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COASTAL HEALTH SYSTEMS OF BREVARD, INC. - Florida Company Profile

Company Details

Entity Name: COASTAL HEALTH SYSTEMS OF BREVARD, 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: 02 Sep 1988 (37 years ago)
Last Event: AMENDED AND RESTATED ARTICLES
Event Date Filed: 08 Jun 2011 (14 years ago)
Document Number: N28193
FEI/EIN Number 592908075

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 486 GUS HIPP BLVD., ROCKLEDGE, FL, 32955, US
Mail Address: P.O. BOX 560750, ROCKLEDGE, FL, 32956-0750, US
ZIP code: 32955
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1235103029 2006-02-16 2020-08-22 486 GUS HIPP BLVD, ROCKLEDGE, FL, 329554800, US 486 GUS HIPP BLVD, ROCKLEDGE, FL, 329554800, US

Contacts

Phone +1 321-633-7050
Fax 3216323005

Authorized person

Name MR. WILLIAM D MCCARTHY
Role CEO
Phone 3216337050

Taxonomy

Taxonomy Code 3416L0300X - Land Ambulance
License Number 002591
State FL
Is Primary Yes

Other Provider Identifiers

Issuer AMBULANCE
Number A0608
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COASTAL HEALTH SYSTEMS OF BREVARD, INC 401(K) PROFIT SHARING PLAN AND TRUST 2022 592908075 2023-06-23 COASTAL HEALTH SYSTEMS OF BREVARD, INC 85
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-10-01
Business code 485990
Sponsor’s telephone number 3216337050
Plan sponsor’s address 486 GUS HIPP BLVD, ROCKLEDGE, FL, 329554800

Signature of

Role Plan administrator
Date 2023-06-23
Name of individual signing BROOKE TAYLOR
Valid signature Filed with authorized/valid electronic signature
COASTAL HEALTH SYSTEMS 401(K) PLAN 2014 592908075 2015-11-16 COASTAL HEALTH SYSTEMS OF BREVARD, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-10-01
Business code 485990
Sponsor’s telephone number 3216337050
Plan sponsor’s address 486 GUS HIPP BLVD, ROCKLEDGE, FL, 32955

Signature of

Role Plan administrator
Date 2015-11-16
Name of individual signing COASTALBILL1
Valid signature Filed with authorized/valid electronic signature
COASTAL HEALTH SYSTEMS LOCAL I.A.E.P. 401(K) PLAN 2014 592908075 2018-07-04 COASTAL HEALTH SYSTEMS OF BREVARD, INC. 56
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-10-01
Business code 621900
Sponsor’s telephone number 3216337050
Plan sponsor’s address 486 GUS HIPP BLVD, ROCKLEDGE, FL, 32955

Signature of

Role Plan administrator
Date 2018-07-04
Name of individual signing WILLLIAM MCCARTHY
Valid signature Filed with authorized/valid electronic signature
COASTAL HEALTH SYSTEMS LOCAL I.A.E.P. 401(K) PLAN 2014 592908075 2015-11-20 COASTAL HEALTH SYSTEMS OF BREVARD, INC. 56
Three-digit plan number (PN) 002
Effective date of plan 2000-10-01
Business code 621900
Sponsor’s telephone number 3216337050
Plan sponsor’s address 486 GUS HIPP BLVD, ROCKLEDGE, FL, 32955

Signature of

Role Plan administrator
Date 2015-11-20
Name of individual signing COASTALBILL1
Valid signature Filed with authorized/valid electronic signature
COASTAL HEALTH SYSTEMS OF BREVARD, INC. 2013 592908075 2015-07-16 COASTAL HEALTH SYSTEMS OF BREVARD, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-10-01
Business code 485990
Sponsor’s telephone number 3216337050
Plan sponsor’s address 486 GUS HIPP BLVD, ROCKLEDGE, FL, 32955

Signature of

Role Plan administrator
Date 2015-07-16
Name of individual signing COASTALBILL1
Valid signature Filed with authorized/valid electronic signature
COASTAL HEALTH SYSTEMS LOCAL I.A.E.P. 401(K) PLAN 2013 592908075 2015-01-19 COASTAL HEALTH SYSTEMS OF BREVARD, INC. 66
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-10-01
Business code 621900
Sponsor’s telephone number 3216337050
Plan sponsor’s address 486 GUS HIPP BLVD, ROCKLEDGE, FL, 32955

Signature of

Role Plan administrator
Date 2015-01-19
Name of individual signing WILLIAM MCCARTHY
Valid signature Filed with authorized/valid electronic signature
COASTAL HEALTH SYSTEMS 401K PLAN 2012 592908075 2013-12-26 COASTAL HEALTH SYSTEMS OF BREVARD INC. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-10-01
Business code 485990
Sponsor’s telephone number 3216337050
Plan sponsor’s address P O BOX 560750, ROCKLEDGE, FL, 329560750

Signature of

Role Plan administrator
Date 2013-12-26
Name of individual signing WILLIAM MCCARTHY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-12-26
Name of individual signing WILLIAM MCCARTHY
Valid signature Filed with authorized/valid electronic signature
COASTAL HEALTH SYSTEMS 401K PLAN 2011 592908075 2013-04-18 COASTAL HEALTH SYSTEMS OF BREVARD INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-10-01
Business code 485990
Sponsor’s telephone number 3216337050
Plan sponsor’s address P O BOX 560750, ROCKLEDGE, FL, 329560750

Plan administrator’s name and address

Administrator’s EIN 592908075
Plan administrator’s name COASTAL HEALTH SYSTEMS OF BREVARD INC.
Plan administrator’s address P O BOX 560750, ROCKLEDGE, FL, 329560750
Administrator’s telephone number 3216337050

Signature of

Role Plan administrator
Date 2013-04-18
Name of individual signing WILLIAM MCCARTHY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-04-18
Name of individual signing WILLIAM MCCARTHY
Valid signature Filed with authorized/valid electronic signature
COASTAL HEALTH SYSTEMS 401K PLAN 2010 592908075 2011-11-10 COASTAL HEALTH SYSTEMS OF BREVARD INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-10-01
Business code 485990
Sponsor’s telephone number 3216337050
Plan sponsor’s address P O BOX 560750, ROCKLEDGE, FL, 329560750

Plan administrator’s name and address

Administrator’s EIN 592908075
Plan administrator’s name COASTAL HEALTH SYSTEMS OF BREVARD INC.
Plan administrator’s address P O BOX 560750, ROCKLEDGE, FL, 329560750
Administrator’s telephone number 3216337050

Signature of

Role Plan administrator
Date 2011-11-10
Name of individual signing WILLIAM MCCARTHY
Valid signature Filed with authorized/valid electronic signature
COASTAL HEALTH SYSTEMS 401K PLAN 2009 592908075 2010-10-22 COASTAL HEALTH SYSTEMS OF BREVARD INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-10-01
Business code 485990
Sponsor’s telephone number 3216337050
Plan sponsor’s address P O BOX 560750, ROCKLEDGE, FL, 329560750

Plan administrator’s name and address

Administrator’s EIN 592908075
Plan administrator’s name COASTAL HEALTH SYSTEMS OF BREVARD INC.
Plan administrator’s address P O BOX 560750, ROCKLEDGE, FL, 329560750
Administrator’s telephone number 3216337050

Signature of

Role Plan administrator
Date 2010-10-22
Name of individual signing WILLIAM MCCARTHY
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
MCALPINE CHRISTOPHER Director 951 N. WASHINGTON AVE, TITUSVILLE, FL, 32796
VAN LEEUWEN MONICA Treasurer 486 GUS HIPP BLVD., ROCKLEDGE, FL, 32955
Graybill Matthew F Director 951 N. WASHINGTON AVE, Titusville, FL, 32796
Tobin Christine Director 1350 S. Hickory Street, Melbourne, FL, 32901
Taylor A BPreside Agent 2535 Summer Brook Street, Melbourne, FL, 32940
Bassani Tiffany Director 330 S. Fiske Blvd., Rockledge, FL, 32955
Pierce Jeanne Secretary 486 Gus Hipp Blvd, Rockledge, FL, 32955

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G96110000039 COASTAL AMBULANCE SERVICE ACTIVE 1996-04-19 2026-12-31 - 486 GUS HIPP BLVD, ROCKLEDGE, FL, 32955
G91113000134 COASTAL TRANSPORTATION SERVICES ACTIVE 1991-04-23 2026-12-31 - 486 GUS HIPP BLVD, ROCKLEDGE, FL, 32955

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-02-07 Taylor, A Brooke, President CEO -
REGISTERED AGENT ADDRESS CHANGED 2023-01-25 2535 Summer Brook Street, Melbourne, FL 32940 -
AMENDED AND RESTATEDARTICLES 2011-06-08 - -
CHANGE OF PRINCIPAL ADDRESS 2002-04-30 486 GUS HIPP BLVD., ROCKLEDGE, FL 32955 -
CHANGE OF MAILING ADDRESS 2002-04-30 486 GUS HIPP BLVD., ROCKLEDGE, FL 32955 -
AMENDED AND RESTATEDARTICLES 2001-04-17 - -
AMENDMENT 1993-12-02 - -
AMENDED AND RESTATEDARTICLES 1991-10-08 - -
AMENDED AND RESTATEDARTICLES 1988-11-29 - -

Documents

Name Date
AMENDED ANNUAL REPORT 2024-08-15
AMENDED ANNUAL REPORT 2024-02-07
ANNUAL REPORT 2024-02-02
ANNUAL REPORT 2023-01-25
AMENDED ANNUAL REPORT 2022-04-19
ANNUAL REPORT 2022-01-27
ANNUAL REPORT 2021-01-16
ANNUAL REPORT 2020-02-11
ANNUAL REPORT 2019-01-29
ANNUAL REPORT 2018-02-22

USAspending Awards. Contracts

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
DELIVERY ORDER AWARD 36C24825N0027 2024-10-01 2025-09-30 2025-09-30
Unique Award Key CONT_AWD_36C24825N0027_3600_36C24823D0014_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts

Obligated Amount 380000.00
Current Award Amount 380000.00
Potential Award Amount 380000.00

Description

Title NON-EMERGENCY GROUND AMBULANCE TRANSPORTATION
NAICS Code 621910: AMBULANCE SERVICES
Product and Service Codes V225: TRANSPORTATION/TRAVEL/RELOCATION- TRAVEL/LODGING/RECRUITMENT: AMBULANCE

Recipient Details

Recipient COASTAL HEALTH SYSTEMS OF BREVARD, INC
UEI H9LWE3VNPAY1
Recipient Address UNITED STATES, 486 GUS HIPP BLVD, ROCKLEDGE, BREVARD, FLORIDA, 329554800
DELIVERY ORDER AWARD 36C24824N0064 2023-10-01 2024-09-30 2024-09-30
Unique Award Key CONT_AWD_36C24824N0064_3600_36C24823D0014_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts

Obligated Amount 470000.00
Current Award Amount 470000.00
Potential Award Amount 470000.00

Description

Title NON-EMERGENCY GROUND AMBULANCE TRANSPORTATION
NAICS Code 621910: AMBULANCE SERVICES
Product and Service Codes V225: TRANSPORTATION/TRAVEL/RELOCATION- TRAVEL/LODGING/RECRUITMENT: AMBULANCE

Recipient Details

Recipient COASTAL HEALTH SYSTEMS OF BREVARD, INC
UEI H9LWE3VNPAY1
Recipient Address UNITED STATES, 486 GUS HIPP BLVD, ROCKLEDGE, BREVARD, FLORIDA, 329554800
DELIVERY ORDER AWARD 36C24823N0074 2022-10-01 2023-09-30 2023-09-30
Unique Award Key CONT_AWD_36C24823N0074_3600_36C24823D0014_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts

Obligated Amount 140629.48
Current Award Amount 140629.48
Potential Award Amount 140629.48

Description

Title NON-EMERGENCY GROUND AMBULANCE TRANSPORTATION
NAICS Code 621910: AMBULANCE SERVICES
Product and Service Codes V225: TRANSPORTATION/TRAVEL/RELOCATION- TRAVEL/LODGING/RECRUITMENT: AMBULANCE

Recipient Details

Recipient COASTAL HEALTH SYSTEMS OF BREVARD, INC
UEI H9LWE3VNPAY1
Recipient Address UNITED STATES, 486 GUS HIPP BLVD, ROCKLEDGE, BREVARD, FLORIDA, 329554800
- IDV 36C24823D0014 2022-10-01 - -
Unique Award Key CONT_IDV_36C24823D0014_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts

Obligated Amount 0.00
Potential Award Amount 3000000.00

Description

Title OY2 NON-EMERGENCY GROUND AMBULANCE TRANSPORTATION
NAICS Code 621910: AMBULANCE SERVICES
Product and Service Codes V225: TRANSPORTATION/TRAVEL/RELOCATION- TRAVEL/LODGING/RECRUITMENT: AMBULANCE

Recipient Details

Recipient COASTAL HEALTH SYSTEMS OF BREVARD, INC
UEI H9LWE3VNPAY1
Recipient Address UNITED STATES, 486 GUS HIPP BLVD, ROCKLEDGE, BREVARD, FLORIDA, 329554800

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
59-2908075 Corporation Unconditional Exemption PO BOX 560750, ROCKLEDGE, FL, 32956-0750 1989-06
In Care of Name -
Group Exemption Number 0000
Subsection Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
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)
Deductibility Contributions are deductible.
Foundation Organization that normally receives no more than one-third of its support from gross investment income and unrelated business income and at the same time more than one-third of its support from contributions, fees, and gross receipts related to exempt purposes 509(a)(2)
Tax Period 2023-09
Asset 5,000,000 to 9,999,999
Income 10,000,000 to 49,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Sep
Asset Amount 8719099
Income Amount 11071141
Form 990 Revenue Amount 11071141
National Taxonomy of Exempt Entities -
Sort Name -

Publication 78 Data

Description Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List Yes
Deductibility Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)

Organization Name COASTAL HEALTH SYSTEMS OF BREVARD INC
EIN 59-2908075
Tax Period 202309
Filing Type E
Return Type 990
File View File
Organization Name COASTAL HEALTH SYSTEMS OF BREVARD INC
EIN 59-2908075
Tax Period 202209
Filing Type E
Return Type 990
File View File
Organization Name COASTAL HEALTH SYSTEMS OF BREVARD INC
EIN 59-2908075
Tax Period 202109
Filing Type E
Return Type 990
File View File
Organization Name COASTAL HEALTH SYSTEMS OF BREVARD INC
EIN 59-2908075
Tax Period 202009
Filing Type E
Return Type 990
File View File
Organization Name COASTAL HEALTH SYSTEMS OF BREVARD INC
EIN 59-2908075
Tax Period 201909
Filing Type E
Return Type 990
File View File
Organization Name COASTAL HEALTH SYSTEMS OF BREVARD INC
EIN 59-2908075
Tax Period 201809
Filing Type E
Return Type 990
File View File
Organization Name COASTAL HEALTH SYSTEMS OF BREVARD INC
EIN 59-2908075
Tax Period 201709
Filing Type E
Return Type 990
File View File
Organization Name COASTAL HEALTH SYSTEMS OF BREVARD INC
EIN 59-2908075
Tax Period 201609
Filing Type E
Return Type 990
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9762597004 2020-04-09 0455 PPP 486 GUS HIPP BLVD, ROCKLEDGE, FL, 32955-4800
Loan Status Date 2021-04-13
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 820755
Loan Approval Amount (current) 820755
Undisbursed Amount 0
Franchise Name -
Lender Location ID 124287
Servicing Lender Name Community Bank of the South
Servicing Lender Address 277 N Sykes Creek Pkwy, MERRITT ISLAND, FL, 32953-3428
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address ROCKLEDGE, BREVARD, FL, 32955-4800
Project Congressional District FL-08
Number of Employees 97
NAICS code 621910
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Non-Profit Organization
Originating Lender ID 124287
Originating Lender Name Community Bank of the South
Originating Lender Address MERRITT ISLAND, FL
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 828164.59
Forgiveness Paid Date 2021-03-05

Date of last update: 01 Apr 2025

Sources: Florida Department of State