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  5. THE BREVARD HEALTH ALLIANCE, INC.

THE BREVARD HEALTH ALLIANCE, INC. - Florida Company Profile

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Company Details

Entity Name: THE BREVARD HEALTH ALLIANCE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 01 Apr 2003 (22 years ago)
Document Number: N03000002784
FEI/EIN Number 900068515

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 4315 Woodland Park Drive, West Melbourne, FL, 32904, US
Mail Address: 4315 Woodland Park Drive, West Melbourne, FL, 32904, US
ZIP code: 32904
County: Brevard
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
SHEA ERIN Vice President 4315 WOODLAND PARK DRIVE, WEST MELBOURNE, FL, 32904
Helton Richard A Chief Executive Officer 4315 Woodland Park Drive, West Melbourne, FL, 32904
Anderson Maegen Chief Operating Officer 2120 Sarno Road, MELBOURNE, FL, 32935
ESROCK BRETT HEAL 4315 WOODLAND PARK DRIVE, WEST MELBOURNE, FL, 32904
DONALD KEITH PUBL 4315 WOODLAND PARK DRIVE, WEST MELBOURNE, FL, 32904
SANTIAGO ROBERT Chairman 4315 WOODLAND PARK DRIVE, WEST MELBOURNE, FL, 32904
Johnson Marcus Agent 4315 Woodland Park Drive, West Melbourne, FL, 32904

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
CT9WXMR4VLN1
CAGE Code:
4GP80
UEI Expiration Date:
2025-07-11

Business Information

URL:
https://brevardhealth.org/
Division Name:
THE BREVARD HEALTH ALLIANCE, INC.
Division Number:
THE BREVAR
Activation Date:
2024-07-15
Initial Registration Date:
2006-07-19

National Provider Identifier

NPI Number:
1194589341
Certification Date:
2024-04-04
Link:
View on NPI website

Authorized Person:

Name:
ANGELA CRAIG
Role:
DIRECTOR OF BILLING
Phone:
3216983446

Taxonomy:

Selected Taxonomy:
3336C0003X - Community/Retail Pharmacy
Is Primary:
Yes

Contacts:

Phone:
+1 321-952-9696
Fax:
3219527937
Phone:
+1 321-241-6800
Fax:
3212416890

Form 5500 Series

Employer Identification Number (EIN):
900068515
Plan Year:
2011
Number Of Participants:
105
Sponsors Telephone Number:
3217225910
File:
View File
Plan Year:
2010
Number Of Participants:
83
Sponsors Telephone Number:
3217225910
File:
View File
Plan Year:
2009
Number Of Participants:
59
Sponsors Telephone Number:
3217225910
File:
View File

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-04-15 Johnson, Marcus -
CHANGE OF PRINCIPAL ADDRESS 2020-01-15 4315 Woodland Park Drive, West Melbourne, FL 32904 -
CHANGE OF MAILING ADDRESS 2020-01-15 4315 Woodland Park Drive, West Melbourne, FL 32904 -
REGISTERED AGENT ADDRESS CHANGED 2020-01-15 4315 Woodland Park Drive, West Melbourne, FL 32904 -

Documents

Name Date
AMENDED ANNUAL REPORT 2024-04-15
AMENDED ANNUAL REPORT 2024-02-15
ANNUAL REPORT 2024-01-29
ANNUAL REPORT 2023-03-01
ANNUAL REPORT 2022-02-04
ANNUAL REPORT 2021-02-17
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-01-30
ANNUAL REPORT 2018-01-30
ANNUAL REPORT 2017-01-05

USAspending Awards / Financial Assistance

Date:
2025-04-09
Link:
View on USAspending
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
QUALITY IMPROVEMENT FUND - JUSTICE INVOLVED - THE BREVARD HEALTH ALLIANCE (BHA) IS BREVARD COUNTY’S ONLY FEDERALLY QUALIFIED HEALTH CENTER (FQHC) AND HAS PROVIDED PRIMARY CARE SERVICES INCLUDING BEHAVIORAL HEALTH TO THE VULNERABLE AND UNDERSERVED COMMUNITIES FOR BREVARD COUNTY SINCE MARCH 2005 BY PROVIDING OVER 1,000,000 MEDICAL, DENTAL, BEHAVIORAL HEALTH, AND ENABLING ENCOUNTERS. REPORTED IN THE 2023 UDS (UNIFORM DATA SYSTEM) REPORT, BHA SERVED 59,718 UNIQUE PATIENTS; 47,801 (OR 80%) OF THE TOTAL PATIENTS WITH KNOWN INCOMES ARE 200% AND BELOW THE FEDERAL POVERTY GUIDELINE. THIS COMPARES TO 24.4% OF INDIVIDUALS IN BREVARD THAT LIVE IN HOUSEHOLDS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LEVEL AS REPORTED BY FLORIDA HEALTH CHARTS IN 2022. ACCORDING TO BREVARD COUNTY’S 2022 COMMUNITY NEEDS ASSESSMENT, THE AREA’S TOP BARRIERS INCLUDE TROUBLE GETTING AN APPOINTMENT (34.3% VS. 14.5% IN THE U.S.), TROUBLE FINDING A DOCTOR (25.6% VS. 9.4% IN THE U.S.), COST OF DOCTOR VISIT (21.8% VS. 12.9% IN THE U.S.), COST OF PRESCRIPTIONS (19.2% VS. 12.8% IN THE U.S.), INCONVENIENT OFFICE HOURS (16% VS. 12.5% IN THE U.S.), LACK OF TRANSPORTATION (11% VS. 8.9% IN THE U.S.), AND LANGUAGE/CULTURE (2.3% VS. 2,8% IN THE U.S.). TO REDUCE BARRIERS AND ASSIST IN ADDRESSING THESE NEEDS, WE PROVIDE PRIMARY AND DENTAL CARE; BEHAVIORAL HEALTH, OB/GYN, PHARMACY, SPECIALTY SERVICES, AND ENABLING SERVICES THROUGHOUT THE COUNTY AT TWELVE FIXED SITES AND A MOBILE MEDICAL AND DENTAL UNIT. BHA ALSO PROVIDES HIGHLY DISCOUNTED CARE, EXTENDED OFFICE HOURS, FREE BUS PASSES, AND COST-SAVINGS THROUGH THE 340B PHARMACY PROGRAM TO BHA PATIENTS TOTALING MORE THAN $58.9 MILLION SINCE 2005. THE HEALTH CENTER CURRENTLY PARTICIPATES IN THE VACCINES FOR ADULTS (VFA) AND VACCINES FOR CHILDREN (VFC) PROGRAMS; THESE PROGRAMS PROVIDE VACCINES FOR OUR UNINSURED AND UNDERINSURED PATIENTS. THROUGH BHA’S H80 GRANT (H80CS04213) BHA PROVIDES PRIMARY CARE, INFECTIOUS DISEASE, DENTAL, AND BEHAVIORAL HEALTH SERVICES ACROSS BREVARD COUNTY AND CAN AS SIST WITH JUSTICE-INVOLVED INDIVIDUALS REENTERING THE COMMUNITY (JI-R) GET ESTABLISHED WITH BHA AS A MEDICAL HOME FOR ALL THEIR NEEDS AS THEY RE-ESTABLISH IN THE COMMUNITY. ACCORDING TO THE MOST RECENT DATA IN JANUARY 2023, BREVARD COUNTY’S DETENTION FACILITY HAD AN AVERAGE DAILY POPULATION OF 1,500 INMATES. 64% OF THE INMATES WERE SENTENCED TO SERVE PRISON TIME AND WOULD NEED PRIMARY CARE SERVICES UPON RELEASE. BY USING GRANT FUNDS TO SUPPORT THE SALARIES OF PROVIDERS WHO PROVIDE PRIMARY CARE, INFECTIOUS DISEASE, DENTAL, AND BEHAVIORAL HEALTH SERVICES, BHA WILL BE ABLE TO PROVIDE A MEDICAL HOME FOR JI-R INDIVIDUALS REENTERING THE COMMUNITY. AS THE ONLY FEDERALLY QUALIFIED HEALTH CENTER IN BREVARD COUNTY AND OFTENTIMES SERVING AS THE FIRST POINT OF ACCESS FOR ANY HEALTH CARE NEED, BHA IS WELL-POSITIONED TO EXPAND PRIMARY CARE AND SUPPORT SERVICES TO JI-R INDIVIDUALS WHO NEED IT IN THE COMMUNITY.
Obligated Amount:
1000000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2024-09-19
Link:
View on USAspending
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - THE BREVARD HEALTH ALLIANCE (BHA) IS BREVARD COUNTY’S ONLY FEDERALLY QUALIFIED HEALTH CENTER (FQHC) AND HAS PROVIDED PRIMARY CARE SERVICES INCLUDING BEHAVIORAL HEALTH TO THE VULNERABLE AND UNDERSERVED COMMUNITIES FOR BREVARD COUNTY SINCE MARCH 2005 BY PROVIDING OVER 1,000,000 MEDICAL, DENTAL, BEHAVIORAL HEALTH, AND ENABLING ENCOUNTERS. REPORTED IN THE 2023 UDS REPORT, BHA SERVED 59,718 UNIQUE PATIENTS; 47,801 (OR 80%) OF THE TOTAL PATIENTS WITH KNOWN INCOMES ARE 200% AND BELOW THE FEDERAL POVERTY GUIDELINE. THIS COMPARES TO 24.4% OF INDIVIDUALS IN BREVARD THAT LIVE IN HOUSEHOLDS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LEVEL AS REPORTED BY FLORIDA HEALTH CHARTS IN 2022. ACCORDING TO BREVARD COUNTY’S 2022 COMMUNITY NEEDS ASSESSMENT, THE AREA’S TOP BARRIERS INCLUDE TROUBLE GETTING AN APPOINTMENT (34.3% VS. 14.5% IN THE U.S.), TROUBLE FINDING A DOCTOR (25.6% VS. 9.4% IN THE U.S.), COST OF DOCTOR VISIT (21.8% VS. 12.9% IN THE U.S.), COST OF PRESCRIPTIONS (19.2% VS. 12.8% IN THE U.S.), INCONVENIENT OFFICE HOURS (16% VS. 12.5% IN THE U.S.), LACK OF TRANSPORTATION (11% VS. 8.9% IN THE U.S.), AND LANGUAGE/CULTURE (2.3% VS. 2,8% IN THE U.S.). TO REDUCE BARRIERS AND ASSIST IN ADDRESSING THESE NEEDS, WE PROVIDE PRIMARY AND DENTAL CARE; BEHAVIORAL HEALTH, OB/GYN, PHARMACY, SPECIALTY SERVICES, AND ENABLING SERVICES THROUGHOUT THE COUNTY AT TWELVE FIXED SITES AND A MOBILE MEDICAL AND DENTAL UNIT. BHA ALSO PROVIDES HIGHLY DISCOUNTED CARE, EXTENDED OFFICE HOURS, FREE BUS PASSES, AND COST-SAVINGS THROUGH THE 340B PHARMACY PROGRAM TO BHA PATIENTS TOTALING MORE THAN $58.9 MILLION SINCE 2005. THE HEALTH CENTER CURRENTLY PARTICIPATES IN THE VACCINES FOR ADULTS (VFA) AND VACCINES FOR CHILDREN (VFC) PROGRAMS; THESE PROGRAMS PROVIDE VACCINES FOR OUR UNINSURED AND UNDERINSURED PATIENTS. THROUGH BHA’S H80 GRANT (H80CS04213) BHA PROVIDES COUNSELING SERVICES, MEDICATION ASSISTED TREATMENT, PSYCHIATRY, SUBSTANCE USE DISORDER SERVICES, AND OTHER BEHAVIORAL HEALTH SE RVICES FOR THE PATIENTS ACROSS BREVARD COUNTY WITHIN THE SCOPE OF SERVICE OF BEHAVIORAL HEALTH. ACCORDING TO THE MOST RECENT DATA IN 2019, 22% OF ADULTS IN BREVARD COUNTY AT ONE POINT HAVE BEEN DIAGNOSED WITH A DEPRESSIVE DISORDER, OVER 18,000 PEOPLE TOOK THEIR LIVES BETWEEN 2019-2021, AND IN 2022 BREVARD COUNTY RECORDED OVER 27,000 DRUG OVERDOSES (FATAL AND NONFATAL). BY USING GRANT FUNDS TO SUPPORT THE SALARIES OF PROVIDERS WHO PROVIDE MENTAL HEALTH SERVICES AS WELL AS SUBSTANCE USE DISORDER SERVICES AND MEDICATION ASSISTED TREATMENT PROGRAMS, BHA WILL BE ABLE TO INCREASE THE NUMBER OF PATIENTS RECEIVING THESE SERVICES AND PROGRAMS. AS THE ONLY FEDERALLY QUALIFIED HEALTH CENTER IN BREVARD COUNTY AND OFTENTIMES SERVING AS THE FIRST POINT OF ACCESS FOR ANY HEALTH CARE NEED, BHA IS WELL-POSITIONED TO EXPAND MENTAL HEALTH AND SUBSTANCE USE DISORDER SERVICES TO THOSE WHO NEED IT MOST IN THE COMMUNITY.
Obligated Amount:
600000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2023-09-21
Link:
View on USAspending
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
FISCAL YEAR 2023 CAPITAL ASSISTANCE FOR HURRICANE RESPONSE AND RECOVERY EFFORTS (CARE)
Obligated Amount:
589000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2023-08-29
Link:
View on USAspending
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
FY 2023 BRIDGE ACCESS PROGRAM
Obligated Amount:
150199.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2023-05-18
Link:
View on USAspending
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
FY 2023 EXPANDING COVID-19 VACCINATION
Obligated Amount:
127500.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Tax Exempt

Employer Identification Number (EIN) :
90-0068515
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Ruling Date:
2004-07
National Taxonomy Of Exempt Entities:
Health Care: Health Treatment Facilities, Primarily Outpatient
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Paycheck Protection Program

Date Approved:
2020-04-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
4693495
Current Approval Amount:
4693495
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
4728565.84

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Date of last update: 02 Jun 2025

Sources: Florida Department of State

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