The system-wide weighted average FSHR is 42.6%, but individual hospital performance ranges from 31.5% (Sarasota Doctors) to 57.0% (St. Petersburg). This 25.5 percentage point spread represents significant, actionable variation in post-acute network performance across HCA Florida West Florida Division that is not yet fully visible within the current care management infrastructure.

15 priority target SNFs serve 1,534 patients system-wide with above-average FSHR rates. The top target, Hawthorne Center For Rehabilitation & Healing Of Brandon, carries a 50.1% FSHR — 7.5 percentage points above the system average. These facilities represent the highest-leverage engagement opportunities for HCA Florida West Florida Division's post-acute network management program.

183 SNFs receive patients from 2 or more HCA Florida West Florida Division hospitals, creating system-level leverage for preferred network conversations. The highest-volume cross-system SNF, Oak Hill Health And Rehabilitation, serves 342 patients across 4 hospitals. Coordinated engagement at these facilities allows HCA Florida West Florida Division to move network-wide performance with a single partnership conversation.

HCA Florida West Florida Division's 16 active hospitals collectively discharge to 281 distinct SNF destinations. Many SNF relationships lack facility-level FSHR data due to CMS suppression thresholds for small-volume relationships. This limited visibility constrains HCA Florida West Florida Division's ability to systematically identify underperforming partners and build a high-performing preferred post-acute network. Structured SNF engagement and preferred network designation would create the monitoring infrastructure needed to close this gap.

Three HCA Florida West Florida Division sub-campuses fall below CMS Medicare FFS claims volume thresholds for this reporting period and have no FSHR-rated SNF relationships in the data. These are shared-license campuses grouped under shared CCNs/NPIs with their parent hospital (HCA Florida West Tampa Hospital shares CCN 100206 with South Tampa; HCA Florida Trinity West Hospital shares CCN 100191 with Trinity — operational status uncertain following signals of a 2023 closure; HCA Florida Largo West Hospital shares CCN 100248 with Largo). This is a legitimate low-FFS-volume claim pattern for shared-license sub-campuses — not a data gap. As HCA Florida West Florida Division's post-acute network management program matures, ensuring these sites are included in preferred network initiatives and tracked through internal data will be critical to comprehensive system performance management.