CRESCENT OF HERNANDO INC: Form 990EZ, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
CRESCENT OF HERNANDO INC (EIN 30-0475982)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-06-17
IRS object ID
201911689349200701
Schema version
2018v3.1
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)
Return2019-06-17T05:42:33-07:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

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 Begin2018-01-01TaxPeriodBeginDt

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
Signature2019-05-05SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonGK MyersPreparerPersonNm
PTINP00448817PTIN
Phone3525440024PhoneNum
Preparation2019-06-17PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address108.190.138.67IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-06-17IPDt
IP Tm05:42:29IPTm
IP TimezonePDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id9CEA3DB407292F1493648DA03D8B574E5288C3F7AtSubmissionCreationDeviceId
At Submission Filing Device Id15E7D8B85FD7FA4E15BF379D4B71E400BFBDD0B9AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

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$121,801GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$96,526ContributionsGiftsGrantsEtcAmt
Program Service Revenue$10,300ProgramServiceRevenueAmt
Membership Dues$0MembershipDuesAmt
Investment Income$0InvestmentIncomeAmt
Cost Or Other Basis Expense Sale$0CostOrOtherBasisExpenseSaleAmt
Gain Or Loss From Sale Of Assets$0GainOrLossFromSaleOfAssetsAmt
Fundraising Gross Income$14,975FundraisingGrossIncomeAmt
Special Events Direct Expenses$0SpecialEventsDirectExpensesAmt
Special Events Net Income Loss$14,975SpecialEventsNetIncomeLossAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt
Gross Profit Loss Sls Of Invntry$0GrossProfitLossSlsOfInvntryAmt
Total Revenue$121,801TotalRevenueAmt
Fees And Other Pymt To Ind Cntrct$22,948FeesAndOtherPymtToIndCntrctAmt
Occupancy Rent Utlts And Maint$63,065OccupancyRentUtltsAndMaintAmt
Printing Publications Postage$1,123PrintingPublicationsPostageAmt
Other Expenses Total$11,190OtherExpensesTotalAmt
Total Expenses$98,326TotalExpensesAmt
Excess Or Deficit For Year$23,475ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$366,184NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$389,659NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$232,188BOYAmt
EOY$255,483EOYAmt

Land And Buildings LandAndBuildingsGrp

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

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$366,364BOYAmt
EOY$389,659EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$180BOYAmt
EOY$0EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$366,184BOYAmt
EOY$389,659EOYAmt
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$10,300GrantsAndAllocationsAmt
Program Service Expenses$11,047ProgramServiceExpensesAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$11,047TotalProgramServiceExpensesAmt

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$215,635CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$149,647CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$100,882CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$103,490CurrentTaxYearMinus1YearAmt
Current Tax Year$121,801CurrentTaxYearAmt
Total$691,455TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,587CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus2 Years$10,926CurrentTaxYearMinus2YearsAmt
Total$16,513TotalAmt

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$221,222CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$149,647CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$111,808CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$103,490CurrentTaxYearMinus1YearAmt
Current Tax Year$121,801CurrentTaxYearAmt
Total$707,968TotalAmt

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$707,968PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,336CurrentTaxYearMinus4YearsAmt
Total$1,336TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,336CurrentTaxYearMinus4YearsAmt
Total$1,336TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Total$709,304TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99810PublicSupportCY509Pct
Public Support PY5090.99820PublicSupportPY509Pct
Investment Income CY0.00190InvestmentIncomeCYPct
Investment Income PY0.00180InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt VI, Line 7aN/A
Pt VI, Line 11bCopy available for review
Form 990EZ, Part I, Line 16Depreciation 11190.
Form 990EZ, Part II, Line 26Due to Credit Card 180. 0.

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