CRESCENT OF HERNANDO INC: Form 990EZ, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
CRESCENT OF HERNANDO INC (EIN 30-0475982)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-06-04
IRS object ID
202031569349200633
Schema version
2019v5.1
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)
Return2020-06-04T13:19:39-07:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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
ZIP346030189ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

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)
PersonHusam Abuzarad MDPersonNm
Person TitlePresidentPersonTitleTxt
Phone3526109916PhoneNum
Signature2020-05-24SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonGK MyersPreparerPersonNm
PTINP00448817PTIN
Phone3525440024PhoneNum
Preparation2020-06-04PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address68.209.186.232IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-06-04IPDt
IP Tm13:19:25IPTm
IP TimezonePDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id9CEA3DB407292F1493648DA03D8B574E5288C3F7AtSubmissionCreationDeviceId
At Submission Filing Device Id9CEA3DB407292F1493648DA03D8B574E5288C3F7AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2020-04-17 16:48:07ZBuildTS

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$108,640GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$89,660ContributionsGiftsGrantsEtcAmt
Program Service Revenue$6,715ProgramServiceRevenueAmt
Membership Dues$0MembershipDuesAmt
Investment Income$0InvestmentIncomeAmt
Cost Or Other Basis Expense Sale$0CostOrOtherBasisExpenseSaleAmt
Gain Or Loss From Sale Of Assets$0GainOrLossFromSaleOfAssetsAmt
Fundraising Gross Income$12,265FundraisingGrossIncomeAmt
Special Events Direct Expenses$0SpecialEventsDirectExpensesAmt
Special Events Net Income Loss$12,265SpecialEventsNetIncomeLossAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt
Gross Profit Loss Sls Of Invntry$0GrossProfitLossSlsOfInvntryAmt
Total Revenue$108,640TotalRevenueAmt
Salaries Other Comp Empl Bnft$9,087SalariesOtherCompEmplBnftAmt
Fees And Other Pymt To Ind Cntrct$6,730FeesAndOtherPymtToIndCntrctAmt
Occupancy Rent Utlts And Maint$25,797OccupancyRentUtltsAndMaintAmt
Printing Publications Postage$17,715PrintingPublicationsPostageAmt
Other Expenses Total$38,325OtherExpensesTotalAmt
Total Expenses$97,654TotalExpensesAmt
Excess Or Deficit For Year$10,986ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$389,659NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$400,645NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$255,483BOYAmt
EOY$286,358EOYAmt

Land And Buildings LandAndBuildingsGrp

FieldValueIRS element (for citing)
BOY$134,176BOYAmt
EOY$57,306EOYAmt

Other Assets Total Detail OtherAssetsTotalDetail

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

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$389,659BOYAmt
EOY$400,645EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$389,659BOYAmt
EOY$400,645EOYAmt
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$6,715GrantsAndAllocationsAmt
Program Service Expenses$6,715ProgramServiceExpensesAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$6,715TotalProgramServiceExpensesAmt

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$149,647CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$100,882CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$103,490CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$121,801CurrentTaxYearMinus1YearAmt
Current Tax Year$89,660CurrentTaxYearAmt
Total$565,480TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$10,926CurrentTaxYearMinus3YearsAmt
Current Tax Year$18,980CurrentTaxYearAmt
Total$29,906TotalAmt

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$149,647CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$111,808CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$103,490CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$121,801CurrentTaxYearMinus1YearAmt
Current Tax Year$108,640CurrentTaxYearAmt
Total$595,386TotalAmt

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$595,386PublicSupportTotal509Amt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Total$595,386TotalAmt
FieldValueIRS element (for citing)
Public Support CY5091.00000PublicSupportCY509Pct
Public Support PY5090.99810PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Investment Income PY0.00190InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt VI, Line 7aN/A
Pt VI, Line 11bCopy available for review
Form 990EZ, Part I, Line 16Bank Fees 630.
Form 990EZ, Part I, Line 16Depreciation 8519.
Form 990EZ, Part I, Line 16Medical Expenses 5516.
Form 990EZ, Part I, Line 16Office Supplies & Postage 18839.
Form 990EZ, Part I, Line 16Telephone 4821.
Form 990EZ, Part II, Line 24Endowment Fund 56981.
Form 990EZ, Part II, Line 26Due to Credit Card 0.

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