CRESCENT OF HERNANDO INC: Form 990EZ, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
CRESCENT OF HERNANDO INC (EIN 30-0475982)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-09-14
IRS object ID
202232579349201263
Schema version
2021v4.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-09-14T12:08:33-07:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN593070117PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MYERS BUSINESS SERVICES INCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 10189AddressLine1Txt
CityBROOKSVILLECityNm
State AbbreviationFLStateAbbreviationCd
ZIP34603ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN300475982EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Crescent of Hernando IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCRESBusinessNameControlTxt
Phone3526109916PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15244 Commercial WayAddressLine1Txt
CitySpring HillCityNm
State AbbreviationFLStateAbbreviationCd
ZIP346061933ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMohammad A Joud MDPersonNm
Person TitleVice-PresidentPersonTitleTxt
Phone3526109916PhoneNum
Signature2022-04-30SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMohammadPersonFirstNm
Person LastJoud MDPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonGK MyersPreparerPersonNm
PTINP00448817PTIN
Phone3525440024PhoneNum
Preparation2022-09-14PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
Federated Assurance LevelFAL1FederatedAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Website AddressN/AWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$61,060GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$58,526ContributionsGiftsGrantsEtcAmt
Program Service Revenue$0ProgramServiceRevenueAmt
Membership Dues$0MembershipDuesAmt
Investment Income$0InvestmentIncomeAmt
Cost Or Other Basis Expense Sale$0CostOrOtherBasisExpenseSaleAmt
Gain Or Loss From Sale Of Assets$0GainOrLossFromSaleOfAssetsAmt
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Special Events Direct Expenses$0SpecialEventsDirectExpensesAmt
Special Events Net Income Loss$0SpecialEventsNetIncomeLossAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt
Gross Profit Loss Sls Of Invntry$0GrossProfitLossSlsOfInvntryAmt
Other Revenue Total$2,534OtherRevenueTotalAmt
Total Revenue$61,060TotalRevenueAmt
Fees And Other Pymt To Ind Cntrct$14,112FeesAndOtherPymtToIndCntrctAmt
Occupancy Rent Utlts And Maint$33,054OccupancyRentUtltsAndMaintAmt
Other Expenses Total$37,727OtherExpensesTotalAmt
Total Expenses$84,893TotalExpensesAmt
Excess Or Deficit For Year-$23,833ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$399,982NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$376,149NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$293,760BOYAmt
EOY$277,749EOYAmt

Land And Buildings LandAndBuildingsGrp

FieldValueIRS element (for citing)
BOY$49,241BOYAmt
EOY$41,419EOYAmt

Other Assets Total Detail OtherAssetsTotalDetail

FieldValueIRS element (for citing)
BOY$56,981BOYAmt
EOY$56,981EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$399,982BOYAmt
EOY$376,149EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$399,982BOYAmt
EOY$376,149EOYAmt
FieldValueIRS element (for citing)
Primary Exempt PurposeTo provide free quality healthcare to the uninsured and low income residents.PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp

FieldValueIRS element (for citing)
Description Program Srvc AccomProvided free quality healthcare to the uninsuredand low income residents.DescriptionProgramSrvcAccomTxt
Grants And Allocations$1,796GrantsAndAllocationsAmt
Program Service Expenses$7,235ProgramServiceExpensesAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$7,235TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (10 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
Husam Abuzarad MD
President10.00$0$0$0
Mohammad Joud MD
Secretary10.00$0$0$0
Abdusalam Khalil
Treasurer5.00$0$0$0
Rodney Ackley DDS
Director5.00$0$0$0
Syed W Hasan MD
Director5.00$0$0$0
Azzam Muftah MD
Director5.00$0$0$0
Elaine Moorman DHSC ARNP
Director5.00$0$0$0
Amy Capoocia MD
Director5.00$0$0$0
Syed W Ali MD
Director5.00$0$0$0
Muhammed R Hiba
Director5.00$0$0$0
FieldValueIRS element (for citing)
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not RptfalseChgMadeToOrgnzngDocNotRptInd
Organization Had UBIfalseOrganizationHadUBIInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Form1120 Pol FiledfalseForm1120PolFiledInd
Made Loans To From OfficersfalseMadeLoansToFromOfficersInd
Initiation Fees And Cap Contri$0InitiationFeesAndCapContriAmt
Gross Receipts For Public Use$0GrossReceiptsForPublicUseAmt
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonHusam Abuzarad MDPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line15244 Commercial WayAddressLine1Txt
CitySpring HillCityNm
State AbbreviationFLStateAbbreviationCd
ZIP346061933ZIPCd
FieldValueIRS element (for citing)
Phone3526109916PhoneNum
FieldValueIRS element (for citing)
Foreign Financial AccountfalseForeignFinancialAccountInd
Foreign OfficefalseForeignOfficeInd
Donor Advised FndsfalseDonorAdvisedFndsInd
Operate HospitalfalseOperateHospitalInd
Tanning Services ProvidedfalseTanningServicesProvidedInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
School OperatingfalseSchoolOperatingInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Part VI Of Comp Of Hghst Pd EmplNONEPartVIOfCompOfHghstPdEmplTxt
Part VI Hghst Pd Cntrct Prof SrvcNONEPartVIHghstPdCntrctProfSrvcTxt
Filed Schedule AYes (true)FiledScheduleAInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind
Other Support Sum$0OtherSupportSumAmt
Public Support CY1700PublicSupportCY170Pct

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$103,490CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$121,801CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$89,660CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$89,391CurrentTaxYearMinus1YearAmt
Current Tax Year$61,060CurrentTaxYearAmt
Total$465,402TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$18,980CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$890CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$19,870TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$103,490CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$121,801CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$108,640CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$90,281CurrentTaxYearMinus1YearAmt
Current Tax Year$61,060CurrentTaxYearAmt
Total$485,272TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$485,272PublicSupportTotal509Amt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Total$485,272TotalAmt
FieldValueIRS element (for citing)
Public Support CY5091.00000PublicSupportCY509Pct
Public Support PY5091.00000PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Investment Income PY0.00000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt VI, Line 7aN/A
Pt VI, Line 11bCopy available for review
Form 990EZ, Part I, Line 8Refunds 2534.
Form 990EZ, Part I, Line 16Bank & Credit Card Fees 736.
Form 990EZ, Part I, Line 16Computer & Internet 2679.
Form 990EZ, Part I, Line 16Depreciation 7822.
Form 990EZ, Part I, Line 16Insurance 727.
Form 990EZ, Part I, Line 16Medical Expenses 13242.
Form 990EZ, Part I, Line 16Office Supplies & Postage 8948.
Form 990EZ, Part I, Line 16Security 252.
Form 990EZ, Part I, Line 16Taxes & Licenses 70.
Form 990EZ, Part I, Line 16Telephone 3251.
Form 990EZ, Part II, Line 24Endowment Fund 56981. 56981.
Form 990EZ, Part II, Line 26Due to Credit Card

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