leads the opportunity ranking with a score of 59 — driven primarily by its FSHR elevation and the breadth of its SNF destination network. A high-volume hospital with elevated FSHR and a large, largely unmanaged SNF network is precisely where a preferred-network infrastructure delivers maximum return on clinical investment.

Ascension Saint Thomas Rutherford (57 score, Immediate) and other Near-Term hospitals represent the tier where FSHR elevation merits structured attention. Their geographic position across the Ascension National system means that a preferred-network framework anchored at the top hospitals naturally extends coverage to the Near-Term tier.


The OSF HealthCare Analogy: Introductions That Build a Network

Puzzle Healthcare’s engagement model is built around one core insight: the most effective way to improve post-acute outcomes at a health system is to establish an embedded presence inside the SNF network itself. That requires the health system’s endorsement to open the door. When OSF HealthCare did exactly that, it changed the economics of the entire engagement.

The OSF Precedent — 29% to 9%: When OSF HealthCare partnered with Puzzle Healthcare, the system introduced Puzzle to approximately 60 nursing homes across their post-acute network. Puzzle’s embedded physician-led care model drove SNF 30-day readmissions across the network from 29% to 9% — a 20-percentage-point reduction that translated directly into fewer avoidable admissions, better STAR performance, and stronger downstream referral loyalty. That single act of health-system introduction — OSF telling its downstream SNF partners that Puzzle had the system’s trust and support — opened relationships that would have taken years to build through conventional vendor outreach.

Puzzle’s current partner footprint: Ascension National would join a national footprint that includes OSF HealthCare, Corewell Health, and CommonSpirit Health, alongside 100+ additional health-system and ACO partners across post-acute markets nationally. Ascension National signals the priority; Puzzle owns the clinical execution.

Ascension National has 557 unique SNF destinations — a network of meaningful scale across seven-state national footprint. Ascension National’s 168 cross-system shared facilities represent the natural introductions cohort: SNFs that already know and trust multiple Ascension National hospitals, and where a coordinated Puzzle presence would have an immediate and demonstrable impact on FSHR performance. That is 168 introductions — many times the minimum needed to make the engagement economics work — before Puzzle has made a single cold call.

01
Preferred Network Design
Jointly identify the SNF partners — starting with the 168 cross-system facilities and 20 priority targets — that meet quality thresholds and are willing to formalize a partnership with Ascension National. Puzzle manages the relationship, tracks FSHR performance, and provides regular scorecards to Ascension National care management and population health teams across seven-state national footprint.
02
Embedded Clinical Presence
Puzzle places nurse practitioners and care managers inside preferred SNFs — not as outside consultants, but as embedded partners who round on Ascension National patients, flag early deterioration, and communicate directly with hospital care teams. This is the mechanism that drives FSHR improvement without requiring the SNF to restructure its own staffing model.
03
Real-Time Visibility Dashboard
Ascension National care management teams gain a unified view of post-acute performance across all 38 hospitals — FSHR rates by facility, length-of-stay trends, and destination-level risk scores — updated continuously. Aggregate seven-state CMS benchmarks (SNF utilization 16.5%) are embedded as the reference standard throughout the analysis and dashboard.
04
Systematic Outcome Improvement
The combination of preferred-network accountability, embedded presence, and real-time visibility drives measurable improvement in FSHR and average SNF length of stay. These outcomes are reportable to payers, CMS, and Ascension National leadership — and they compound over time as the preferred network matures across seven-state national footprint.

The engagement economics of Puzzle’s model require a minimum scale to be operationally viable: an embedded presence in a facility that receives only 8–10 patients per year cannot be sustained. Ascension National’s cross-system SNF concentration solves this elegantly. The top cross-system facilities collectively receive enough volume across multiple Ascension National hospitals to support a full embedded clinical program from day one — and their FSHR elevation makes the case for urgency clear.

The explicit ask mirrors the OSF model: Ascension National introduces Puzzle to its downstream SNF partners — particularly the 168 cross-system facilities where the relationship already exists — so that Puzzle can establish a coordinated presence across the network. With OSF, 60 such introductions built the foundation for a system-wide preferred network. Ascension National’s 168 cross-system facilities represent a comparable starting point, with a clear path to expanding across the full 557-destination network as the preferred-network framework matures.


Recommended Actions: From Analysis to Action

The following sequence is designed to move efficiently from this initial analysis to a working preferred-network engagement, with no disruption to existing care pathways during the design phase.

1
Discovery Conversation — Ascension National Leadership & Puzzle Healthcare
A structured 60-minute session to walk through this analysis together, validate the data findings against Ascension National’s ground-level experience, and identify which hospitals and SNF relationships are highest operational priority for Ascension National care management teams. Puzzle brings familiarity with the Florida SNF market and a clear view of the preferred-network design options that make sense at Ascension National’s scale.
2
High-Volume Hospital Anchor Deep-Dives
Dedicated working sessions with Bayonet Point, Brandon, and Largo discharge planning, case management, and population health stakeholders to validate the top-SNF data, surface any preferred-partner relationships already in place, and establish baseline FSHR performance metrics for a preferred-network framework. These hospitals account for the majority of Ascension National’s total post-acute volume and set the architecture for the broader system strategy.
3
Cross-System SNF Preferred Network Design
Using the 168 cross-system facilities and 20 priority targets as the foundation, Puzzle and Ascension National co-design the preferred network. Selection criteria include FSHR performance, geographic coverage, patient volume, and willingness to participate. Puzzle leads the SNF outreach and relationship management; Ascension National provides the health-system endorsement that makes participation in the preferred network valuable to SNF operators across seven-state national footprint.
4
Formal Introduction to the Ascension National SNF Network
Ascension National formally introduces Puzzle to the preferred-network SNF facilities — mirroring the OSF model where the health system’s endorsement opens doors that a vendor cold-call cannot. The cross-system facilities and priority targets are the natural first cohort, with the broader 557-destination network as the longer-term expansion target. Puzzle negotiates participation agreements, establishes embedded clinical presence schedules, and onboards each facility. Target: initial cohort live within 90 days of network finalization.
5
Quarterly Performance Reviews & FSHR Benchmarking
Standing quarterly reviews with Ascension National care management and population health leadership to present FSHR trends by facility and hospital, FSHR benchmarking against OH state averages and internal Ascension National averages, facility-level performance scorecards, and network expansion recommendations. These sessions serve as the governance layer that keeps the preferred network accountable over time — and provide Ascension National leadership with the data to demonstrate post-acute program impact to payers and internal stakeholders.

What Ascension National Has — and What Comes Next

Ascension National has built one of the country’s most expansive faith-based community hospital networks, spanning 53 hospitals across seven states nationally. 8,708 FFS patients, 557 SNF destinations, 38 active hospitals, and 168 facilities already embedded in multiple Ascension National care pathways simultaneously. That is not a system with a post-acute crisis. It is a system with a post-acute opportunity that has not yet been systematically activated.

Ascension National’s 38-hospital post-acute network currently operates as 38 largely independent discharge patterns, each sending patients to their own set of SNF destinations without shared FSHR standards, systematic accountability, or a unified visibility layer connecting Ascension National care teams to downstream SNF performance. The 20 priority SNF targets — facilities with FSHR rates significantly above the system average of 35.5% appearing across multiple Ascension National hospitals — represent the highest-urgency intervention points. But they are part of a larger structural story: 557 SNF destinations, most operating beyond the horizon of Ascension National’s systematic oversight.

The 168 cross-system SNFs — facilities that already serve multiple Ascension National hospitals and have demonstrated their relevance to the system’s post-acute continuum — are the proof of concept. These are not hypothetical preferred partners; they are already functioning as the de facto preferred network across seven-state national footprint. Puzzle’s role is to formalize it, extend it, and make FSHR performance systematically measurable and accountable.

The explicit ask: Introduce Puzzle to Ascension National’s downstream SNF partners — beginning with the 168 cross-system facilities and 20 priority targets that already serve multiple hospitals — so that Puzzle can establish a coordinated embedded presence across the network. When OSF HealthCare made that introduction across approximately 60 nursing homes, the result was a system-wide preferred-network program built on existing trust. Ascension National has the same structural foundation — at a scale that makes the opportunity commensurately significant for the seven-state national footprint.

We look forward to the conversation — and to what Ascension National’s post-acute program looks like with the visibility, FSHR accountability, and coordination infrastructure to match the system’s clinical ambition across seven-state national footprint.