FURP.ORG / PUBLIC DATA EXPLORER

SALEMHAVEN INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
SALEMHAVEN INC (EIN 02-0325847)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-13
IRS object ID
201823179349304527
Schema version
2017v2.3
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)
Return2018-11-13T13:21:13-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN010523282PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Berry Dunn McNeil & Parker LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO Box 1100AddressLine1Txt
CityPortlandCityNm
State AbbreviationMEStateAbbreviationCd
ZIP041041100ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN020325847EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Salemhaven IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSALEBusinessNameControlTxt
Phone6038935586PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line123 Geremonty DriveAddressLine1Txt
CitySalemCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03079ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSonny TylusPersonNm
Person TitlePresidentPersonTitleTxt
Phone6038935586PhoneNum
Signature2018-10-23SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBarbara J McGuan CPAPreparerPersonNm
PTINP00219457PTIN
Phone2077752387PhoneNum
Preparation2018-10-23PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address69.49.157.66IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-10-23IPDt
IP Tm11:39:52IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdF16D9AD9942503E83504FB1C99E208F021A42564AtSubmissionCreationDeviceId
At Submission Filing Device IdE262D3C9A45A77A46A0A2832CF74466488750570AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSonny TylusPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line123 Geremonty DriveAddressLine1Txt
CitySalemCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03079ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$13,223,670GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresssalemhaven.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1977FormationYr
Legal Domicile StateNHLegalDomicileStateCd
Activity Or MissionHealthcare services for the elderlyActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee231TotalEmployeeCnt
Total Volunteers62TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$7,772PYContributionsGrantsAmt
CY Contributions Grants$15,332CYContributionsGrantsAmt
PY Program Service Revenue$11,564,571PYProgramServiceRevenueAmt
CY Program Service Revenue$11,398,001CYProgramServiceRevenueAmt
PY Investment Income$65,683PYInvestmentIncomeAmt
CY Investment Income$122,752CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$11,638,026PYTotalRevenueAmt
CY Total Revenue$11,536,085CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$7,233,658PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$7,443,627CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$4,620,961PYOtherExpensesAmt
CY Other Expenses$4,615,050CYOtherExpensesAmt
PY Total Expenses$11,854,619PYTotalExpensesAmt
CY Total Expenses$12,058,677CYTotalExpensesAmt
PY Revenues Less Expenses-$216,593PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$522,592CYRevenuesLessExpensesAmt
Total Assets BOY$11,686,204TotalAssetsBOYAmt
Total Assets EOY$10,887,018TotalAssetsEOYAmt
Total Liabilities BOY$4,558,283TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,138,293TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$7,127,921NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$6,748,725NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionIn 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 Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$10,055,682ExpenseAmt
Revenue$11,398,001RevenueAmt
DescThe 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$10,055,682TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document42IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee231EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNHStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Ray Milliard AdministratorBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6038935586PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line123 Geremonty DriveAddressLine1Txt
CitySalemCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03079ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
Rev David Yasenka
Board Member1.00Yes (X)$0$0$0
Thomas Lynch
Board Member1.00Yes (X)$0$0$0
Michael Collins
Board Treasurer1.00Yes (X)$0$0$0Yes (X)
Beverly Collins
Board Vice President1.00Yes (X)$0$0$0Yes (X)
Frank Monteiro
Board Member1.00Yes (X)$0$0$0
Jeffrey Scionti
Board Member1.00Yes (X)$0$0$0
Robert Slein
Board Member1.00Yes (X)$0$0$0
Sonny Tylus
Board President1.00Yes (X)$0$0$0Yes (X)
Amy White
Board Member1.00Yes (X)$0$0$0
Jamie Santo
Board Member1.00Yes (X)$0$0$0
Michael Carney Jr
Board Member1.00Yes (X)$0$0$0
Dwight Feeney
Board Member1.00Yes (X)$0$0$0
Ralph Glynn
Board Member1.00Yes (X)$0$0$0
Philip Cammarata
Board Member1.00Yes (X)$0$0$0
Raymond Milliard
Administrator40.00$133,094$0$33,283Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$133,094TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$33,283TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other SrcsYes (1)CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Rehabcare Group Inc
PO Box 277365AtlantaGA30384Rehab Services$767,740
PharMerica
38 Locke RoadConcordNH03301Pharmacy Services$399,034
Covenant Health Inc
100 Ames Pond Rd Suite 102TewksburyMA01876Management Services$229,439
Sysco Food Service
1390 Enclave ParkwayHoustonTX770772099Food Services$228,089
Brightstar Care of Bedford
602 Riverway Place Suite BBedfordNH03110Care Services$153,419
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
All Other Contributions$15,332AllOtherContributionsAmt
Total Contributions$15,332TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Long-Term Care Services623000$11,167,448$11,167,448
Adult Daycare Services623000$220,881$220,881
Miscellaneous Income623000$8,539$8,539
Guest Meals623000$1,133$1,133
FieldValueIRS element (for citing)
Total Program Service Revenue$11,398,001TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$59,157TotalRevenueColumnAmt
Exclusion$59,157ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,751,180SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$1,687,585SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$63,595SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$63,595TotalRevenueColumnAmt
Exclusion$63,595ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,536,085TotalRevenueColumnAmt
Related Or Exempt Func Income$11,398,001RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$122,752ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$166,377TotalAmt
Management And General$166,377ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,095,229TotalAmt
Program Services$5,686,606ProgramServicesAmt
Management And General$408,623ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$32,000TotalAmt
Program Services$29,489ProgramServicesAmt
Management And General$2,511ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$738,847TotalAmt
Program Services$680,872ProgramServicesAmt
Management And General$57,975ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$411,174TotalAmt
Program Services$378,911ProgramServicesAmt
Management And General$32,263ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$25,374TotalAmt
Management And General$25,374ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$3,601TotalAmt
Management And General$3,601ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$102,612TotalAmt
Program Services$61ProgramServicesAmt
Management And General$102,551ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$82,027TotalAmt
Program Services$80,647ProgramServicesAmt
Management And General$1,380ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$54,780TotalAmt
Program Services$269ProgramServicesAmt
Management And General$54,511ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$203,102TotalAmt
Program Services$139,235ProgramServicesAmt
Management And General$63,867ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$99,085TotalAmt
Program Services$769ProgramServicesAmt
Management And General$98,316ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$330,566TotalAmt
Program Services$290,827ProgramServicesAmt
Management And General$39,739ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$11,231TotalAmt
Program Services$7,582ProgramServicesAmt
Management And General$3,649ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$155,047TotalAmt
Program Services$155,047ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$515,147TotalAmt
Program Services$515,147ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$310,133TotalAmt
Program Services$195,387ProgramServicesAmt
Management And General$114,746ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Food/Drug/Med. Supplies$1,032,634$1,032,634
Purchased Services$897,864$852,900$44,964
New Hampshire Quality A$573,796$573,796
Bad Debt Expense$182,263$182,263

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$35,788TotalAmt
Program Services$9,299ProgramServicesAmt
Management And General$26,489ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$12,058,677TotalAmt
Program Services$10,055,682ProgramServicesAmt
Management And General$2,002,995ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$31,724BOYAmt
EOY$40,350EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,796,442BOYAmt
EOY$2,845,946EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,198,526BOYAmt
EOY$1,029,700EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$39,462BOYAmt
EOY$41,469EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$223,942BOYAmt
EOY$202,566EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$10,954,552LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$6,507,747LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,847,872BOYAmt
EOY$4,446,805EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$2,260,157BOYAmt
EOY$1,995,201EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$288,079BOYAmt
EOY$284,981EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$11,686,204BOYAmt
EOY$10,887,018EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$983,300BOYAmt
EOY$943,438EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$21,707BOYAmt
EOY$12,747EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$3,553,276BOYAmt
EOY$3,182,108EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,558,283BOYAmt
EOY$4,138,293EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,127,921BOYAmt
EOY$6,748,725EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,127,921BOYAmt
EOY$6,748,725EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$11,686,204BOYAmt
EOY$10,887,018EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$522,592ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$143,396NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$19,029CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,170CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,686CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,772CurrentTaxYearMinus1YearAmt
Current Tax Year$15,332CurrentTaxYearAmt
Total$65,989TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,521,957CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,322,961CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,977,869CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,564,571CurrentTaxYearMinus1YearAmt
Current Tax Year$11,398,001CurrentTaxYearAmt
Total$56,785,359TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,540,986CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,336,131CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,988,555CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,572,343CurrentTaxYearMinus1YearAmt
Current Tax Year$11,413,333CurrentTaxYearAmt
Total$56,851,348TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$100CurrentTaxYearMinus3YearsAmt
Total$100TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$11,469CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$76,376CurrentTaxYearMinus1YearAmt
Current Tax Year$149,219CurrentTaxYearAmt
Total$237,064TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$100CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,469CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$76,376CurrentTaxYearMinus1YearAmt
Current Tax Year$149,219CurrentTaxYearAmt
Total$237,164TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$56,614,184PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$51,075CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$56,238CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$54,254CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$57,913CurrentTaxYearMinus1YearAmt
Current Tax Year$59,157CurrentTaxYearAmt
Total$278,637TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$51,075CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$56,238CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$54,254CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$57,913CurrentTaxYearMinus1YearAmt
Current Tax Year$59,157CurrentTaxYearAmt
Total$278,637TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,592,061CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,392,369CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,042,809CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,630,256CurrentTaxYearMinus1YearAmt
Current Tax Year$11,472,490CurrentTaxYearAmt
Total$57,129,985TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99100PublicSupportCY509Pct
Public Support PY5090.99340PublicSupportPY509Pct
Investment Income CY0.00490InvestmentIncomeCYPct
Investment Income PY0.00500InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$1,918OtherActivitiesAmt
Total Lobbying Expenditures$1,918TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceForm 990, Schedule C, Part II-B, Line 1iFormAndLineReferenceDesc
ExplanationLobbying portion of NHHCA Dues 15%; Lobbying portion of American Health Care Association Dues 25%ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Land LandGrp

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,313,468OtherCostOrOtherBasisAmt
Depreciation$5,335,359DepreciationAmt
Book Value$3,978,109BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,359,124OtherCostOrOtherBasisAmt
Depreciation$1,037,919DepreciationAmt
Book Value$321,205BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$240,771OtherCostOrOtherBasisAmt
Depreciation$134,469DepreciationAmt
Book Value$106,302BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$4,446,805TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$11,678,241TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$143,396NetUnrealizedGainsInvstAmt
Revenue Not Reported$143,396RevenueNotReportedAmt
Revenue Subtotal$11,534,845RevenueSubtotalAmt
Other Revenues Not Included$1,240OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$1,240RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$11,536,085TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$12,057,437TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$12,057,437ExpensesSubtotalAmt
Other Expenses Not Included$1,240OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$1,240ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$12,058,677TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 1,240.
Part XII, Line 4b - Other Adjustments:Loss on abandoment of fixed assets 1,240.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonRaymond MilliardPersonNm
TitleAdministratorTitleTxt
Base Compensation Filing Org$131,130BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$1,964BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$33,283NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$166,377TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 3Covenant Health Systems, Inc., an unrelated organization, provided management services to Salemhaven, Inc. through June 30, 2017. Effective July 1, 2017, Ray Milliard, the administrator, became an employee of Salemhaven, Inc.
Form 990, Part VI, Section B, line 11bThe 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 12cBoard 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 15aRay 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 19The 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 EquipmentSection 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).