Applications will not be considered until all required documentation is submitted.
Complete application packets must include the following documentation:
a. Completed online application submitted by the deadline. Late submissions will not be considered.
b. Complete Business Overview and Plan - provide all details of the business including:
- Overview of the medical, healthcare, pharmacy, or wellness practice including the patient population to be served at the Rental Space location.
- All medical, healthcare, pharmacy, or wellness providers to be located at the Rental Space, including education, experience, specialities, certifications, etc.
- All medical, healthcare, pharmacy, or wellness services to be offered at the Rental Space.
- All insurance plans to be accepted at the Rental Space, to include Medicare and Medicaid.
- Hours of Operation for the Rental Space location.
- Plans for anticipated buildout of the Rental Space and launch timeline. Timeline should account for any site plan and permit approval.
c. Description of the legal organizational structure of the Applicant entity including the title and names of the officers/partners/directors/members over the last two (2) years (if the applicant entity is affiliated with another entity, please provide a statement representing the nature of the affiliation along with the other entity’s name, address, phone number, and a listing of the officers/partners/directors/members).
d. Three-year financial projections of business operations/maintenance.
e. Budget for business operations, including startup costs.
f. Evidence of financial ability/capital to operate (may include approved loan, cash balance, line of credit, etc.)
g. IRS Income Tax Returns for the business (must match applicant name), most recent 2 years' worth.
h. Current Business Tax Receipt (provide a copy of the business's current business tax receipt for the current location of operation, if available at the time of submission. If not available, the Successful Tenant will need to provide a City of Delray Beach Business Tax Receipt before any agreement can be finalized).
i. Business License & Registration with Florida Department of Business and Professional Regulation (DBPR)
j. Professional Licenses and Certifications: provide copies of all current, up to date state licenses, board certifcations, and other certifications as applicable for the medical, healthcare, pharmacy, and/or wellness service providers who will be located at the Rental Space.
k. Health Insurance Acceptance - provide proof that Applicant has a National Provider Identifier Number, that the Applicant will be able to successfully complete or has previously successfully completed the credentialing and contracting process (for a different location owned and operated by the Applicant) with health insurance companies, and government programs -Medicare and Medicaid.
m. Malpractice Insurance or exemption information.
l. Other pertinent information.
*The Delray Beach CRA reserves the sole and absolute right to select tenants that best serve the interests of the CRA District.
Any information submitted after the application deadline will not be considered.