2024-02-28T06:50:37-06:00 2023-09-30 721396621 CARR RIGGS & INGRAM LLC 215 BAYTREE DRIVE MELBOURNE FL 32940 990 2022-10-01 900068515 BREVARD HEALTH ALLIANCE INC BREV 3217494781 4315 WOODLAND PARK DRIVE WEST MELBOURNE FL 32904 RICHARD A HELTON CHIEF EXECUTIVE CEO 3217494781 2024-02-21 1 RICHARD HELTON CHIEF EXECUTI 999009999 0 THOMAS LIND CPA P01826715 3212550088 2024-02-21 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z RICHARD A HELTON 4315 WOODLAND PARK DRIVE WEST MELBOURNE FL 32904 66112424 0 X WWW.BREVARDHEALTH.ORG X 2003 FL THE MISSION OF THE BREVARD HEALTH ALLIANCE, INC. IS TO IMPROVE THE HEALTH STATUS OF BREVARD COUNTY BY PROVIDING A MEDICAL HOME WHERE ALL PATIENTS RECEIVE HIGH-QUALITY CARE IN A TIMELY MANNER. WE COMMIT TO ENSURING EVERY PATIENT WE SERVE IS HEARD, ENCOURAGED, AND RESPECTED. 11 11 569 135 0 0 13803022 14698522 43529925 50683252 50524 677116 127014 49618 57510485 66108508 826000 1051505 0 0 34666971 39912917 0 0 0 13981675 19026205 49474646 59990627 8035839 6117881 40519404 59724009 6687683 19426707 33831721 40297302 THE MISSION OF THE BREVARD HEALTH ALLIANCE, INC. IS TO IMPROVE THE HEALTH STATUS OF BREVARD COUNTY BY PROVIDING A MEDICAL HOME WHERE ALL PATIENTS RECEIVE HIGH-QUALITY CARE IN A TIMELY MANNER. WE COMMIT TO ENSURING EVERY PATIENT WE SERVE IS HEARD, ENCOURAGED, AND RESPECTED. 0 0 53670793 1051505 50732870 IN 2023, BREVARD HEALTH ALLIANCE'S 18TH YEAR OF OPERATION, BREVARD HEALTH ALLIANCE (BHA) ACHIEVED SIGNIFICANT RESULTS WITH THE HEALTHCARE PROVIDED TO RESIDENTS OF BREVARD COUNTY. BHA SERVICED OVER 190,000 MEDICAL VISITS WHICH WAS A 6% INCREASE FROM THE PREVIOUS YEAR. ADDITIONALLY, BHA PROVIDED OVER 32,000 DENTAL VISITS AND OVER 37,000 BEHAVIORAL HEALTH VISITS. 185,000 PRESCRIPTIONS WERE DISPENSED FROM BHA PHARMACIES AND BHA ATTENDED OVER 70 OUTREACH EVENTS IN OUR COMMUNITY. OUR STAFF GREW BY 14% FROM THE PREVIOUS YEAR AND WE HELPED TO DELIVER 450 BABIES. AS BHA CONTINUES TO GROW ITS PRESENCE IN BREVARD COUNTY, WE WILL BE ABLE TO BETTER SERVE THOSE IN OUR COMMUNITY WHO NEED US MOST. 53670793 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 3 0 1 569 1 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X RICHARD NESCIO 3217494781 4315 WOODLAND PARK DR MELBOURNE FL 32904 COLLEEN BROWNE DIRECTOR 1.00 X 0 0 0 KEITH DONALD DIRECTOR 1.00 X 0 0 0 BRETT ESROCK TREASURER 1.00 X X 0 0 0 JOHN BARRY FORBES DIRECTOR 1.00 X 0 0 0 KEVIN HILL DIRECTOR 1.00 X 0 0 0 LEIGH PETTIGREW SECRETARY 1.00 X X 0 0 0 ROBERT SANTIAGO VICE CHAIR 1.00 X X 0 0 0 ERIN SHEA CHAIRPERSON 1.00 X X 0 0 0 SONJA CUMMINGS-WILSON DIRECTOR 1.00 X 0 0 0 JOSEPH FLYNN DIRECTOR 1.00 X 0 0 0 MARK RANDLOV DIRECTOR 1.00 X 0 0 0 RICHARD A HELTON CHIEF EXECUTIVE OFFICER 40.00 X 290197 0 16392 RICHARD ALOYSIUS NESCIO CHIEF FINANCIAL OFFICER 40.00 X 248450 0 27294 MAEGEN ANDERSON CHIEF OPERATING OFFICER 40.00 X 246639 0 20344 THEODORE SCHUCK CHIEF MEDICAL OFFICER 40.00 X 303678 0 29503 JOHN EMIL MALEK CHIEF COMPLIANCE OFFICER A 40.00 X 280139 0 23103 WENDY L LOCKHART CHIEF OF PEDIATRICS 40.00 X 226050 0 25737 MICHAEL SEAN GARVEY CHIEF INFORMATION OFFICER 40.00 X 235438 0 7650 ROBERT JOHN WALTERS CHIEF HUMAN RESOURCES OFFI 40.00 X 234709 0 21084 SHAUN ERIK GARCIA CHIEF QUALITY OFFICER 40.00 X 242600 0 22537 SAJIDA MATHEW LEAD PSYCHIATRIST 35.00 X 253748 0 23733 2561648 0 217377 73 0 1 0 ECLINICALWORKS 2 TECHNOLOGY DRIVE WESTBOROUGH MA 01581 PLATFORM FOR PATIENT SCHEDULING, BILLING 1849448 MORSE COMMUNICATIONS 395 EAST DRIVE MELBOURNE FL 32904 IT SERVICES, HOSTING, CIRCUITS 1370004 WJ CONSTRUCTION 1005 VIERA BLVD SUITE 202 ROCKLEDGE FL 32955 CONSTRUCTION SERVICES 863067 CHANGE HEALTHCARE PO BOX 5724900 MURRAY UT 84157 CONTACT CENTER ANSWERING SERVICES 522546 PROGRESSIVE CLEANING 5585 SCHENCK AVE UNIT 10 ROCKLEDGE FL 32955 CLEANING SERVICES 354006 5 X 9032357 5666165 14698522 PATIENT SERVICE REVENUE 621400 42815177 42815177 CAPITATION REVENUE 621400 7868075 7868075 50683252 612644 612644 68388 0 3916 68388 -3916 64472 64472 MISCELLANEOUS MEDICAL REVENUE 621400 49618 49618 49618 66108508 50732870 0 677116 1051505 1051505 1596616 1405022 191594 31189707 27446943 3742764 877038 771793 105245 3962443 3486950 475493 2287113 2012659 274454 39872 39872 244908 244908 2547966 2547292 674 383005 246374 136631 1804130 1471771 332359 124476 62238 62238 138931 27786 111145 6166 6166 1652710 1487439 165271 332162 248820 83342 SUPPLIES- PHARMACY 6402314 6402314 BILLING EXPENSES 3254443 3130319 124124 SUPPLIES- MEDICAL 1127461 1127461 TRAINING 406668 244561 162107 560993 493380 67613 59990627 53670793 6319834 0 6550065 6730479 15005923 20320264 756618 622160 6162060 6345427 858099 919204 18014728 8934581 8583382 9080147 2502263 2882959 100994 12823369 40519404 59724009 6476671 6667227 204713 6299 12759480 6687683 19426707 X 33831721 40297302 33831721 40297302 40519404 59724009 6117881 347700 0 X 0 1 X 1 1 1 X 8744233 8445858 15914203 13803022 14698522 61605838 8744233 8445858 15914203 13803022 14698522 61605838 61605838 5646 478 3049 7848 612644 629665 62235503 179954508 0.98990 0.99950 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1019618 1019618 670183 432004 238179 9633003 4454933 5178070 6111564 4047644 2063920 580360 580360 9080147 DEPOSITS 104555 OPERATING LEASE - RIGHT-OF-USE ASSETS 12718814 12823369 REFUNDABLE ADVANCES 6299 LEASE LIABILITY 12753181 12759480 X 67140300 347700 684092 1031792 66108508 0 66108508 60674719 684092 684092 59990627 0 59990627 PART X, LINE 2: UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, THE ALLIANCE IS EXEMPT FROM TAXES ON INCOME OTHER THAN UNRELATED BUSINESS INCOME. THE ALLIANCE UTILIZES THE ACCOUNTING REQUIREMENTS ASSOCIATED WITH UNCERTAINTY IN INCOME TAXES USING THE PROVISIONS OF FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ASC 740, INCOME TAXES. USING THAT GUIDANCE, TAX POSITIONS INITIALLY NEED TO BE RECOGNIZED IN THE FINANCIAL STATEMENTS WHEN IT IS MORE-LIKELY-THAN-NOT THE POSITIONS WILL BE SUSTAINED UPON EXAMINATION BY THE TAX AUTHORITIES. IT ALSO PROVIDES GUIDANCE FOR DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE AND TRANSITION. AS OF SEPTEMBER 30, 2023, THE ALLIANCE HAS NO UNCERTAIN TAX PROVISIONS THAT QUALIFY FOR RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. 1 THE FLORIDA ASSOCIATION OF COMMUNITY HEALTH CENTERS INC 2340 HANSEN LANE TALLAHASSEE FL 32301 592559163 501(C)(3) 1051505 0 TO CONTRIBUTE TO THE PRIMARY CARE CAPACITY FUND PROGRAM ESTABLISHED BY FACHC. 1 PART I, LINE 2 IN AN EFFORT TO ENSURE CONTINUING SUPPORT FOR THE FEDERALLY QUALIFIED HEALTH CENTERS (FQHC) THAT PROVIDE UNCOMPENSATED CARE TO THE MEDICAID, UNINSURED AND UNDERINSURED POPULATIONS OF FLORIDA, THE FLORIDA ASSOCIATION OF COMMUNITY HEALTH CENTERS (FACHC), AT THE DIRECTION OF ITS BOARD OF DIRECTORS, ESTABLISHED THE PRIMARY CARE CAPACITY GRANT FUND PROGRAM (FUND). THE FUND WAS ESTABLISHED THROUGH THE VOLUNTARY CONTRIBUTIONS OF FLORIDA FQHCS. FOR PURPOSES AS SET FORTH ABOVE BREVARD HEALTH ALLIANCE DESIRES TO PARTICIPATE IN THIS PROGRAM AND CONTRIBUTE $1,051,505 TO THE FACHC PRIMARY CARE CAPACITY GRANT FUND. IT IS UNDERSTOOD THAT THESE FUNDS ARE TO BE DISBURSED BY FACHC FOR THE PURPOSES SET FORTH IN THE FUND. FUND RECIPIENTS WILL BE OBLIGATED TO DEMONSTRATE THAT ALL FUNDS PROVIDED WERE USED FOR AN APPROPRIATE PURPOSE AS SET FORTH IN THE FUND. X X X X 0 0 0 0 0 0 0 0 0 THEODORE SCHUCK CHIEF MEDICAL OFFICER 262730 0 40948 0 0 0 12147 0 17356 0 333181 0 0 0 RICHARD A HELTON CHIEF EXECUTIVE OFFICER 259273 0 30924 0 0 0 8396 0 7996 0 306589 0 0 0 JOHN EMIL MALEK CHIEF COMPLIANCE OFFICER A 241639 0 38500 0 0 0 5747 0 17356 0 303242 0 0 0 SAJIDA MATHEW LEAD PSYCHIATRIST 237981 0 15767 0 0 0 6377 0 17356 0 277481 0 0 0 RICHARD ALOYSIUS NESCIO CHIEF FINANCIAL OFFICER 215200 0 33250 0 0 0 9938 0 17356 0 275744 0 0 0 MAEGEN ANDERSON CHIEF OPERATING OFFICER 214139 0 32500 0 0 0 8670 0 11674 0 266983 0 0 0 SHAUN ERIK GARCIA CHIEF QUALITY OFFICER 210100 0 32500 0 0 0 9704 0 12833 0 265137 0 0 0 ROBERT JOHN WALTERS CHIEF HUMAN RESOURCES OFFI 203154 0 31555 0 0 0 8251 0 12833 0 255793 0 0 0 WENDY L LOCKHART CHIEF OF PEDIATRICS 202580 0 23470 0 0 0 8381 0 17356 0 251787 0 0 0 MICHAEL SEAN GARVEY CHIEF INFORMATION OFFICER 203726 0 31712 0 0 0 7650 0 0 0 243088 0 0 0 BRETT A ESROCK TREASURER CEO, HOSPITAL DIVISION FOR HEALTH FIRST 330000 HEALTH FIRST PROVIDES IN-KIND LAB AND RADIOLOGY SERVICES FOR BHA 0 MAEGEN ANDERSON COO HER HUSBAND IS VP OF CIA DEVELOPERS, INC. 310568 CIA DEVELOPERS, INC. LEASES THE BUILDING TO BHA AS WELL AS SPACE FOR THE STORAGE OF BHA'S MOBILE UNIT 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE FINANCE TEAM. ONCE CONFIRMED, IT IS THEN REVIEWED BY THE BOARD OF DIRECTORS FOR THEIR APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C THE CHIEF COMPLIANCE OFFICER MONITORS ANY POTENTIAL CONFLICT AND ENFORCES AS NECESSARY. FORM 990, PART VI, SECTION B, LINE 15 SALARY SURVEY DATA PRESENTED TO THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS, AND THEN APPROVED BY THE FULL BOARD OF DIRECTORS. WE PERIODICALLY USE EXTERNAL COMPENSATION CONSULTATIONS TO FORMULATE RECOMMENDATIONS. THE OTHER OFFICERS AND KEY EMPLOYEES' COMPENSATION ARE BASED ON COMPETITIVE MARKET SALARY DATA. WE BENCHMARK OUR JOBS WITH SALARY SURVEY DATA FROM FLORIDA ASSOCIATION OF COMMUNITY HEALTH CENTERS (FACHC), NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC), AND COMPDATA SOUTHEASTERN SALARY SURVEYS. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS MADE AVAILABLE TO THE PUBLIC ONLY UPON REQUEST. PART VIII LINE 1G DONATED SERVICES AND RENT ARE NOT REPORTED AS NON-CASH CONTRIBUTIONS. HOWEVER, THEY ARE INSTRUMENTAL TO OUR ORGANIZATION. HEALTH FIRST, INC. PROVIDED LABORATORY AND OTHER DIAGNOSTIC SERVICES TOTALING $330,000. THE ALLIANCE LEASES SPACE FOR THREE CLINICS AS IN-KIND RENT WHICH ARE LOCATED IN BREVARD COUNTY, FL. THE ALLIANCE ESTIMATED THE FAIR VALUE OF $354,092, ON THE BASIS OF THE RENT THE ALLIANCE PAYS FOR FIVE OTHER CLINICS LOCATED IN THE SAME AREA.