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 Member's Voting Power Membership Type ACO Participant TIN Legal Business Name/DBA, if Applicable
Last Name First Name Title/Position
Oxenhandler, MD Scott Board Chair 1 of 8 Voting Member ACO Participant Representative – South Broward Hospital District
Beaufort, MD Je-Anne Board Member 1 of 8 Voting Member ACO Participant Representative – South Broward Hospital District
Case-Diaz, MD  Cheryl  Board Member  1 of 8 Voting Member  ACO Participant Representative – Wayne H. Case, MD, PA
Chiapone, MD Ting  Board Member  1 of 8 Voting Member  ACO Participant Representative – Safecare Medical Center, Inc.
Macaluso, MD Tom Board Member 1 of 8 Voting Member Chief Quality Officer, Memorial Healthcare System
Ramsaran, MD  Chris  Board Member  1 of 8 Voting Member  ACO Participant Representative – South Broward Hospital District 
Reydel Margaret Board Member 1 of 8 Voting Member ACO Beneficiary Representative
Steiner, DO Joshua Board Member 1 of 8 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. Daniel Edelman, 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 2020, $5,938,258
  • 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 2020
    • Proportion invested in infrastructure: 22%
    • Proportion invested in redesigned care processes/resources: 10%
    • Proportion of distribution to ACO participants: 68%
  • 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


2020 Quality Performance Results

ACO# Measure Name Rate ACO Mean
ACO-13 Falls: Screening for Future Fall Risk 74.46 84.97
ACO-14 Preventive Care and Screening: Influenza Immunization 52.54 76.03
ACO-17 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 75.76 81.67
ACO-18 Preventive Care and Screening: Screening for Clinical Depression and Follow-up Plan 74.45 71.46
ACO-19 Colorectal Cancer Screening 59.43 72.59
ACO-20 Breast Cancer Screening 67.52 74.05
ACO-27  Diabetes Mellitus: Hemoglobin A1c Poor Control  16.64  14.7 
ACO-28  Controlling High Blood Pressure  70.68 72.87 
ACO-42  Statin Therapy for the Prevention and Treatment of Cardiovascular Disease  87.66  83.37 
ACO-43
Ambulatory Sensitive Condition Acute Composite (AHRQ* Prevention Quality Indicator (PQI #91))
0.76 0.95

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

Please note, the ACO-40 Depression Remission at 12 months quality measure is not included in public reporting due to low sample size. The Centers for Medicare & Medicaid Services (CMS) also waived the requirement for ACOs to field a CAHPS for ACOs survey for PY 2020 through the Physician Fee Schedule Final Rule for Calendar Year 2021. Additionally, CMS reverted ACO-8 Risk-Standardized, All Condition Readmission and ACO-38 Risk-Standardized Acute Admission Rates for Patients with Multiple Chronic Conditions to pay-for-reporting, given the impact of the coronavirus disease 2019 (COVID-19) public health emergency (PHE) on these measures.