Palms Clinic And Hospital in Phoenix, Arizona (AZ)

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Palms Clinic And Hospital
Employer Identification Number (EIN)860091505
Name of OrganizationPalms Clinic And Hospital
In Care of NameThe Samaritan Foundation
Address1441 N 12th St, Phoenix, AZ 85006-2837
ActivitiesScientific research (diseases), Contact or sponsored scientific research for industry, Health clinic
SubsectionCharitable Organization
Ruling Date01/1951
DeductibilityContributions are deductible
FoundationPrivate non-operating foundation
OrganizationCorporation
Exempt Organization StatusUnconditional Exemption
Tax Period06/2012
Assets$100,000 to $499,999
Income$10,000 to $24,999
Filing Requirement990 - Not required to file (all other)
Asset Amount$142,726
Amount of Income$15,118
Form 990 Revenue Amount$15,118


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Financial snapshot ($)

Revenue for 2012

Assets for 2012

Analysis of Revenue and Expenses (for 2012)
Revenue and expenses per booksNet investment incomeAdjusted net incomeDisbursements for charitable purposes (cash basis only)
Total revenue$15,118$2,891$0
Contributions, gifts, grants, etc., received$12,227
Interest on savings and temporary cash investments$345
Dividends and interest from securities$2,546
Gross rents$0
Gross profit from sales of goods$0
Other income$0
Total expenses and disbursements$134$0$0$0
Compensation of officers, directors, trustees, etc.$0
Total operating and administrative expenses$134$0$0
Contributions, gifts, grants paid$0
Excess of revenue over expenses and disbursements$14,984
Net investment income$2,891
Adjusted net income$0
Balance Sheets (for 2012)
Book ValueFair Market Value
Total assets$142,726$128,960
Cash - non-interest-bearing$84,495
Investments-U.S. and state government obligations$0
Investments-corporate stock$0
Investments-corporate bonds$0
Investments-mortgage loans$0
Investments-other$58,230
Other$1
Total liabilities$0
Total liabilities and net assets/fund balances$142,726
Capital Gains and Losses for Tax on Investment Income (for 2012)
Capital gain net income$0
Net capital loss$0
Excise Tax Based on Investment Income (for 2012)
Domestic foundations that meet the section 4940(e) requirements (for Reduced Tax on Net Investment Income)No
Tax based on investment income$58
Total credits and payments$0
Any penalty for underpayment of estimated tax$0
Tax due$58
Overpayment$0
Amount to be credited to 2013 estimated tax$0
Statements Regarding Activities (for 2012)
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did it participate or intervene in any political campaign?No
Was there a liquidation, termination, dissolution, or substantial contraction during the year?No
Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3) or 4942(j)(5) for calendar year 2012 or the taxable year beginning in 2012?No
Statements Regarding Activities for Which Form 4720 May Be Required (for 2012)
During the year did the foundation (either directly or indirectly):
Engage in the sale or exchange, or leasing of property with a disqualified person?No
Borrow money from, lend money to, or otherwise extend credit to (or accept it from) a disqualified person?No
Furnish goods, services, or facilities to (or accept them from) a disqualified person?No
Pay compensation to, or pay or reimburse the expenses of, a disqualified person?No
Transfer any income or assets to a disqualified person (or make any of either available for the benefit or use of a disqualified person)?No
Agree to pay money or property to a government official?No
At the end of tax year 2012, did the foundation have any undistributed income for tax year(s) beginning before 2012?No
Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at any time during the year?No
Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?No
During the year did the foundation pay or incur any amount to:
Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?No
Influence the outcome of any specific public election (see section 4955); or to carry on, directly or indirectly, any voter registration drive?No
Provide a grant to an individual for travel, study, or other similar purposes?No
Provide a grant to an organization other than a charitable, etc., organization described in section 509(a)(1), (2), or (3), or section 4940(d)(2)?No
Provide for any purpose other than religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals?No
Minimum Investment Return (for 2012)
Fair market value of assets not used (or held for use) directly in carrying out charitable, etc., purposes$120,571
Net value of noncharitable-use assets$118,760
Minimum investment return$5,938
Distributable Amount (for 2012)
Distributable amount$5,880
Undistributed Income (for 2012)
Distributable amount for 2012$5,880
Undistributed income for 2012. This amount must be distributed in 2013$0
Private Operating Foundations (for 2012)
2012201120102009Total
The lesser of the adjusted net income or the minimum investment return$0$0$0$0$0
Qualifying distributions made directly for active conduct of exempt activities$0$0$0$0$0
Value of all assets$0$0$0$0$0
Value of assets qualifying under section 4942(j)(3)(B)(i)$0$0$0$0$0
2/3 of minimum investment return$0$0$0$0$0
Total support other than gross investment income (interest, dividends, rents, payments on securities loans (section 512(a)(5)), or royalties)$0$0$0$0$0
Support from general public and 5 or more exempt organizations as provided in section 4942(j)(3)(B)(iii)$0$0$0$0$0
Gross investment income$0$0$0$0$0
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