SALEMHAVEN INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: SALEMHAVEN INC (EIN 02-0325847)
Tax period: 2016-01-01 to 2016-12-31
Filed: 2017-11-14
IRS object ID: 201733189349307723
Schema version: 2016v3.0
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
Form 990
Schedule A
Schedule C
Schedule D
Schedule J
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-11-14T14:56:13-06:00	ReturnTs
Tax Period End	2016-12-31	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	2016-01-01	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	Sonny Tylus	PersonNm
Person Title	President	PersonTitleTxt
Phone	6038935586	PhoneNum
Signature	2017-11-08	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	2017-11-07	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	2017-11-08	IPDt
IP Tm	09:08:46	IPTm
IP Timezone	ES	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	195DD2390B87809A4F2C1BC02D65E16960466FA1	AtSubmissionCreationDeviceId
At Submission Filing Device Id	53CA451596873B86A1E24CFE6767DCEC9A681D0F	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2017-02-10 21:41:12Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Sonny Tylus	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	$13,622,332	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	14	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	248	TotalEmployeeCnt
Total Volunteers	25	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$10,686	PYContributionsGrantsAmt
CY Contributions Grants	$7,772	CYContributionsGrantsAmt
PY Program Service Revenue	$11,977,869	PYProgramServiceRevenueAmt
CY Program Service Revenue	$11,564,571	CYProgramServiceRevenueAmt
PY Investment Income	$121,417	PYInvestmentIncomeAmt
CY Investment Income	$65,683	CYInvestmentIncomeAmt
PY Other Revenue	$0	PYOtherRevenueAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$12,109,972	PYTotalRevenueAmt
CY Total Revenue	$11,638,026	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	$7,138,806	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$7,233,658	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$4,893,441	PYOtherExpensesAmt
CY Other Expenses	$4,620,961	CYOtherExpensesAmt
PY Total Expenses	$12,032,247	PYTotalExpensesAmt
CY Total Expenses	$11,854,619	CYTotalExpensesAmt
PY Revenues Less Expenses	$77,725	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$216,593	CYRevenuesLessExpensesAmt
Total Assets BOY	$12,006,051	TotalAssetsBOYAmt
Total Assets EOY	$11,686,204	TotalAssetsEOYAmt
Total Liabilities BOY	$4,800,362	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$4,558,283	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$7,205,689	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$7,127,921	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	$9,678,869	ExpenseAmt
Revenue	$11,564,571	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	$9,678,869	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	0	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	41	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	248	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	14	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (1)	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	Paul Ercolini Covenant Health Systems	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	9786546363	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 Ames Pond Drive Suite 102	AddressLine1Txt
City	Tewksbury	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	01876	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Rev David Yasenka
Board Member	1.00	Yes (X)	$0	$0	$0
Thomas Lynch
Board Member	1.00	Yes (X)	$0	$0	$0
Michael Collins
Board Treasurer	1.00	Yes (X)	$0	$0	$0	Yes (X)
Beverly Collins
Board Vice President	1.00	Yes (X)	$0	$0	$0	Yes (X)
Frank Monteiro
Board Member	1.00	Yes (X)	$0	$0	$0
Jeffrey Scionti
Board Member	1.00	Yes (X)	$0	$0	$0
Robert Slein
Board Member	1.00	Yes (X)	$0	$0	$0
Sonny Tylus
Board President	1.00	Yes (X)	$0	$0	$0	Yes (X)
Amy White
Board Member	1.00	Yes (X)	$0	$0	$0
Jamie Santo
Board Member	1.00	Yes (X)	$0	$0	$0
Nadine Catalfimo Esq
Board Member	1.00	Yes (X)	$0	$0	$0
Michael Carney Jr
Board Member	1.00	Yes (X)	$0	$0	$0
Dwight Feeney
Board Member	1.00	Yes (X)	$0	$0	$0
Ralph Glynn
Board Member	1.00	Yes (X)	$0	$0	$0
Owen Williams
Past Board President	1.00	Yes (X)	$0	$0	$0	Yes (X)
Raymond Milliard
Administrator	40.00		$126,192	$0	$34,428	Yes (X)
Deborah Cassella
RN	40.00		$104,553	$0	$6,269		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$230,745	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$40,697	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	2	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	Yes (1)	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Rehabcare Group Inc
PO Box 277365	Atlanta	GA	30384	Rehab Services	$825,900
Covenant Health Inc
100 Ames Pond Rd Suite 102	Tewksbury	MA	01876	Management Services	$444,650

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	2	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$7,772	AllOtherContributionsAmt
Total Contributions	$7,772	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Long-Term Care Services	623000	$11,338,341	$11,338,341
Adult Daycare Services	623000	$215,073	$215,073
Miscellaneous Income	623000	$9,477	$9,477
Guest Meals	623000	$1,680	$1,680

Field	Value	IRS element (for citing)
Total Program Service Revenue	$11,564,571	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$57,913	TotalRevenueColumnAmt
Exclusion	$57,913	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,992,076	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$1,984,306	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$7,770	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,770	TotalRevenueColumnAmt
Exclusion	$7,770	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,638,026	TotalRevenueColumnAmt
Related Or Exempt Func Income	$11,564,571	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$65,683	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$160,620	TotalAmt
Management And General	$160,620	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$5,846,106	TotalAmt
Program Services	$5,397,241	ProgramServicesAmt
Management And General	$448,865	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$30,646	TotalAmt
Program Services	$28,293	ProgramServicesAmt
Management And General	$2,353	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$789,640	TotalAmt
Program Services	$729,011	ProgramServicesAmt
Management And General	$60,629	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$406,646	TotalAmt
Program Services	$375,424	ProgramServicesAmt
Management And General	$31,222	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$46,725	TotalAmt
Management And General	$46,725	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$11,285	TotalAmt
Management And General	$11,285	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$133,191	TotalAmt
Program Services	$149	ProgramServicesAmt
Management And General	$133,042	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$80,609	TotalAmt
Program Services	$76,638	ProgramServicesAmt
Management And General	$3,971	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$40,138	TotalAmt
Program Services	$287	ProgramServicesAmt
Management And General	$39,851	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$193,247	TotalAmt
Program Services	$138,991	ProgramServicesAmt
Management And General	$54,256	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$69,023	TotalAmt
Management And General	$69,023	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$332,939	TotalAmt
Program Services	$300,916	ProgramServicesAmt
Management And General	$32,023	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$9,605	TotalAmt
Program Services	$5,702	ProgramServicesAmt
Management And General	$3,903	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$165,478	TotalAmt
Program Services	$165,478	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$521,791	TotalAmt
Program Services	$521,791	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$320,345	TotalAmt
Program Services	$197,308	ProgramServicesAmt
Management And General	$123,037	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Food/Drug/Med. Supplies	$908,805	$908,805
Purchased Services	$854,006	$828,956	$25,050
New Hampshire Quality A	$605,940		$605,940
Bad Debt Expense	$282,773		$282,773

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$45,061	TotalAmt
Program Services	$3,879	ProgramServicesAmt
Management And General	$41,182	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$11,854,619	TotalAmt
Program Services	$9,678,869	ProgramServicesAmt
Management And General	$2,175,750	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$31,725	BOYAmt
EOY	$31,724	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$2,932,658	BOYAmt
EOY	$2,796,442	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,027,990	BOYAmt
EOY	$1,198,526	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$45,915	BOYAmt
EOY	$39,462	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$273,941	BOYAmt
EOY	$223,942	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$10,846,220	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$5,998,348	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$5,285,937	BOYAmt
EOY	$4,847,872	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$2,162,863	BOYAmt
EOY	$2,260,157	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$245,022	BOYAmt
EOY	$288,079	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$12,006,051	BOYAmt
EOY	$11,686,204	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$844,920	BOYAmt
EOY	$983,300	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$35,873	BOYAmt
EOY	$21,707	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$3,919,569	BOYAmt
EOY	$3,553,276	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$4,800,362	BOYAmt
EOY	$4,558,283	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,205,689	BOYAmt
EOY	$7,127,921	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$7,205,689	BOYAmt
EOY	$7,127,921	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$12,006,051	BOYAmt
EOY	$11,686,204	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$216,593	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$138,825	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	$12,144	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$19,029	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$13,170	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$10,686	CurrentTaxYearMinus1YearAmt
Current Tax Year	$7,772	CurrentTaxYearAmt
Total	$62,801	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$9,922,022	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$10,521,957	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$11,322,961	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$11,977,869	CurrentTaxYearMinus1YearAmt
Current Tax Year	$11,564,571	CurrentTaxYearAmt
Total	$55,309,380	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$9,934,166	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$10,540,986	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$11,336,131	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$11,988,555	CurrentTaxYearMinus1YearAmt
Current Tax Year	$11,572,343	CurrentTaxYearAmt
Total	$55,372,181	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus2 Years	$100	CurrentTaxYearMinus2YearsAmt
Total	$100	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus1 Year	$11,469	CurrentTaxYearMinus1YearAmt
Current Tax Year	$76,376	CurrentTaxYearAmt
Total	$87,845	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus2 Years	$100	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$11,469	CurrentTaxYearMinus1YearAmt
Current Tax Year	$76,376	CurrentTaxYearAmt
Total	$87,945	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$55,284,236	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$60,384	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$51,075	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$56,238	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$54,254	CurrentTaxYearMinus1YearAmt
Current Tax Year	$57,913	CurrentTaxYearAmt
Total	$279,864	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$60,384	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$51,075	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$56,238	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$54,254	CurrentTaxYearMinus1YearAmt
Current Tax Year	$57,913	CurrentTaxYearAmt
Total	$279,864	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$9,994,550	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$10,592,061	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$11,392,369	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$12,042,809	CurrentTaxYearMinus1YearAmt
Current Tax Year	$11,630,256	CurrentTaxYearAmt
Total	$55,652,045	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.99340	PublicSupportCY509Pct
Public Support PY509	0.99410	PublicSupportPY509Pct
Investment Income CY	0.00500	InvestmentIncomeCYPct
Investment Income PY	0.00570	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	$1,919	OtherActivitiesAmt
Total Lobbying Expenditures	$1,919	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 25%	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	$9,231,712	OtherCostOrOtherBasisAmt
Depreciation	$4,960,379	DepreciationAmt
Book Value	$4,271,333	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,296,001	OtherCostOrOtherBasisAmt
Depreciation	$917,279	DepreciationAmt
Book Value	$378,722	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$277,318	OtherCostOrOtherBasisAmt
Depreciation	$120,690	DepreciationAmt
Book Value	$156,628	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$4,847,872	TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt	$11,776,305	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$138,825	NetUnrealizedGainsInvstAmt
Revenue Not Reported	$138,825	RevenueNotReportedAmt
Revenue Subtotal	$11,637,480	RevenueSubtotalAmt
Other Revenues Not Included	$546	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$546	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$11,638,026	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$11,854,073	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$11,854,073	ExpensesSubtotalAmt
Other Expenses Not Included	$546	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$546	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$11,854,619	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 546.
Part XII, Line 4b - Other Adjustments:	Loss on abandoment of fixed assets 546.

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	$125,630	BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs	$0	CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization	$0	BonusFilingOrganizationAmount
Bonus Related Organizations	$0	BonusRelatedOrganizationsAmt
Other Compensation Filing Org	$562	OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs	$0	OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org	$3,951	DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs	$0	DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org	$30,477	NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs	$0	NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org	$160,620	TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs	$0	TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org	$0	CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs	$0	CompReportPrior990RltdOrgsAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Form 990, Page 10, line 5	FormAndLineReferenceDesc
Explanation	Raymond Milliard is the Administrator of Salemhaven, Inc. and is compensated by Covenant Health Systems. Salemhaven reimburses Covenant Health Systems for Raymond's compensation package totaling $160,620.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section A, line 3	Raymond Milliard is the Administrator of Salemhaven, Inc. He is compensated through Covenant Health Systems, who provides management services to Salemhaven and is not a related organization.
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, works for Covenant Health Systems, an independent contractor. They pull demographic reports and surveys for the Board to review and decide on compensation.
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).