FURP.ORG / PUBLIC DATA EXPLORER

SALEMHAVEN INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
SALEMHAVEN INC (EIN 02-0325847)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-07-02
IRS object ID
201521839349300217
Schema version
2014v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2015-07-02T10:17:17-05:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

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 Begin2014-01-01TaxPeriodBeginDt

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)
PersonOwen WilliamsPersonNm
Person TitlePresidentPersonTitleTxt
Phone6038935586PhoneNum
Signature2015-06-25SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBarbara J McGuan CPAPreparerPersonNm
PTINP00219457PTIN
Phone2077752387PhoneNum
Preparation2015-06-25PreparationDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerOwen WilliamsPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line123 Geremonty DriveAddressLine1Txt
CitySalemCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03079ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$15,690,406GrossReceiptsAmt
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 Body15VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee212TotalEmployeeCnt
Total Volunteers30TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$19,029PYContributionsGrantsAmt
CY Contributions Grants$13,170CYContributionsGrantsAmt
PY Program Service Revenue$10,521,957PYProgramServiceRevenueAmt
CY Program Service Revenue$11,322,961CYProgramServiceRevenueAmt
PY Investment Income$126,823PYInvestmentIncomeAmt
CY Investment Income-$12,571CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$10,667,809PYTotalRevenueAmt
CY Total Revenue$11,323,560CYTotalRevenueAmt
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$6,442,943PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$6,774,078CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,981,339PYOtherExpensesAmt
CY Other Expenses$4,333,437CYOtherExpensesAmt
PY Total Expenses$10,424,282PYTotalExpensesAmt
CY Total Expenses$11,107,515CYTotalExpensesAmt
PY Revenues Less Expenses$243,527PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$216,045CYRevenuesLessExpensesAmt
Total Assets BOY$11,913,596TotalAssetsBOYAmt
Total Assets EOY$12,265,011TotalAssetsEOYAmt
Total Liabilities BOY$4,875,445TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,972,530TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$7,038,151NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$7,292,481NetAssetsOrFundBalancesEOYAmt
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$9,241,009ExpenseAmt
Revenue$11,322,961RevenueAmt
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$9,241,009TotalProgramServiceExpensesAmt
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 Document60IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee212EmployeeCnt
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 Members15GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
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 Line1Paul Ercolini Covenant Health SystemsBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9786546363PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 Ames Pond Drive Suite 102AddressLine1Txt
CityTewksburyCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01876ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 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)
Owen Williams
Board President1.00Yes (X)$0$0$0Yes (X)
Beverly Collins
Board Member1.00Yes (X)$0$0$0
Michael Downing
Board Member1.00Yes (X)$0$0$0
Paul Mansur JD CPA
Board Member1.00Yes (X)$0$0$0
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 Vice 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
Nadine Catalfimo Esq
Board Member1.00Yes (X)$0$0$0
Michael Carney Jr
Board Member1.00Yes (X)$0$0$0
Raymond Milliard
Administrator40.00$125,197$0$25,636Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$125,197TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$25,636TotalOtherCompensationAmt
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 (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Bonnette Page & Stone Corp
91 Bisson AveLaconiaNH03246Construction$898,602
Rehabcare Group Inc
PO Box 277365AtlantaGA30384Rehab Services$759,103
Covenant Health Inc
100 Ames Pond Rd Suite 102TewksburyMA01876Management Services$423,147
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
All Other Contributions$13,170AllOtherContributionsAmt
Total Contributions$13,170TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Long-Term Care Services623000$11,109,001$11,109,001
Adult Daycare Services623000$208,572$208,572
Miscellaneous Income623000$3,521$3,521
Guest Meals623000$1,867$1,867
FieldValueIRS element (for citing)
Total Program Service Revenue$11,322,961TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$56,238TotalRevenueColumnAmt
Exclusion$56,238ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$4,298,037SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$4,359,475SecuritiesAmt
Other$7,371OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$61,438SecuritiesAmt
Other-$7,371OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$68,809TotalRevenueColumnAmt
Exclusion-$68,809ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,323,560TotalRevenueColumnAmt
Related Or Exempt Func Income$11,322,961RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$12,571ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$150,833TotalAmt
Management And General$150,833ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,479,982TotalAmt
Program Services$5,059,091ProgramServicesAmt
Management And General$420,891ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$36,931TotalAmt
Program Services$34,095ProgramServicesAmt
Management And General$2,836ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$722,353TotalAmt
Program Services$666,872ProgramServicesAmt
Management And General$55,481ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$383,979TotalAmt
Program Services$354,487ProgramServicesAmt
Management And General$29,492ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$44,676TotalAmt
Management And General$44,676ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$4,454TotalAmt
Management And General$4,454ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$108,111TotalAmt
Program Services$155ProgramServicesAmt
Management And General$107,956ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$55,035TotalAmt
Program Services$51,761ProgramServicesAmt
Management And General$3,274ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$34,911TotalAmt
Program Services$466ProgramServicesAmt
Management And General$34,445ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$189,377TotalAmt
Program Services$127,439ProgramServicesAmt
Management And General$61,938ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$45,807TotalAmt
Program Services$567ProgramServicesAmt
Management And General$45,240ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$373,527TotalAmt
Program Services$348,377ProgramServicesAmt
Management And General$25,150ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$13,759TotalAmt
Program Services$8,753ProgramServicesAmt
Management And General$5,006ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$179,052TotalAmt
Program Services$179,052ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$459,128TotalAmt
Program Services$459,128ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$354,748TotalAmt
Program Services$232,252ProgramServicesAmt
Management And General$122,496ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Food/Drug/Med. Supplies$938,893$938,893
Purchased Services$782,736$776,871$5,865
New Hampshire Quality A$594,206$594,206
Bad Debt Expense$128,463$128,463

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$26,554TotalAmt
Program Services$2,750ProgramServicesAmt
Management And General$23,804ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$11,107,515TotalAmt
Program Services$9,241,009ProgramServicesAmt
Management And General$1,866,506ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$26,726BOYAmt
EOY$31,725EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,992,318BOYAmt
EOY$3,055,791EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$5,000BOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$793,050BOYAmt
EOY$892,584EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$40,883BOYAmt
EOY$43,920EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$201,803BOYAmt
EOY$191,207EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$10,705,917LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$5,111,838LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,645,501BOYAmt
EOY$5,594,079EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,900,522BOYAmt
EOY$2,150,287EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$20,501BOYAmt
EOY$18,959EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$287,292BOYAmt
EOY$286,459EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$11,913,596BOYAmt
EOY$12,265,011EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$802,166BOYAmt
EOY$1,049,819EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$22,507BOYAmt
EOY$25,316EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$4,050,772BOYAmt
EOY$3,897,395EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,875,445BOYAmt
EOY$4,972,530EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,033,151BOYAmt
EOY$7,292,481EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,000BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,038,151BOYAmt
EOY$7,292,481EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$11,913,596BOYAmt
EOY$12,265,011EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$216,045ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$38,285NetUnrlzdGainsLossesInvstAmt
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$67,250CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$25,060CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,144CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$19,029CurrentTaxYearMinus1YearAmt
Current Tax Year$13,170CurrentTaxYearAmt
Total$136,653TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12,615,083CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,194,253CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,922,022CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,521,957CurrentTaxYearMinus1YearAmt
Current Tax Year$11,322,961CurrentTaxYearAmt
Total$54,576,276TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12,682,333CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,219,313CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,934,166CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,540,986CurrentTaxYearMinus1YearAmt
Current Tax Year$11,336,131CurrentTaxYearAmt
Total$54,712,929TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year$100CurrentTaxYearAmt
Total$100TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year$100CurrentTaxYearAmt
Total$100TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$54,712,829PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$99,349CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$89,382CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$60,384CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$51,075CurrentTaxYearMinus1YearAmt
Current Tax Year$56,238CurrentTaxYearAmt
Total$356,428TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$99,349CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$89,382CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$60,384CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$51,075CurrentTaxYearMinus1YearAmt
Current Tax Year$56,238CurrentTaxYearAmt
Total$356,428TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12,781,682CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,308,695CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,994,550CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,592,061CurrentTaxYearMinus1YearAmt
Current Tax Year$11,392,369CurrentTaxYearAmt
Total$55,069,357TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99350PublicSupportCY509Pct
Public Support PY5090.99290PublicSupportPY509Pct
Investment Income CY0.00650InvestmentIncomeCYPct
Investment Income PY0.00700InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

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$1,408OtherActivitiesAmt
Total Lobbying Expenditures$1,408TotalLobbyingExpendituresAmt
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 8.5%; Lobbying portion of American Health Care Association Dues 29%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$9,163,488OtherCostOrOtherBasisAmt
Depreciation$4,212,782DepreciationAmt
Book Value$4,950,706BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,277,798OtherCostOrOtherBasisAmt
Depreciation$811,421DepreciationAmt
Book Value$466,377BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$223,442OtherCostOrOtherBasisAmt
Depreciation$87,635DepreciationAmt
Book Value$135,807BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,594,079TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$11,361,845TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$38,285NetUnrealizedGainsInvstAmt
Revenue Not Reported$38,285RevenueNotReportedAmt
Revenue Subtotal$11,323,560RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$11,323,560TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$11,107,515TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$11,107,515ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$11,107,515TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart IV, Line 2b:FormAndLineReferenceDesc
ExplanationThe Organization holds funds for residents and provides these funds to the resident, as needed, for various common expenses.ExplanationTxt

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$119,539BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$5,658BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$3,586DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$22,050NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$150,833TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceForm 990, Page 10, line 5FormAndLineReferenceDesc
ExplanationRaymond 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 $150,833.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 3Raymond 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 11The Board of Directors reviews a copy of the 990 before it is filed with the IRS.
Form 990, Part VI, Section B, line 12cAnnually or Monthly as required
Form 990, Part VI, Section B, line 15aRay 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 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).