CRESCENT OF HERNANDO INC: Form 990EZ, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- CRESCENT OF HERNANDO INC (EIN 30-0475982)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-08-15
- IRS object ID
- 201322279349201602
- Schema version
- 2012v2.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-08-15T10:59:02-07:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Gregory L Gresham PA | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8370 W Hillsborough Ave Suite 104 | AddressLine1 |
| City | Tampa | City |
| State | FL | State |
| ZIP Code | 33615 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 300475982 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Crescent of Hernando Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CRES | NameControl |
| Phone | 3526109927 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5244 Commercial Way | AddressLine1 |
| City | Spring Hill | City |
| State | FL | State |
| ZIP Code | 34606 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Hasam Abu Zarard | Name |
| Title | President | Title |
| Date Signed | 2013-08-10 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Gregory L Gresham | Name |
| PTIN | P01257726 | PTIN |
| Phone | 8138897828 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | X | MethodOfAccountingCash |
| Schedule B Not Required | X | ScheduleBNotRequired |
| Web Site | N/A | WebSite |
| Organization501c3 | X | Organization501c3 |
| Gross Receipts | 88622 | GrossReceipts |
| Info In Schedule O Part I | X | InfoInScheduleOPartI |
| Contributions Gifts Grants Etc | 79428 | ContributionsGiftsGrantsEtc |
| Program Service Revenue | 9194 | ProgramServiceRevenue |
| Cost Other Basis And Sales Expenses | 0 | CostOtherBasisAndSalesExpenses |
| Fundraising Gross Income | 0 | FundraisingGrossIncome |
| Special Events Direct Expenses | 0 | SpecialEventsDirectExpenses |
| Cost Of Goods Sold | 0 | CostOfGoodsSold |
| Total Revenue | 88622 | TotalRevenue |
| Salaries Other Comp Empl Benefits | 6413 | SalariesOtherCompEmplBenefits |
| Fees And Oth Pymt To Ind Contractors | 70 | FeesAndOthPymtToIndContractors |
| Occupancy Rent Utilities And Maint | 9996 | OccupancyRentUtilitiesAndMaint |
| Printing Publications Postage | 1405 | PrintingPublicationsPostage |
| Other Expenses Total | 33523 | OtherExpensesTotal |
| Total Expenses | 51407 | TotalExpenses |
| Excess Or Deficit For Year | 37215 | ExcessOrDeficitForYear |
| Net Assets Or Fund Balances BOY | 119735 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 156950 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part II | X | InfoInScheduleOPartII |
Cash Savings And Investments CashSavingsAndInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 46997 | BOY |
| EOY | 70552 | EOY |
Land And Buildings LandAndBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 72738 | BOY |
| EOY | 67722 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 18676 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 119735 | BOY |
| EOY | 156950 | EOY |
Net Assets Or Fund Balances NetAssetsOrFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 119735 | BOY |
| EOY | 156950 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Exempt Purpose | To provide free quality healthcare to the uninsured and low income individuals. | PrimaryExemptPurpose |
Program Service Accomplishment ProgramServiceAccomplishment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Service Accom | To provide free quality healthcare to the uninsured and low income individuals. | DescriptionProgramServiceAccom |
| Grants And Allocations | 39599 | GrantsAndAllocations |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | 39599 | TotalProgramServiceExpenses |
Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (7 entries)
| TitleTitle | Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition | CompensationCompensation |
|---|---|---|
| Dr Muftah | ||
| Director | 5.00 | 0 |
| Dr Fattah | ||
| Director | 5.00 | 0 |
| AbdulSalam Khalil | ||
| Treasurer | 5.00 | 0 |
| Allam Reheem | ||
| Vice President | 5.00 | 0 |
| Dr Ali | ||
| Director | 5.00 | 0 |
| Mohammad Joud | ||
| Director | 5.00 | 0 |
| Husam Abu Zarard | ||
| President | 10.00 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part V | X | InfoInScheduleOPartV |
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRpt |
| Made Changes To Orgnzng Etc Doc | false | MadeChangesToOrgnzngEtcDoc |
| Organization Had UBI | false | OrganizationHadUBI |
| Organization Filed990 T | false | OrganizationFiled990T |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Organization Dissolved Etc | false | OrganizationDissolvedEtc |
| Did Org File Form1120 POL This Year | false | DidOrgFileForm1120POLThisYear |
| Made Loans To From Officers | false | MadeLoansToFromOfficers |
| Initiation Fees And Capital Contri | 0 | InitiationFeesAndCapitalContri |
| Gross Receipts For Public Use | 0 | GrossReceiptsForPublicUse |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTrans |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Husam Abu Zarard | NamePerson |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11373 Cortez Blvd Ste 302 | AddressLine1 |
| City | Brooksville | City |
| State | FL | State |
| ZIP Code | 34613 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3525964656 | TelephoneNumber |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccount |
| Foreign Office | false | ForeignOffice |
| Maintain Any Donor Advised Funds | false | MaintainAnyDonorAdvisedFunds |
| Does Org Have Hospital | false | DoesOrgHaveHospital |
| Tanning Services Provided | false | TanningServicesProvided |
| Form720 Filed | false | Form720Filed |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction With Control Entity | false | TransactionWithControlEntity |
| Engage Political Cmpgn Activities | false | EngagePoliticalCmpgnActivities |
| Engage In Lobbying Activities | false | EngageInLobbyingActivities |
| Operating School | false | OperatingSchool |
| Trnsfrs Exempt Non Char Related Org | false | TrnsfrsExemptNonCharRelatedOrg |
| Related Org Section527 Org | false | RelatedOrgSection527Org |
| Part VI Of Comp Of Highest Paid Empl | NONE | PartVIOfCompOfHighestPaidEmpl |
| Part VIA Hghst Paid Cntrct Prof Ser | NONE | PartVIAHghstPaidCntrctProfSer |
| Filed Schedule A | true | FiledScheduleA |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 29994 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 24646 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 88394 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 103677 | CurrentTaxYearMinus1Year |
| Current Tax Year | 79428 | CurrentTaxYear |
| Total | 326139 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | 9194 | CurrentTaxYear |
| Total | 9194 | Total |
Gross Receipts From Non UBI GrossReceiptsFromNonUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 29994 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 24646 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 88394 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 103677 | CurrentTaxYearMinus1Year |
| Current Tax Year | 88622 | CurrentTaxYear |
| Total | 335333 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 335333 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Post1975 UBTI Post1975UBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Net Income From Other UBI NetIncomeFromOtherUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 29994 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 24646 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 88394 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 103677 | CurrentTaxYearMinus1Year |
| Current Tax Year | 88622 | CurrentTaxYear |
| Total | 335333 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 1.00000 | PublicSupportPercentage509 |
| Investment Income Percentage | 0.00000 | InvestmentIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (17 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Form 990-EZ, Part II, Line 24.1003 | Other Assets.1003 | Machinery and Equipment - Beginning $0 Machinery and Equipment - Ending $18676 |
| Form 990-EZ, Part I, Line 16.13 | Other Expenses.13 | Bank Charges $40 |
| Form 990-EZ, Part I, Line 16.11 | Other Expenses.11 | Biowaste $331 |
| Form 990-EZ, Part I, Line 16.10 | Other Expenses.10 | Professional Licenses $341 |
| Form 990-EZ, Part I, Line 16.9 | Other Expenses.9 | Training $351 |
| Form 990-EZ, Part I, Line 16.8 | Other Expenses.8 | Security $577 |
| Form 990-EZ, Part I, Line 16.7 | Other Expenses.7 | Memberships $590 |
| Form 990-EZ, Part I, Line 16.6 | Other Expenses.6 | Awards $1094 |
| Form 990-EZ, Part I, Line 16.4 | Other Expenses.4 | Janitorial $3057 |
| Form 990-EZ, Part I, Line 16.3 | Other Expenses.3 | Dental Supplies $3141 |
| Form 990-EZ, Part I, Line 16.2 | Other Expenses.2 | Medical Supplies $3937 |
| Form 990-EZ, Part I, Line 16.1 | Other Expenses.1 | Utilities $6521 |
| Form 990-EZ, Part I, Line 16.1012 | Other Expenses.1012 | Insurance $361 |
| Form 990-EZ, Part I, Line 16.1009 | Other Expenses.1009 | Depreciation $7091 |
| Form 990-EZ, Part I, Line 16.1003 | Other Expenses.1003 | Information Technology $4324 |
| Form 990-EZ, Part I, Line 16.1002 | Other Expenses.1002 | Office Expenses $1084 |
| Form 990-EZ, Part I, Line 16.1001 | Other Expenses.1001 | Advertising and Promotion $683 |
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