Henry Ford Health

Section 2 — Henry Ford Health System-Level Overview

13 Hospitals, One Shared Post-Acute Challenge

Henry Ford Health operates 13 acute-care hospitals across Michigan — the flagship academic medical center in Detroit, tertiary campuses in West Bloomfield and Jackson, community hospitals in Wyandotte, Macomb, Warren, Madison Heights, Novi, Southfield, Rochester, and East China, and the Ascension-legacy Genesys campus in Grand Blanc. Each hospital draws from a distinct patient population and sends patients to a partially overlapping, partially distinct set of SNF partners across Southeast Michigan.

Henry Ford Providence Novi Hospital

Novi, MI · 180 Beds · Oakland County / Novi, MI

FFS SNF Patients1,079

SNF Destinations122

FSHR44.6%

Ascension Michigan JV (closed October 1, 2024). 180-bed Oakland County hospital. Shares CCN 230019 with Providence Southfield — CMS Medicare FFS Claims aggregates both campuses under this NPI. Largest FFS SNF volume in the system (1,079 patients). FSHR 44.6%.

Henry Ford Macomb Hospital

Clinton Township, MI · 361 Beds · Macomb County / Clinton Twp, MI

FFS SNF Patients861

SNF Destinations68

FSHR35.5%

Native Henry Ford. Formerly St. Joseph's Mercy Macomb. 361 beds. Second-largest FFS SNF volume in the system (861 patients). FSHR 35.5%. Referral pattern anchored in Macomb County SNFs.

Henry Ford Warren Hospital

Warren, MI · 280 Beds · Macomb County / Warren, MI

FFS SNF Patients650

SNF Destinations71

FSHR48.3%

Ascension Michigan JV (closed October 1, 2024). 280-bed Macomb County hospital. Formerly Ascension Macomb-Oakland Warren. Elevated FSHR (48.3%) — sits in same SNF market as HF Macomb; obvious cross-hospital coordination opportunity.

Henry Ford Genesys Hospital

Grand Blanc, MI · 410 Beds · Genesee County / Grand Blanc, MI

FFS SNF Patients556

SNF Destinations53

FSHR35.8%

Ascension Michigan JV (closed October 1, 2024). 410-bed Genesee County hospital in Grand Blanc. FSHR 35.8% — lowest among former Ascension hospitals. Distinct SNF network centered in Genesee County.

Henry Ford Jackson Hospital

Jackson, MI · 475 Beds · Jackson County, MI

FFS SNF Patients537

SNF Destinations46

FSHR33.9%

Native Henry Ford. Formerly Allegiance Health, joined Henry Ford Health 2016. 475 beds. Lowest FSHR in the system (33.9%) — reference point for what disciplined post-acute management can achieve at Henry Ford scale.

Henry Ford St. John Hospital

Detroit, MI · 619 Beds · Detroit / East Side, MI

FFS SNF Patients534

SNF Destinations83

FSHR46.3%

Ascension Michigan JV (closed October 1, 2024). 619-bed east-side Detroit hospital. Elevated FSHR (46.3%) with fragmented destination set (83 SNFs). Post-acute referral patterns still stabilizing under Henry Ford integration.

Henry Ford Rochester Hospital

Rochester, MI · 290 Beds · Oakland County / Rochester, MI

FFS SNF Patients422

SNF Destinations42

FSHR38.3%

Ascension Michigan JV (closed October 1, 2024). 290-bed Oakland County hospital. FSHR 38.3%. Distinct Oakland North SNF network.

Henry Ford West Bloomfield Hospital

West Bloomfield, MI · 200 Beds · Oakland County / West Bloomfield, MI

FFS SNF Patients400

SNF Destinations66

FSHR47.9%

Native Henry Ford. 200-bed Oakland County community hospital. Elevated FSHR (47.9%) reflects concentrated referrals to a small set of Oakland/Macomb SNFs.

Henry Ford Wyandotte Hospital

Wyandotte, MI · 401 Beds · Wayne County / Downriver, MI

FFS SNF Patients350

SNF Destinations45

FSHR41.5%

Native Henry Ford. 401-bed Downriver community hospital. Serving Wayne County south of Detroit. FSHR 41.5% — sits close to system average, top destinations concentrated in Downriver corridor.

Henry Ford Hospital

Detroit, MI · 877 Beds · Detroit / Wayne County, MI

FFS SNF Patients228

SNF Destinations185

FSHR50.7%

Henry Ford flagship. 877-bed academic medical center in Detroit. Level I Trauma, highest destination breadth (185 SNFs) and highest peak FSHR in the system (50.7%). Native Henry Ford hospital (not part of Ascension JV).

Henry Ford Madison Heights Hospital

Madison Heights, MI · 180 Beds · Oakland County / Madison Heights, MI

FFS SNF Patients53

SNF Destinations33

FSHR41.6%

Ascension Michigan JV (closed October 1, 2024). 180-bed Oakland County hospital. Small FFS SNF volume (53 patients). FSHR 41.6%.

Henry Ford Providence Southfield Hospital

Southfield, MI · 408 Beds · Oakland County / Southfield, MI

FFS SNF PatientsNo data

SNF Destinations19

FSHR—

Ascension Michigan JV (closed October 1, 2024). 408-bed Oakland County hospital. Shares CCN 230019 with Providence Novi — SNF discharge volume is aggregated in the Novi entity above. No separately-attributable Medicare FFS Claims data at the campus level.

Henry Ford River District Hospital

East China, MI · 60 Beds · St. Clair County / East China, MI

FFS SNF PatientsNo data

SNF Destinations4

FSHR—

Ascension Michigan JV (closed October 1, 2024). 60-bed rural St. Clair County hospital in East China. Only 16 FFS SNF patients across 4 destinations, all below CMS <11 suppression threshold. Confirmed low-volume, not a data-integrity issue.

* Data Availability Note: Two of the 13 Henry Ford Health acute-care hospitals are acknowledged in the roster but excluded from unit-level SNF performance metrics: Providence Southfield shares CCN 230019 with Providence Novi, so combined Novi + Southfield discharge volume is reported under the Novi entity; River District (60-bed rural facility in East China) generates only 16 FFS SNF patients across four destinations, all below the CMS <11 small-cell suppression threshold. All system totals reflect the 11 hospitals with unit-attributable CMS Medicare FFS Claims data. All reported system totals (5,683 FFS patients, 270 SNF destinations) reflect only the 11 hospitals with active CMS Medicare FFS Claims data.

Henry Ford Health’s geographic span across Southeast Michigan and Jackson County represents both a strategic complexity and a significant opportunity. The system’s hospitals serve distinct regional communities — academic medicine in Detroit, tertiary and specialty care in West Bloomfield and Jackson, community access across Wayne and Macomb (Wyandotte, Macomb, Warren, St. John), suburban Oakland (Rochester, Novi, Southfield, Madison Heights, West Bloomfield), and the Ascension-legacy Genesys campus serving Genesee County. This diversity means that post-acute discharge patterns, local SNF networks, and FSHR drivers differ meaningfully across facilities. A coordinated preferred-network framework delivers the greatest operational value precisely in this kind of heterogeneous multi-hospital system: unified performance standards, embedded clinical presence, and real-time visibility that operates consistently across all 11 hospitals regardless of geography.

Section 3 — Network Concentration & Top SNF Partners

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

Henry Ford Providence Novi Hospital’s 122-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 11 hospitals and 270 SNF destinations — is the core visibility challenge at the heart of Henry Ford Health’s post-acute situation.

Henry Ford Providence Novi Hospital — Top SNF Partners by Volume (FSHR shown)

SNF Name

FSHR

Volume / Share

Wellbridge Of Novi

—

146 pts · 13.5% share

Novi Lakes Health Campus

—

123 pts · 11.4% share

Maple Manor Rehab Center Of Novi Inc.

—

118 pts · 10.9% share

Evergreen Health And Living Center

—

91 pts · 8.4% share

Caretel Inns Of Brighton

—

47 pts · 4.4% share

Marywood Nursing Care Center/Marybrook Manor

—

46 pts · 4.3% share

South Lyon Senior Care And Rehab Center, Llc

—

41 pts · 3.8% share

Oakland Nursing Center

—

38 pts · 3.5% share

HF Prov. Novi: top-SNF concentration not pre-computed — see individual rows above.

The concentration pattern at Henry Ford Providence Novi Hospital 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 HF Prov. Novi’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 11 Henry Ford hospitals and 270 total SNF destinations system-wide, that long tail represents hundreds of downstream facilities operating beyond the horizon of Henry Ford’s visibility. That is precisely the structural problem a unified preferred-network framework addresses — starting with the 30 cross-system facilities that already appear in multiple Henry Ford discharge networks simultaneously.

Section 4 — Hospital Performance vs. Benchmarks

Reading the FSHR Signals: Performance Across 11 Henry Ford Hospitals

Michigan state SNF utilization benchmark: 20.1% (FFS). The system-wide FSHR of 41.5% serves as the primary internal reference point for identifying hospitals with elevated return-to-hospital rates and high-impact intervention opportunities.

Henry Ford Providence Novi Hospital

Novi, MI · 180 Beds · Opportunity Score: 68

Immediate Priority

1,079

FFS SNF Patients

122

SNF Destinations

44.6%

FSHR (+3.1pp vs system)

41.5%

System FSHR Avg

Henry Ford Providence Novi Hospital discharged 1,079 FFS patients to 122 distinct SNF destinations over the analysis period. FSHR stands at 44.6%, +3.1pp vs system average. The leading post-acute destination is Wellbridge Of Novi (146 patients, 13.5% share). The hospital’s SNF network includes 71 facilityies with a “Very High” risk category.

The HF Prov. Novi post-acute network illustrates the broader Henry Ford 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 HF Prov. Novi’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
Wellbridge Of Novi	146	13.5%	41.0%	High
Novi Lakes Health Campus	123	11.4%	44.1%	High
Maple Manor Rehab Center Of Novi Inc.	118	10.9%	47.8%	High
Evergreen Health And Living Center	91	8.4%	39.4%	High
Caretel Inns Of Brighton	47	4.4%	39.8%	High

Henry Ford Macomb Hospital

Clinton Township, MI · 361 Beds · Opportunity Score: 64

Immediate Priority

861

FFS SNF Patients

SNF Destinations

35.5%

FSHR (-6.0pp vs system)

41.5%

System FSHR Avg

Henry Ford Macomb Hospital discharged 861 FFS patients to 68 distinct SNF destinations over the analysis period. FSHR stands at 35.5%, -6.0pp vs system average. The leading post-acute destination is Shelby Crossing Health Campus (177 patients, 20.6% share). The hospital’s SNF network includes 36 facilityies with a “Very High” risk category.

The HF Macomb post-acute network illustrates the broader Henry Ford 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 HF Macomb’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
Shelby Crossing Health Campus	177	20.6%	30.7%	High
Shelby Health And Rehabilitation Center, Llc	97	11.3%	39.9%	High
Fraser Villa	90	10.5%	37.8%	High
Optalis Sterling Heights Opco Llc	86	10.0%	35.5%	High
Regency At Shelby Township	70	8.1%	37.5%	High

Henry Ford Warren Hospital

Warren, MI · 280 Beds · Opportunity Score: 67

Immediate Priority

650

FFS SNF Patients

SNF Destinations

48.3%

FSHR (+6.8pp vs system)

41.5%

System FSHR Avg

Henry Ford Warren Hospital discharged 650 FFS patients to 71 distinct SNF destinations over the analysis period. FSHR stands at 48.3%, +6.8pp vs system average. The leading post-acute destination is Cherrywood Nursing & Living Center (96 patients, 14.8% share). The hospital’s SNF network includes 32 facilityies with a “Very High” risk category.

The HF Warren post-acute network illustrates the broader Henry Ford 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 HF Warren’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
Cherrywood Nursing & Living Center	96	14.8%	61.2%	High
Fraser Villa	86	13.2%	33.0%	High
Warren Mi Opco Llc	66	10.2%	42.9%	High
St Anthony Healthcare Center	47	7.2%	40.4%	High
Autumn Woods Residential Health Care Facility Llc	44	6.8%	64.3%	High

Henry Ford Genesys Hospital

Grand Blanc, MI · 410 Beds · Opportunity Score: 66

Immediate Priority

556

FFS SNF Patients

SNF Destinations

35.8%

FSHR (-5.7pp vs system)

41.5%

System FSHR Avg

Henry Ford Genesys Hospital discharged 556 FFS patients to 53 distinct SNF destinations over the analysis period. FSHR stands at 35.8%, -5.7pp vs system average. The leading post-acute destination is Grand Blanc Care Center, Llc (130 patients, 23.4% share). The hospital’s SNF network includes 18 facilityies with a “Very High” risk category.

The HF Genesys post-acute network illustrates the broader Henry Ford 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 HF Genesys’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 Blanc Care Center, Llc	130	23.4%	35.0%	High
Wellbridge Of Grand Blanc	108	19.4%	30.5%	High
The Oaks At Woodfield	82	14.7%	28.1%	Elevated
Wellbridge Of Fenton, Llc	52	9.4%	45.0%	High
Caretel Inns Of Linden	40	7.2%	35.4%	High

Henry Ford Jackson Hospital

Jackson, MI · 475 Beds · Opportunity Score: 66

Immediate Priority

537

FFS SNF Patients

SNF Destinations

33.9%

FSHR (-7.6pp vs system)

41.5%

System FSHR Avg

Henry Ford Jackson Hospital discharged 537 FFS patients to 46 distinct SNF destinations over the analysis period. FSHR stands at 33.9%, -7.6pp vs system average. The leading post-acute destination is Jackson County Medical Care Facility (126 patients, 23.5% share). The hospital’s SNF network includes 21 facilityies with a “Very High” risk category.

The HF Jackson post-acute network illustrates the broader Henry Ford 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 HF Jackson’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
Jackson County Medical Care Facility	126	23.5%	25.0%	High
Vista Grande Villa	125	23.3%	30.0%	High
Cascade Senior Care Center Llc	88	16.4%	40.9%	High
Arbor Manor Rehabilitation & Nursing Center	59	11.0%	31.1%	High
Intersect Healthcare Of Jackson	53	9.9%	32.4%	High

Henry Ford St. John Hospital

Detroit, MI · 619 Beds · Opportunity Score: 70

Immediate Priority

534

FFS SNF Patients

SNF Destinations

46.3%

FSHR (+4.8pp vs system)

41.5%

System FSHR Avg

Henry Ford St. John Hospital discharged 534 FFS patients to 83 distinct SNF destinations over the analysis period. FSHR stands at 46.3%, +4.8pp vs system average. The leading post-acute destination is Shorepointe Nursing Center (124 patients, 23.2% share). The hospital’s SNF network includes 49 facilityies with a “Very High” risk category.

The HF St. John post-acute network illustrates the broader Henry Ford 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 HF St. John’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
Shorepointe Nursing Center	124	23.2%	41.0%	High
Regency At St. Clair Shores	81	15.2%	57.5%	High
Ccla 6 Llc	78	14.6%	45.4%	High
Optalis Grosse Pointe Opco Llc	60	11.2%	44.3%	High
Fraser Villa	42	7.9%	40.7%	High

Henry Ford Rochester Hospital

Rochester, MI · 290 Beds · Opportunity Score: 61

Immediate Priority

422

FFS SNF Patients

SNF Destinations

38.3%

FSHR (-3.2pp vs system)

41.5%

System FSHR Avg

Henry Ford Rochester Hospital discharged 422 FFS patients to 42 distinct SNF destinations over the analysis period. FSHR stands at 38.3%, -3.2pp vs system average. The leading post-acute destination is Wellbridge Of Rochester, Llc (115 patients, 27.3% share). The hospital’s SNF network includes 18 facilityies with a “Very High” risk category.

The HF Rochester post-acute network illustrates the broader Henry Ford 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 HF Rochester’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
Wellbridge Of Rochester, Llc	115	27.3%	37.6%	High
Bellbrook	70	16.6%	29.7%	High
Lake Orion Nursing Center Corporation	56	13.3%	37.6%	High
South Hills, Llc	49	11.6%	39.8%	High
Optalis Troy Opco Llc	35	8.3%	46.0%	High

Henry Ford West Bloomfield Hospital

West Bloomfield, MI · 200 Beds · Opportunity Score: 68

Immediate Priority

400

FFS SNF Patients

SNF Destinations

47.9%

FSHR (+6.4pp vs system)

41.5%

System FSHR Avg

Henry Ford West Bloomfield Hospital discharged 400 FFS patients to 66 distinct SNF destinations over the analysis period. FSHR stands at 47.9%, +6.4pp vs system average. The leading post-acute destination is West Bloomfield Health And Rehabilitation Center (146 patients, 36.5% share). The hospital’s SNF network includes 29 facilityies with a “Very High” risk category.

The HF West Bloomfield post-acute network illustrates the broader Henry Ford 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 HF West Bloomfield’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
West Bloomfield Health And Rehabilitation Center	146	36.5%	47.8%	High
Marvin & Betty Danto Health Care Center	52	13.0%	48.1%	High
Maple Manor Rehab Center Of Novi Inc.	38	9.5%	49.1%	High
Novi Lakes Health Campus	33	8.2%	52.9%	High
Westlake Health Campus	32	8.0%	42.3%	High

Henry Ford Wyandotte Hospital

Wyandotte, MI · 401 Beds · Opportunity Score: 62

Immediate Priority

350

FFS SNF Patients

SNF Destinations

41.5%

FSHR (+0.0pp vs system)

41.5%

System FSHR Avg

Henry Ford Wyandotte Hospital discharged 350 FFS patients to 45 distinct SNF destinations over the analysis period. FSHR stands at 41.5%, +0.0pp vs system average. The leading post-acute destination is Rivergate Terrace (80 patients, 22.9% share). The hospital’s SNF network includes 19 facilityies with a “Very High” risk category.

The HF Wyandotte post-acute network illustrates the broader Henry Ford 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 HF Wyandotte’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
Rivergate Terrace	80	22.9%	44.5%	High
Belle Fountain Nursing & Rehabiliation Center Inc	70	20.0%	38.1%	High
Aerius Health Center	64	18.3%	34.7%	High
Rivergate Health Care Center	55	15.7%	44.6%	High
Applewood Nursing Center Inc	23	6.6%	47.1%	High

Henry Ford Hospital

Detroit, MI · 877 Beds · Opportunity Score: 58

Immediate Priority

228

FFS SNF Patients

185

SNF Destinations

50.7%

FSHR (+9.2pp vs system)

41.5%

System FSHR Avg

Henry Ford Hospital discharged 228 FFS patients to 185 distinct SNF destinations over the analysis period. FSHR stands at 50.7%, +9.2pp vs system average. The leading post-acute destination is Hartford Nursing & Rehab Center (41 patients, 18.0% share). The hospital’s SNF network includes 81 facilityies with a “Very High” risk category.

The HF Detroit post-acute network illustrates the broader Henry Ford 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 HF Detroit’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
Hartford Nursing & Rehab Center	41	18.0%	58.1%	High
Allegria Village	28	12.3%	43.3%	High
Fairlane Senior Care And Rehab Center, Llc	19	8.3%	49.1%	High
Ccla 6 Llc	19	8.3%	47.4%	High
Fountain Bleu Health And Rehabilitation Center Inc	16	7.0%	—	High

Henry Ford Madison Heights Hospital

Madison Heights, MI · 180 Beds · Opportunity Score: 53

Near-Term Priority

FFS SNF Patients

SNF Destinations

41.6%

FSHR (+0.1pp vs system)

41.5%

System FSHR Avg

Henry Ford Madison Heights Hospital discharged 53 FFS patients to 33 distinct SNF destinations over the analysis period. FSHR stands at 41.6%, +0.1pp vs system average. The leading post-acute destination is Cherrywood Nursing & Living Center (29 patients, 54.7% share). The hospital’s SNF network includes 15 facilityies with a “Very High” risk category.

The HF Madison Heights post-acute network illustrates the broader Henry Ford 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 HF Madison 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
Cherrywood Nursing & Living Center	29	54.7%	43.2%	High
St Anthony Healthcare Center	24	45.3%	39.7%	High
Optalis Sterling Heights Opco Llc	<11	—	—	Moderate
Evergreen Health And Living Center	<11	—	—	High
Shelby Health And Rehabilitation Center, Llc	<11	—	—	High

Benchmark Note: Michigan state SNF utilization avg 20.1% and 30-day readmission avg 15.3% from CMS Medicare FFS data. System FSHR avg 41.5% used as internal reference. 30-day readmission rates are computed from weighted SNF-level data, FFS 2024 Q1 – 2025 Q4 (FFS). 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).

Section 5 — Shared SNF Network: Cross-System Analysis

30 SNFs Already Serve Multiple Henry Ford Hospitals — Without Coordination

Of the 270 SNF destinations across the Henry Ford network, 30 already serve two or more Henry Ford 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 30 Cross-System SNFs — Serving Multiple Henry Ford Hospitals (FSHR shown)

SNF Name

FSHR

Hospitals Served

Fraser Villa

36.5%

4 hospitals · 232 pts · detroit, macomb, st_john, warren

Cherrywood Nursing & Living Center

52.7%

4 hospitals · 185 pts · macomb, madison_heights, st_john, warren

Shelby Crossing Health Campus

30.7%

3 hospitals · 202 pts · macomb, rochester, warren

West Bloomfield Health And Rehabilitation Center

48.4%

3 hospitals · 195 pts · detroit, novi, west_bloomfield

Optalis Sterling Heights Opco Llc

38.8%

3 hospitals · 150 pts · macomb, st_john, warren

Ccla 6 Llc

47.0%

3 hospitals · 118 pts · detroit, st_john, warren

Novi Lakes Health Campus

46.0%

2 hospitals · 156 pts · novi, west_bloomfield

Maple Manor Rehab Center Of Novi Inc.

48.1%

2 hospitals · 156 pts · novi, west_bloomfield

Shorepointe Nursing Center

40.1%

2 hospitals · 154 pts · st_john, warren

Shelby Health And Rehabilitation Center, Llc

40.1%

2 hospitals · 135 pts · macomb, warren

Wellbridge Of Rochester, Llc

37.8%

2 hospitals · 130 pts · macomb, rochester

Regency At St. Clair Shores

56.6%

2 hospitals · 101 pts · st_john, warren

Fraser Villa is among the most connected SNFs in the Henry Ford Health network — serving 4 hospitals with 232 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 Henry Ford hospitals simultaneously.

Of particular note are cross-system facilities with elevated FSHR: SNFs that already appear in multiple Henry Ford 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 30 cross-system facilities represent the natural starting cohort for a coordinated Henry Ford preferred network. A structured engagement beginning with these shared partners would immediately extend coverage across the broadest reach of Henry Ford hospitals and create the governance layer for performance tracking across the most consequential downstream relationships in the system.

Section 5b — Priority Intervention Targets

15 High-Impact SNF Facilities for Immediate Engagement

The priority target analysis identifies SNFs with elevated FSHR rates, meaningful patient volume, and cross-hospital presence across the Henry Ford system. These facilities represent the intersection of high clinical risk and strategic leverage: where an embedded Puzzle clinical presence would deliver immediate impact across multiple Henry Ford hospitals simultaneously.

Priority SNF Targets — Ranked by Priority Score (FSHR shown)

SNF Name

FSHR

Volume · Hospitals

1. Medilodge Of Shoreline

70.8%

19 pts · 1 hosp ·

2. Medilodge Of Sterling Heights

65.9%

32 pts · 1 hosp ·

3. Autumn Woods Residential Health Care Facility Llc

64.3%

44 pts · 1 hosp ·

4. Medilodge Of Southfield

62.5%

24 pts · 1 hosp ·

5. Regency Heights-Detroit

61.3%

16 pts · 1 hosp ·

6. Hartford Nursing & Rehab Center

59.9%

62 pts · 2 hosps ·

7. Harper Woods Mi Opco Llc

59.5%

28 pts · 1 hosp ·

8. Father Murray Nursing And Rehabilitation Centre

59.4%

47 pts · 2 hosps ·

9. Lahser Hills Care Centre

58.0%

36 pts · 1 hosp ·

10. Fenton Healthcare

57.7%

24 pts · 1 hosp ·

11. Faith Haven Senior Care Centre, Llc

56.8%

31 pts · 1 hosp ·

12. Regency At St. Clair Shores

56.6%

101 pts · 2 hosps ·

13. Medilodge Of Grand Blanc

55.9%

15 pts · 1 hosp ·

14. Illuminate Hc West Bloomfield

55.6%

51 pts · 2 hosps ·

15. Southgate Mi Opco Llc

55.6%

17 pts · 1 hosp ·

Medilodge Of Shoreline leads the priority target list with a priority score of 0.0 — an FSHR of 70.8% across 1 Henry Ford hospital and 19 patients. The FSHR elevation at this facility — — above the system average — represents the type of high-volume, high-FSHR, multi-hospital relationship where an embedded Puzzle clinical presence delivers immediate and measurable return.

Together, the 15 priority targets cover relationships across the majority of Henry Ford’s active hospital portfolio. A coordinated engagement beginning with these facilities would immediately extend Puzzle’s embedded presence into the highest-risk corner of Henry Ford Health’s post-acute network — without requiring a facility-by-facility cold-call campaign. Henry Ford’s endorsement opens those doors, and Puzzle’s embedded clinical model provides the sustained presence to drive FSHR improvement over time.

Section 6 — Opportunity Index: All Henry Ford Hospitals

Where to Focus First

Every active Henry Ford 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. Michigan state SNF utilization benchmark: 20.1% (FFS).

All Henry Ford Hospitals — Ranked by Opportunity Score

Hospital	Beds	SNF Pts	Dests	FSHR %	Score	Priority
Henry Ford St. John Hospital	619	534	83	46.3%	70	Immediate
Henry Ford West Bloomfield Hospital	200	400	66	47.9%	68	Immediate
Henry Ford Providence Novi Hospital	180	1,079	122	44.6%	68	Immediate
Henry Ford Warren Hospital	280	650	71	48.3%	67	Immediate
Henry Ford Jackson Hospital	475	537	46	33.9%	66	Immediate
Henry Ford Genesys Hospital	410	556	53	35.8%	66	Immediate
Henry Ford Macomb Hospital	361	861	68	35.5%	64	Immediate
Henry Ford Wyandotte Hospital	401	350	45	41.5%	62	Immediate
Henry Ford Rochester Hospital	290	422	42	38.3%	61	Immediate
Henry Ford Hospital	877	228	185	50.7%	58	Immediate
Henry Ford Madison Heights Hospital	180	53	33	41.6%	53	Near-Term
Henry Ford Providence Southfield Hospital	408	—	19	—	—	No Data
Henry Ford River District Hospital	60	—	4	—	—	No Data

Opportunity Score: composite 0–100 (Volume 25 pts · Utilization vs. Michigan state avg 20.1% 20 pts · FSHR elevation 40 pts · Destination fragmentation 15 pts). Hospitals with no CMS Medicare FFS Claims data score —.

Henry Ford St. John Hospital leads the opportunity ranking with a score of 70 — 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.

Henry Ford West Bloomfield Hospital (68 score, Immediate) and other Near-Term hospitals represent the tier where FSHR elevation merits structured attention. Their geographic position across the Henry Ford system means that a preferred-network framework anchored at the top hospitals naturally extends coverage to the Near-Term tier.

Section 7 — How Puzzle Works: Methodology & Approach

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: When OSF HealthCare partnered with Puzzle Healthcare, the system introduced Puzzle to approximately 60 nursing homes across their post-acute network. That single act of introduction — OSF telling its downstream SNF partners that Puzzle had the health system’s trust and support — opened relationships that would have taken years to build through conventional vendor outreach. The embedded clinical presence that followed enabled real-time visibility, coordinated care management, and measurable FSHR improvement across all 60 facilities simultaneously.

Henry Ford Health has 270 unique SNF destinations — a network of meaningful scale across Michigan. Henry Ford’s 30 cross-system shared facilities represent the natural introductions cohort: SNFs that already know and trust multiple Henry Ford hospitals, and where a coordinated Puzzle presence would have an immediate and demonstrable impact on FSHR performance. That is 30 introductions — many times the minimum needed to make the engagement economics work — before Puzzle has made a single cold call.

Preferred Network Design

Jointly identify the SNF partners — starting with the 30 cross-system facilities and 15 priority targets — that meet quality thresholds and are willing to formalize a partnership with Henry Ford. Puzzle manages the relationship, tracks FSHR performance, and provides regular scorecards to Henry Ford care management and population health teams across Michigan.

Embedded Clinical Presence

Puzzle places nurse practitioners and care managers inside preferred SNFs — not as outside consultants, but as embedded partners who round on Henry Ford 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.

Real-Time Visibility Dashboard

Henry Ford care management teams gain a unified view of post-acute performance across all 11 hospitals — FSHR rates by facility, length-of-stay trends, and destination-level risk scores — updated continuously. Michigan CMS benchmarks (SNF utilization 20.1%) are embedded as the reference standard throughout the analysis and dashboard.

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 Henry Ford leadership — and they compound over time as the preferred network matures across Michigan.

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. Henry Ford’s cross-system SNF concentration solves this elegantly. The top cross-system facilities collectively receive enough volume across multiple Henry Ford 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: Henry Ford introduces Puzzle to its downstream SNF partners — particularly the 30 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. Henry Ford’s 30 cross-system facilities represent a comparable starting point, with a clear path to expanding across the full 270-destination network as the preferred-network framework matures.

Section 8 — Recommended Next Steps

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.

Discovery Conversation — Henry Ford Leadership & Puzzle Healthcare

A structured 60-minute session to walk through this analysis together, validate the data findings against Henry Ford’s ground-level experience, and identify which hospitals and SNF relationships are highest operational priority for Henry Ford care management teams. Puzzle brings familiarity with the Michigan SNF market and a clear view of the preferred-network design options that make sense at Henry Ford’s scale.

High-Volume Hospital Anchor Deep-Dives

Dedicated working sessions with HF Detroit, HF Jackson, and HF West Bloomfield 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 three flagship hospitals account for a meaningful share of Henry Ford’s total post-acute volume and set the architecture for the broader system strategy across the Ascension-legacy campuses.

Cross-System SNF Preferred Network Design

Using the 30 cross-system facilities and 15 priority targets as the foundation, Puzzle and Henry Ford 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; Henry Ford provides the health-system endorsement that makes participation in the preferred network valuable to SNF operators across Michigan.

Formal Introduction to the Henry Ford SNF Network

Henry Ford 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 270-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.

Quarterly Performance Reviews & FSHR Benchmarking

Standing quarterly reviews with Henry Ford care management and population health leadership to present FSHR trends by facility and hospital, FSHR benchmarking against Michigan state averages and internal Henry Ford 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 Henry Ford leadership with the data to demonstrate post-acute program impact to payers and internal stakeholders.

Closing Note

What Henry Ford Health Has — and What Comes Next

Henry Ford Health has built Michigan’s most expansive academic health system, spanning 13 hospitals from the flagship academic medical center in Detroit to community hospitals in every major region of the state. 5,683 FFS patients, 270 SNF destinations, 11 active hospitals, and 30 facilities already embedded in multiple Henry Ford 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.

Henry Ford’s 11-hospital post-acute network currently operates as 11 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 Henry Ford care teams to downstream SNF performance. The 15 priority SNF targets — facilities with FSHR rates significantly above the system average of 41.5% appearing across multiple Henry Ford hospitals — represent the highest-urgency intervention points. But they are part of a larger structural story: 270 SNF destinations, most operating beyond the horizon of Henry Ford’s systematic oversight.

The 30 cross-system SNFs — facilities that already serve multiple Henry Ford 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 Michigan. Puzzle’s role is to formalize it, extend it, and make FSHR performance systematically measurable and accountable.

The explicit ask: Introduce Puzzle to Henry Ford’s downstream SNF partners — beginning with the 30 cross-system facilities and 15 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. Henry Ford has the same structural foundation — at a scale that makes the opportunity commensurately significant for Michigan’s leading health system.

We look forward to the conversation — and to what Henry Ford Health’s post-acute program looks like with the visibility, FSHR accountability, and coordination infrastructure to match the system’s clinical ambition across Michigan.

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

13 Hospitals, One Shared Post-Acute Challenge

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

Reading the FSHR Signals: Performance Across 11 Henry Ford Hospitals

30 SNFs Already Serve Multiple Henry Ford Hospitals — Without Coordination

15 High-Impact SNF Facilities for Immediate Engagement

Where to Focus First

The OSF HealthCare Analogy: Introductions That Build a Network

Recommended Actions: From Analysis to Action

What Henry Ford Health Has — and What Comes Next