SALEMHAVEN INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: SALEMHAVEN INC (EIN 02-0325847)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-11-13
IRS object ID: 201913179349300121
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
Form 990
Schedule A
Schedule C
Schedule D
Schedule G
Schedule J
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-11-13T06:48:05-06:00	ReturnTs
Tax Period End	2018-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	010523282	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Berry Dunn McNeil & Parker LLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 1100	AddressLine1Txt
City	Portland	CityNm
State Abbreviation	ME	StateAbbreviationCd
ZIP	041041100	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	020325847	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Salemhaven Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	SALE	BusinessNameControlTxt
Phone	6038935586	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	23 Geremonty Drive	AddressLine1Txt
City	Salem	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	03079	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Beverly Collins	PersonNm
Person Title	President	PersonTitleTxt
Phone	6038935586	PhoneNum
Signature	2019-09-17	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Barbara J McGuan CPA	PreparerPersonNm
PTIN	P00219457	PTIN
Phone	2077752387	PhoneNum
Preparation	2019-09-17	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	69.49.157.66	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2019-09-17	IPDt
IP Tm	17:06:12	IPTm
IP Timezone	ED	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	B6CABA93EC29A130F91389D5843EEEAA10181012	AtSubmissionCreationDeviceId
At Submission Filing Device Id	2822CCB165EE8EB222BC1A8C889357795F91400A	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-03-31 21:24:44Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Beverly Collins	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	23 Geremonty Drive	AddressLine1Txt
City	Salem	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	03079	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$12,119,705	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	salemhaven.com	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1977	FormationYr
Legal Domicile State	NH	LegalDomicileStateCd
Activity Or Mission	Healthcare services for the elderly	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	208	TotalEmployeeCnt
Total Volunteers	37	TotalVolunteersCnt
Total Gross UBI	$82,946	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$81,946	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$15,332	PYContributionsGrantsAmt
CY Contributions Grants	$36,125	CYContributionsGrantsAmt
PY Program Service Revenue	$11,398,001	PYProgramServiceRevenueAmt
CY Program Service Revenue	$11,846,112	CYProgramServiceRevenueAmt
PY Investment Income	$122,752	PYInvestmentIncomeAmt
CY Investment Income	$98,275	CYInvestmentIncomeAmt
PY Other Revenue	$0	PYOtherRevenueAmt
CY Other Revenue	$82,946	CYOtherRevenueAmt
PY Total Revenue	$11,536,085	PYTotalRevenueAmt
CY Total Revenue	$12,063,458	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$7,443,627	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$8,027,192	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$4,615,050	PYOtherExpensesAmt
CY Other Expenses	$4,581,845	CYOtherExpensesAmt
PY Total Expenses	$12,058,677	PYTotalExpensesAmt
CY Total Expenses	$12,609,037	CYTotalExpensesAmt
PY Revenues Less Expenses	-$522,592	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$545,579	CYRevenuesLessExpensesAmt
Total Assets BOY	$10,887,018	TotalAssetsBOYAmt
Total Assets EOY	$10,130,104	TotalAssetsEOYAmt
Total Liabilities BOY	$4,138,293	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$4,058,700	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$6,748,725	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$6,071,404	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	In February, 1972, a group of Salem, NH residents founded the organization with the goal of developing a facility to provide health care and related services for the community's elderly population.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$11,141,981	ExpenseAmt
Revenue	$11,846,112	RevenueAmt
Desc	The Salemhaven complex provides comprehensive healthcare services, resources and accomodations (110 bed facility) for senior citizens, including the operation of a medical day care service. Salemhaven services include providing long term care, rehabilitation including PT, OT Speech, social services for residents and families, meeting of Spiritual needs, activities, supporting many local charities and community services, hospice services and respite care. We employ over 150 workers from the local area, we subsidized Medicaid over 1 million dollars annually, and we are a participant in the local and state emergency planning programs.Silverthorne Adult Medical Day Center provides to participants: Health care monitoring, Social services, Therapeutic and recreational activities, Health Care Education to participants, families and the community. We also provide respite care for caregivers and a Caregiver Support Group monthly for families and community members.	Desc
Total Program Service Expenses	$11,141,981	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	0	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	Yes (1)	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	0	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	Yes (1)	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	0	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	39	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	208	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	0	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	NH	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Ray Milliard Administrator	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6038935586	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	23 Geremonty Drive	AddressLine1Txt
City	Salem	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	03079	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
Beverly Collins
Board President	1.00	Yes (X)	Yes (X)	$0	$0	$0
Michael Collins
Board Treasurer	1.00	Yes (X)	Yes (X)	$0	$0	$0
Philip Cammarata
Vice President	1.00	Yes (X)	Yes (X)	$0	$0	$0
Robert Slein
Board Member	1.00	Yes (X)		$0	$0	$0
Sonny Tylus
Board Member/ Past Board President	1.00	Yes (X)		$0	$0	$0
Jeffrey Scionti
Board Member	1.00	Yes (X)		$0	$0	$0
Jamie Santo
Board Member	1.00	Yes (X)		$0	$0	$0
Ralph Glynn
Board Member	1.00	Yes (X)		$0	$0	$0
Rev David Yasenka
Board Member	1.00	Yes (X)		$0	$0	$0
Michael Carney Jr
Board Member	1.00	Yes (X)		$0	$0	$0
Frank Monteiro
Board Member	1.00	Yes (X)		$0	$0	$0
Amy White
Board Member	1.00	Yes (X)		$0	$0	$0
Dwight Feeney
Past Board Member	1.00	Yes (X)		$0	$0	$0
Thomas Lynch
Past Board Member	1.00	Yes (X)		$0	$0	$0
Raymond Milliard
Administrator	40.00		Yes (X)	$125,177	$0	$42,744

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$125,177	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$42,744	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Kindred Rehab Services LLC
PO Box 277365	Atlanta	GA	30384	Rehab Services	$897,287
Brightstar Care of Bedford
602 Riverway Place Suite B	Bedford	NH	03110	Care Services	$339,268
PharMerica
38 Locke Road	Concord	NH	03301	Pharmacy Services	$296,453
Sysco Food Service
99 Spring Street	Plympton	MA	02367	Food Services	$241,650
Northeast Medical Staff
221 Chelmsford Street	Chelmsford	MA	01824	Staffing Services	$166,909

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	5	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$36,125	AllOtherContributionsAmt
Total Contributions	$36,125	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Long-Term Care Services	623000	$11,666,387	$11,666,387
Adult Daycare Services	623000	$172,007	$172,007
Miscellaneous Income	623000	$7,093	$7,093
Guest Meals	623000	$625	$625

Field	Value	IRS element (for citing)
Total Program Service Revenue	$11,846,112	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$71,547	TotalRevenueColumnAmt
Exclusion	$71,547	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$82,975	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$56,247	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$26,728	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$26,728	TotalRevenueColumnAmt
Exclusion	$26,728	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$82,946	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$82,946	TotalRevenueColumnAmt
Unrelated Business Revenue	$82,946	UnrelatedBusinessRevenueAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$12,063,458	TotalRevenueColumnAmt
Related Or Exempt Func Income	$11,846,112	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$82,946	UnrelatedBusinessRevenueAmt
Exclusion	$98,275	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$167,921	TotalAmt
Management And General	$167,921	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$6,561,101	TotalAmt
Program Services	$6,180,296	ProgramServicesAmt
Management And General	$380,805	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$66,627	TotalAmt
Program Services	$61,422	ProgramServicesAmt
Management And General	$5,205	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$829,913	TotalAmt
Program Services	$765,079	ProgramServicesAmt
Management And General	$64,834	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$401,630	TotalAmt
Program Services	$370,254	ProgramServicesAmt
Management And General	$31,376	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$17,042	TotalAmt
Management And General	$17,042	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$45,818	TotalAmt
Program Services	$2,573	ProgramServicesAmt
Management And General	$43,245	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$71,633	TotalAmt
Program Services	$69,743	ProgramServicesAmt
Management And General	$1,890	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$70,576	TotalAmt
Program Services	$3,133	ProgramServicesAmt
Management And General	$67,443	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$233,456	TotalAmt
Program Services	$171,708	ProgramServicesAmt
Management And General	$61,748	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$102,656	TotalAmt
Program Services	$261	ProgramServicesAmt
Management And General	$102,395	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$370,670	TotalAmt
Program Services	$329,379	ProgramServicesAmt
Management And General	$41,291	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$9,974	TotalAmt
Program Services	$5,568	ProgramServicesAmt
Management And General	$4,406	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$133,494	TotalAmt
Program Services	$128,068	ProgramServicesAmt
Management And General	$5,426	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$497,995	TotalAmt
Program Services	$479,295	ProgramServicesAmt
Management And General	$18,700	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$238,544	TotalAmt
Program Services	$133,786	ProgramServicesAmt
Management And General	$104,758	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Purchased Services	$953,652	$908,395	$45,257
Food/Drug/Med. Supplies	$897,731	$897,731	$0
NH Quality Assessment	$616,172	$616,172
Bad Debt	$275,728		$275,728

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$46,704	TotalAmt
Program Services	$19,118	ProgramServicesAmt
Management And General	$27,586	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$12,609,037	TotalAmt
Program Services	$11,141,981	ProgramServicesAmt
Management And General	$1,467,056	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$40,350	BOYAmt
EOY	$40,350	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$2,845,946	BOYAmt
EOY	$2,833,351	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,029,700	BOYAmt
EOY	$861,906	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$41,469	BOYAmt
EOY	$43,031	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$202,566	BOYAmt
EOY	$152,026	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$10,959,297	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$6,953,359	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$4,446,805	BOYAmt
EOY	$4,005,938	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,995,201	BOYAmt
EOY	$1,835,838	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$284,981	BOYAmt
EOY	$357,664	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$10,887,018	BOYAmt
EOY	$10,130,104	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$943,438	BOYAmt
EOY	$1,047,353	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$12,747	BOYAmt
EOY	$4,548	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$3,182,108	BOYAmt
EOY	$3,006,799	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$4,138,293	BOYAmt
EOY	$4,058,700	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,748,725	BOYAmt
EOY	$6,071,404	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$6,748,725	BOYAmt
EOY	$6,071,404	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$10,887,018	BOYAmt
EOY	$10,130,104	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$545,579	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$131,742	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	Yes (X)	PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$13,170	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$10,686	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$7,772	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$15,332	CurrentTaxYearMinus1YearAmt
Current Tax Year	$36,125	CurrentTaxYearAmt
Total	$83,085	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$11,322,961	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$11,977,869	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$11,564,571	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$11,398,001	CurrentTaxYearMinus1YearAmt
Current Tax Year	$11,846,112	CurrentTaxYearAmt
Total	$58,109,514	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$11,336,131	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$11,988,555	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$11,572,343	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$11,413,333	CurrentTaxYearMinus1YearAmt
Current Tax Year	$11,882,237	CurrentTaxYearAmt
Total	$58,192,599	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$100	CurrentTaxYearMinus4YearsAmt
Total	$100	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	$11,469	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$76,376	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$149,219	CurrentTaxYearMinus1YearAmt
Current Tax Year	$133,568	CurrentTaxYearAmt
Total	$370,632	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$100	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$11,469	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$76,376	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$149,219	CurrentTaxYearMinus1YearAmt
Current Tax Year	$133,568	CurrentTaxYearAmt
Total	$370,732	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$57,821,867	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$56,238	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$54,254	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$57,913	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$59,157	CurrentTaxYearMinus1YearAmt
Current Tax Year	$71,547	CurrentTaxYearAmt
Total	$299,109	TotalAmt

Post1975 UBTI Post1975UBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year	$65,737	CurrentTaxYearAmt
Total	$65,737	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$56,238	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$54,254	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$57,913	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$59,157	CurrentTaxYearMinus1YearAmt
Current Tax Year	$137,284	CurrentTaxYearAmt
Total	$364,846	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$11,392,369	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$12,042,809	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$11,630,256	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$11,472,490	CurrentTaxYearMinus1YearAmt
Current Tax Year	$12,019,521	CurrentTaxYearAmt
Total	$58,557,445	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.98740	PublicSupportCY509Pct
Public Support PY509	0.99100	PublicSupportPY509Pct
Investment Income CY	0.00620	InvestmentIncomeCYPct
Investment Income PY	0.00490	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$1,986	OtherActivitiesAmt
Total Lobbying Expenditures	$1,986	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Form 990, Schedule C, Part II-B, Line 1i	FormAndLineReferenceDesc
Explanation	Lobbying portion of NHHCA Dues 15%; Lobbying portion of American Health Care Association Dues 28%	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	0	AgentTrusteeEtcInd
Incl Escrow Custodial Acct Liab	Yes (1)	InclEscrowCustodialAcctLiabInd
Explanation Provided	Yes (X)	ExplanationProvidedInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$41,189	OtherCostOrOtherBasisAmt
Book Value	$41,189	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,328,044	OtherCostOrOtherBasisAmt
Depreciation	$5,690,950	DepreciationAmt
Book Value	$3,637,094	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,357,116	OtherCostOrOtherBasisAmt
Depreciation	$1,114,984	DepreciationAmt
Book Value	$242,132	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$232,948	OtherCostOrOtherBasisAmt
Depreciation	$147,425	DepreciationAmt
Book Value	$85,523	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$4,005,938	TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt	$11,927,938	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$131,742	NetUnrealizedGainsInvstAmt
Revenue Not Reported	-$131,742	RevenueNotReportedAmt
Revenue Subtotal	$12,059,680	RevenueSubtotalAmt
Other Revenues Not Included	$3,778	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$3,778	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$12,063,458	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$12,605,259	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$12,605,259	ExpensesSubtotalAmt
Other Expenses Not Included	$3,778	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$3,778	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$12,609,037	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part IV, Line 2b:	The Organization holds funds for residents and provides these funds to the resident, as needed, for various common expenses.
Part XI, Line 4b - Other Adjustments:	Loss on abandoment of fixed assets 3,778.
Part XII, Line 4b - Other Adjustments:	Loss on abandoment of fixed assets 3,778.

Schedule G IRS990ScheduleG

Gaming Information GamingInformationGrp

Field	Value	IRS element (for citing)
Gross Revenue Other Gaming	$82,946	GrossRevenueOtherGamingAmt
Volunteer Labor Other Gaming	0	VolunteerLaborOtherGamingInd
Gross Revenue Total Gaming	$82,946	GrossRevenueTotalGamingAmt
Net Gaming Income Summary	$82,946	NetGamingIncomeSummaryAmt

Field	Value	IRS element (for citing)
States Where Gaming Conducted	NH	StatesWhereGamingConductedCd
Licensed	Yes (1)	LicensedInd
License Suspended Etc	0	LicenseSuspendedEtcInd
Gaming With Nonmembers	Yes (1)	GamingWithNonmembersInd
Member Of Other Entity	0	MemberOfOtherEntityInd
Gaming Other Facility	1.00000	GamingOtherFacilityPct
Cntrct With3rd Prty For Game Rev	Yes (1)	CntrctWith3rdPrtyForGameRevInd
Gaming Revenue Received By Org	$82,946	GamingRevenueReceivedByOrgAmt

Third Party Business Name ThirdPartyBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Chasers Poker	BusinessNameLine1Txt

Third Party US Address ThirdPartyUSAddress

Field	Value	IRS element (for citing)
Address Line1	7 Veterans Memorial Parkway	AddressLine1Txt
City	Salem	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	03079	ZIPCd

Field	Value	IRS element (for citing)
Charitable Distribution Rqr	0	CharitableDistributionRqrInd

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

Field	Value	IRS element (for citing)
Person	Raymond Milliard	PersonNm
Title	Administrator	TitleTxt
Base Compensation Filing Org	$125,177	BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs	$0	CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization	$0	BonusFilingOrganizationAmount
Bonus Related Organizations	$0	BonusRelatedOrganizationsAmt
Other Compensation Filing Org	$0	OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs	$0	OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org	$0	DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs	$0	DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org	$42,744	NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs	$0	NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org	$167,921	TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs	$0	TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org	$0	CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs	$0	CompReportPrior990RltdOrgsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section B, line 11b	The 990 is sent to all board members and reviewed at a board meeting. If necessary the auditors that prepared the 990 are requested to give a presentation.
Form 990, Part VI, Section B, line 12c	Board members fill out a disclosure form and are given a policy regarding disclosure and conflicts of interest. The administrator and business office monitor for potential conflicts and then report findings to the board of directors. Part of the annual financial audit is a review of potential conflicts and findings that are reported to the board.
Form 990, Part VI, Section B, line 15a	Ray Milliard, Administrator, worked for Covenant Health Systems, as an independent contractor through June 30, 2017. They pulled demographic reports and surveys for the Board to review and decide on compensation. When Ray became an employee of Salemhaven they continued with his compensation level.
Form 990, Part VI, Section C, line 19	The organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request.
Form 990, Part X, Line 10: Land, Buildings, and Equipment	Section 1.263(a)-3(n) Election: Salemhaven, Inc. 23 Geremonty, Salem, NH 03079 EIN 02-0325847 Salemhaven, Inc. is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n).