Public Reporting


ACO Name and Location

Broward Guardian, LLC
3109 Stirling Road, Suite 101
Hollywood, Florida 33312

ACO Primary Contact

Monica Puga
mpuga@mhs.net
954-276-5334

Organizational information

ACO Participants ACO Participant in Joint Venture
Bahta and Associates, Inc. N
Beth and Howard Braver, MD, PA N
Calzada Primary Care, PA 
Cardiac & Veinworx, LLC N
Comprehensive Cardiology Consultants, LLC N
Comprehensive Health & Wellness Center, PA N
Dov S. Linzer, MD, LLC N
Dr. Harry Pepe and Associates, Inc. N
Durairaj Venkatasamy, MD PA N
Emilio Pando, MD, PA N
Evergreen Medical Center, PA N
Family Medical Center of Hollywood, PA N
Family Practice of Davie, Inc. N
Healthstone Primary Care Partners, LLC N
Hector Fabregas, MD, PA N
Hernando Giraldo, MD, Inc. N
Howard M. Graubard, MD, PA N
Internal Medicine Specialty Associates, PA N
Jeffrey Rothstein, DO, PA N
Joshua Z. Steiner, DO, PA N
Juan Carlos Rondon, MD, PA N
Leonard J. Hoenig, MD, PA N
Leslie Shawn, DO, PA N
Medical Offices of Scott B. Halperin, MD, PA N
Prangnuan Durand, DO, PA N
Reyes & Reyes, PA N
Spiller Heart Institute, LLC 
Saad Mirza, MD, PA N
Safecare Medical Center, Inc. N
South Broward Hospital District N
Steven R. Linzer, DO, PA N
Total Healthcare of South Florida, Inc. N
Vivian Bilasano, MD, LLC 
Van Buren Medical Center, Inc. N
Wayne H. Case, MD, PA N
Wayne N. Evancho, DO, PA N
West-Ky Abrams, DO, PA N
Zoraida Rivera-Hidalgo, MD, PA N

ACO Governing Body

Member Membership Type ACO Participant TIN Legal Business Name/DBA, if Applicable
Last Name First Name Title/Position
Oxenhandler, MD Scott Board Chair Voting Member ACO Participant Representative – South Broward Hospital District
Beaufort, MD Je-Anne Board Member Voting Member ACO Participant Representative – South Broward Hospital District
Case-Diaz, MD  Cheryl  Board Member  Voting Member  ACO Participant Representative – Wayne H. Case, MD, PA
Chiapone, MD Ting  Board Member  Voting Member  ACO Participant Representative – Safecare Medical Center, Inc.
Macaluso, MD Tom Board Member Voting Member Chief Quality Officer, Memorial Healthcare System
Ramsaran, MD  Chris  Board Member  Voting Member  ACO Participant Representative – South Broward Hospital District 
Reydel Margaret Board Member Voting Member ACO Beneficiary Representative
Steiner, DO  Joshua Board Member  Voting Member  ACO Participant Representative – Joshua Z. Steiner, DO PA

Key ACO Clinical and Administrative Leadership

Monica Puga ACO Executive
Dr. Daniel Edelman Medical Director
Denise Dicesare Compliance Officer
Dr. Tom Macaluso Quality Assurance/Improvement Officer

Associated Committees and Committee Leadership

Committee Name Committee Leader Name and Position
Finance and Contracting Committee Monica Puga, Chair
Quality and Information Technology Committee Dr. Tom Macaluso, Chair
Terri Thompson, Co-Chair

Types of ACO Participants, or Combinations of Participants that Formed the ACO

  • Networks of individual practices of ACO professionals
  • Partnerships or joint venture arrangements between hospitals and ACO professionals

Shared Savings and Losses

Amount of Shared Savings/Losses

Second Agreement Period

  • Performance year 2019, $6,241,418
  • Performance Year 2018, $3,129,467
  • Performance Year 2017, $3,729,517

First Agreement Period

  • Performance Year 2016, $3,115,928
  • Performance Year 2015, $5,220,484
  • Performance Year 2014, $0

Shared Savings Distribution

Second Agreement Period

  • Performance Year 2019
    • Proportion invested in infrastructure: 35%
    • Proportion invested in redesigned care processes/resources: 0%
    • Proportion of distribution to ACO participants: 65%
  • Performance Year 2018
    • Proportion invested in infrastructure: 35%
    • Proportion invested in redesigned care processes/resources: 0%
    • Proportion of distribution to ACO participants: 65%
  • Performance Year 2017
    • Proportion invested in infrastructure: 35%
    • Proportion invested in redesigned care processes/resources: 0%
    • Proportion of distribution to ACO participants: 65%

First Agreement Period

  • Performance Year 2016
    • Proportion invested in infrastructure: 35%
    • Proportion invested in redesigned care processes/resources: 0%
    • Proportion of distribution to ACO participants: 65%
  • Performance Year 2015
    • Proportion invested in infrastructure: 35%
    • Proportion invested in redesigned care processes/resources: 0%
    • Proportion of distribution to ACO participants: 65%
  • Performance Year 2014
    • Proportion invested in infrastructure: 0%
    • Proportion invested in redesigned care processes/resources: 0%
    • Proportion of distribution to ACO participants: 0%

Quality Performance Results

2019 Quality Performance Results

ACO# Measure Name Rate ACO Mean
ACO-1 CAHPS: Getting Timely Care, Appointments, and Information 88.89 85.86
ACO-2 CAHPS: How Well Your Providers Communicate 95.82 94.11
ACO-3 CAHPS: Patients' Rating of Provider 94.00 92.69
ACO-4 CAHPS: Access to Specialists 82.98 81.54
ACO-5 CAHPS: Health Promotion and Education 63.10 60.44
ACO-6 CAHPS: Shared Decision Making 59.83 62.78
ACO-7 CAHPS: Health Status/Functional Status 73.38 73.79
ACO-34 CAHPS: Stewardship of Patient Resources 21.14 26.17
ACO-45  CAHPS: Courteous and Helpful Office Staff 93.47  92.84 
ACO-46  CAHPS: Care Coordination  88.79  86.89 
ACO-8 Risk-Standardized, All Condition Readmission 16.06 14.86
ACO-38 All-Cause Unplanned Admissions for Patients with Multiple Chronic Conditions 59.25 58.15
ACO-43 Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91)) 1.64 1.87
ACO-13 Falls: Screening for Future Fall Risk 86.27 84.04
ACO-14 Preventive Care and Screening: Influenza Immunization 48.50 74.77
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 81.82 78.04
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 86.10 70.40
ACO-19 Colorectal Cancer Screening 61.15 70.76
ACO-20 Breast Cancer Screening 72.98 73.84
ACO-42 Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 86.11 82.17
ACO-40  Depression Remission at Twelve Months  10.64  13.58 
ACO-27 Diabetes Mellitus: Hemoglobin A1c Poor Control 14.73 13.88
ACO-28 Controlling High Blood Pressure 76.01 75.04

For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov.