ACO Name and Location

AHS Florida Division ACO, LLC dba AdventHealth ACO
101 Southhall Ln Suite 150
Maitland, Florida 32751

ACO Primary Contact

Primary Contact Name Susan Herbert
Primary Contact Phone Number 407-357-1566
Primary Contact Email Address [email protected]

ACO Participants

ACO Participants ACO Participant in Joint Venture (Enter Y or N)
Adventist Health System Sunbelt N
Adventist Health System-Sunbelt, Inc. N
Afermin Primary Care PA N
Andrew J. Randolph MD PA N
April Smith Gonzalez, PA N
Charles D Bisogno DO PA N
Elizabeth Daquila MD LLC N
Florida Hospital Medical Group, Inc. N
Florida Hospital Physician Group, Inc. N
Florida Hospital Zephyrhills, Inc. N
Heart Of Florida Health Center, Inc. N
Herriet V Tupas Levitan MD PA N
Jack T Weaver DPM DO MD PA N
Jorge Gomez MD PA N
Lana Medical Care PA N
Marc Barasch N
Memorial Hospital West Volusia, Inc. N
Richard Daniel Potts MD PLLC

N
Southwest Volusia Healthcare Corporation N
Sunshine Physician, Inc. N
Tarpon Springs Hospital Foundation, Inc. N
Yursa Medical Associates PA N

ACO Governing Body

Member's First Name Member's Last Name Member's Title/Position Member's Voting Power – Expressed as a percentage or number Membership Type ACO Participant Legal Business Name/DBA, if Applicable
Adam Alpers DO, Family Medicine 1 ACO Participant Ocala Family Medical Center, Inc.
Alan Iezzi MD, Family Medicine 1 ACO Participant AdventHealth Group Family Medicine
Bryan Stiltz Senior Vice President, AdventHealth 1 Other N/A
Daniel Roquiz MD, Family Medicine 1 ACO Participant Adventist Health System - Sunbelt, Inc.
Gregory Berland MD, Family Medicine 1 ACO Participant Florida Hospital Physician Group, Inc.
Herriet Tupas-Levitan MD, Internal Medicine 1 ACO Participant Herriet V Tupas Levitan MD PA
Jennifer Jackson Senior Vice President, AdventHealth 1 Other N/A
Jerry Hurley Medicare Beneficiary 1 Medicare Beneficiary N/A
John Morrison MD, Family Medicine 1 ACO Participant Florida Hospital Physician Group, Inc.
Michelle Hornstein DO, Family Medicine 1 ACO Participant Florida Hospital Physician Group, Inc.
Rainer Chan MD, Family Medicine Chairman 1 ACO Participant Florida Hospital Physician Group, Inc.
Reginald Schutt-Aine MD, Internal Medicine 1 ACO Participant Memorial Hospital West Volusia, Inc.
Robert Rosequist MD, Family Medicine 1 ACO Participant Florida Hospital Physician Group, Inc.
Sue Ellen Griffith MD, Family Medicine 1 ACO Participant Memorial Hospital West Volusia,Inc.

Key ACO Clinical and Administrative Leadership

ACO Executive Shelley Veal
Medical Director Rainer Chan, MD
Compliance Officer Diana Snow

Quality Assurance/

Improvement Officer

 Rainer Chan, MD

Associated Committees and Committee Leadership

Committee Name Committee Leader Name and Position
Nominating Committee

Jennifer Jackson, Co-Chair

Shelley Veal, Co-Chair
Finance and Contracting Committee

TBD
Quality and Utilization Review Committee Doug Ardoin, MD, Chair
Network Committee

Jennifer Jackson, Co-Chair

Shelley Veal, Co-Chair
Corporate Responsibility Steering Committee Diana Snow, Chair

Other Important Information