SALEMHAVEN INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- SALEMHAVEN INC (EIN 02-0325847)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-11-09
- IRS object ID
- 202133139349303078
- Schema version
- 2020v4.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-11-09T14:27:54-06:00 | ReturnTs |
| Tax Period End | 2020-12-31 | 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 | 2020-01-01 | 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 | Ray Milliard | PersonNm |
| Person Title | Administrator | PersonTitleTxt |
| Phone | 6038935586 | PhoneNum |
| Signature | 2021-11-03 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Ray | PersonFirstNm |
| Person Last | Milliard | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Melissa Magoon CPA | PreparerPersonNm |
| PTIN | P01712842 | PTIN |
| Phone | 2077752387 | PhoneNum |
| Preparation | 2021-11-03 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Beverly Collins | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 23 Geremonty Drive | AddressLine1Txt |
| City | Salem | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03079 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $16,127,412 | 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 | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 173 | TotalEmployeeCnt |
| Total Volunteers | 13 | TotalVolunteersCnt |
| Total Gross UBI | $66,031 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $65,031 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $76,284 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,100,034 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $11,568,229 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $11,417,611 | CYProgramServiceRevenueAmt |
| PY Investment Income | $183,941 | PYInvestmentIncomeAmt |
| CY Investment Income | $523,142 | CYInvestmentIncomeAmt |
| PY Other Revenue | $78,363 | PYOtherRevenueAmt |
| CY Other Revenue | $66,031 | CYOtherRevenueAmt |
| PY Total Revenue | $11,906,817 | PYTotalRevenueAmt |
| CY Total Revenue | $15,106,818 | 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 | $6,861,587 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $7,336,166 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,616,810 | PYOtherExpensesAmt |
| CY Other Expenses | $5,606,522 | CYOtherExpensesAmt |
| PY Total Expenses | $12,478,397 | PYTotalExpensesAmt |
| CY Total Expenses | $12,942,688 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$571,580 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,164,130 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $9,962,768 | TotalAssetsBOYAmt |
| Total Assets EOY | $11,538,814 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $4,206,569 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,815,085 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $5,756,199 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $7,723,729 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | In February, 1972, a group of Salem, NH residents founded the organization with the goal of developing a facility to provide health care and related services for the community's elderly population. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $11,599,929 | ExpenseAmt |
| Revenue | $11,417,611 | RevenueAmt |
| Desc | The Salemhaven complex provides comprehensive healthcare services, resources and accomodations (110 bed facility) for senior citizens, including the operation of a medical day care service. Salemhaven services include providing long term care, rehabilitation including PT, OT Speech, social services for residents and families, meeting of Spiritual needs, activities, supporting many local charities and community services, hospice services and respite care. We employ over 150 workers from the local area, we subsidized Medicaid over 1 million dollars annually, and we are a participant in the local and state emergency planning programs.Silverthorne Adult Medical Day Center provides to participants: Health care monitoring, Social services, Therapeutic and recreational activities, Health Care Education to participants, families and the community. We also provide respite care for caregivers and a Caregiver Support Group monthly for families and community members. | Desc |
| Total Program Service Expenses | $11,599,929 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | 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 |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | Yes (1) | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| 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 | 37 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 173 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NH | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Ray Milliard Administrator | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6038935586 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 23 Geremonty Drive | AddressLine1Txt |
| City | Salem | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03079 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| Beverly Collins | |||||||
| Board President | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Philip Cammarata | |||||||
| Board Vice President | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Michael Collins | |||||||
| Board Treasurer | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Brendan Slein | |||||||
| Board Secretary | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Kevin Breen | |||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Greg Brown | |||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Michael Carney Jr | |||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Ralph Glynn | |||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Frank Monteiro | |||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Jamie Santo | |||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Robert Slein | |||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Amy White | |||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Rev David Yasenka | |||||||
| Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Jeffrey Scionti | |||||||
| Past Board Member | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Raymond Milliard | |||||||
| Administrator | 40.00 | Yes (X) | $118,253 | $0 | $41,093 | ||
| Joanne Consolazio | |||||||
| MDS Coordinator | 40.00 | $106,309 | $0 | $13,130 | Yes (X) | ||
| Andrea Janiak Lajoie | |||||||
| DON | 40.00 | $102,221 | $0 | $13,188 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $326,783 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $67,411 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 3 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Kindred Rehab Services LLC dba Rehabcar | |||||
| PO Box 277365 | Atlanta | GA | 303847365 | Rehab Services | $1,066,766 |
| BrightStar Care of BedfordManchester | |||||
| Bedford Commons 601 Riverway Place | Bedford | NH | 03110 | Care Services | $580,396 |
| Northeast Med Staff | |||||
| 221 Chelmsford Street | Chelmsford | MA | 01824 | Temporary Staffing | $290,040 |
| Pharmerica | |||||
| PO Box 409251 | Atlanta | GA | 303849251 | Pharmacy Services | $239,297 |
| Medical Solutions LLC | |||||
| PO Box 310737 | Des Moines | IA | 503310737 | Temporary Staffing | $175,116 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $1,545 | FundraisingAmt |
| Government Grants | $3,036,376 | GovernmentGrantsAmt |
| All Other Contributions | $62,113 | AllOtherContributionsAmt |
| Total Contributions | $3,100,034 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net Long-Term Care Services | 623000 | $11,151,905 | $11,151,905 |
| Miscellaneous Income | 623000 | $148,204 | $148,204 |
| Adult Daycare Services | 623000 | $117,182 | $117,182 |
| Guest Meals | 623000 | $320 | $320 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $11,417,611 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $77,051 | TotalRevenueColumnAmt |
| Exclusion | $77,051 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,462,892 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,016,801 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $446,091 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $446,091 | TotalRevenueColumnAmt |
| Exclusion | $446,091 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $1,545 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $69,824 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $3,793 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $66,031 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $66,031 | UnrelatedBusinessRevenueAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,106,818 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,417,611 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $66,031 | UnrelatedBusinessRevenueAmt |
| Exclusion | $523,142 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $159,346 | TotalAmt |
| Management And General | $159,346 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,833,737 | TotalAmt |
| Program Services | $5,251,344 | ProgramServicesAmt |
| Management And General | $582,393 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,082 | TotalAmt |
| Program Services | $61,832 | ProgramServicesAmt |
| Management And General | $8,250 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $845,714 | TotalAmt |
| Program Services | $782,415 | ProgramServicesAmt |
| Management And General | $63,299 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $427,287 | TotalAmt |
| Program Services | $376,988 | ProgramServicesAmt |
| Management And General | $50,299 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,000 | TotalAmt |
| Management And General | $25,000 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,185 | TotalAmt |
| Management And General | $37,185 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,376 | TotalAmt |
| Program Services | $2,682 | ProgramServicesAmt |
| Management And General | $54,694 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,746 | TotalAmt |
| Management And General | $16,746 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,930 | TotalAmt |
| Program Services | $71,930 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,144 | TotalAmt |
| Program Services | $2,007 | ProgramServicesAmt |
| Management And General | $19,137 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $194,194 | TotalAmt |
| Program Services | $138,278 | ProgramServicesAmt |
| Management And General | $55,916 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $101,826 | TotalAmt |
| Management And General | $101,826 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $269,304 | TotalAmt |
| Program Services | $225,846 | ProgramServicesAmt |
| Management And General | $43,458 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,564 | TotalAmt |
| Program Services | $3,698 | ProgramServicesAmt |
| Management And General | $866 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $119,271 | TotalAmt |
| Program Services | $114,423 | ProgramServicesAmt |
| Management And General | $4,848 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $365,270 | TotalAmt |
| Program Services | $351,758 | ProgramServicesAmt |
| Management And General | $13,512 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $140,660 | TotalAmt |
| Program Services | $135,645 | ProgramServicesAmt |
| Management And General | $5,015 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Unrelated Business Inco | $33,540 | $10,062 | $23,478 |
| Purchased Services | $2,588,035 | $2,523,094 | $64,941 |
| Food/Drug/Med. Supplies | $930,483 | $930,483 | |
| NH Quality Assessment | $611,935 | $611,935 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,059 | TotalAmt |
| Program Services | $5,509 | ProgramServicesAmt |
| Management And General | $12,550 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,942,688 | TotalAmt |
| Program Services | $11,599,929 | ProgramServicesAmt |
| Management And General | $1,342,759 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,350 | BOYAmt |
| EOY | $40,350 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,510,340 | BOYAmt |
| EOY | $3,943,910 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,040,900 | BOYAmt |
| EOY | $1,356,761 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,270 | BOYAmt |
| EOY | $81,169 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $175,411 | BOYAmt |
| EOY | $194,768 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $11,177,164 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $7,745,026 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,637,653 | BOYAmt |
| EOY | $3,432,138 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,217,791 | BOYAmt |
| EOY | $2,191,520 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $279,053 | BOYAmt |
| EOY | $298,198 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,962,768 | BOYAmt |
| EOY | $11,538,814 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,028,314 | BOYAmt |
| EOY | $1,172,032 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,419 | BOYAmt |
| EOY | $10,105 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,173,836 | BOYAmt |
| EOY | $2,632,948 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,206,569 | BOYAmt |
| EOY | $3,815,085 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,741,199 | BOYAmt |
| EOY | $7,705,729 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,000 | BOYAmt |
| EOY | $18,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,756,199 | BOYAmt |
| EOY | $7,723,729 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,962,768 | BOYAmt |
| EOY | $11,538,814 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $2,164,130 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$196,600 | 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 | $7,772 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $15,332 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $36,125 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $76,284 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,100,034 | CurrentTaxYearAmt |
| Total | $3,235,547 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,564,571 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,398,001 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,846,112 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,568,229 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,417,611 | CurrentTaxYearAmt |
| Total | $57,794,524 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,572,343 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,413,333 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,882,237 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,644,513 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $14,517,645 | CurrentTaxYearAmt |
| Total | $61,030,071 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $76,376 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $149,219 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $133,568 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $120,090 | CurrentTaxYearMinus1YearAmt |
| Total | $479,253 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $76,376 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $149,219 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $133,568 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $120,090 | CurrentTaxYearMinus1YearAmt |
| Total | $479,253 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $60,550,818 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $57,913 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $59,157 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $71,547 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $98,483 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $77,051 | CurrentTaxYearAmt |
| Total | $364,151 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $65,737 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $57,112 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $51,374 | CurrentTaxYearAmt |
| Total | $174,223 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $57,913 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $59,157 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $137,284 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $155,595 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $128,425 | CurrentTaxYearAmt |
| Total | $538,374 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $6,335 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $6,335 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,630,256 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,472,490 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,019,521 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,806,443 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $14,646,070 | CurrentTaxYearAmt |
| Total | $61,574,780 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98340 | PublicSupportCY509Pct |
| Public Support PY509 | 0.98370 | PublicSupportPY509Pct |
| Investment Income CY | 0.00870 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00790 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
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 | $1,815 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $1,815 | 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%. | 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 | $9,426,703 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,324,038 | DepreciationAmt |
| Book Value | $3,102,665 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,436,567 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,249,895 | DepreciationAmt |
| Book Value | $186,672 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $272,705 | OtherCostOrOtherBasisAmt |
| Depreciation | $171,093 | DepreciationAmt |
| Book Value | $101,612 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,432,138 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $14,303,865 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$196,600 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $3,793 | OtherRevenueAmt |
| Revenue Not Reported | -$192,807 | RevenueNotReportedAmt |
| Revenue Subtotal | $14,496,672 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $16,746 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $593,400 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $610,146 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $15,106,818 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $12,336,335 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $3,793 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $3,793 | ExpensesNotReportedAmt |
| Expenses Subtotal | $12,332,542 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $16,746 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $593,400 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $610,146 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $12,942,688 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 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 2d - Other Adjustments: | Gaming Expense 3,793. |
| Part XI, Line 4b - Other Adjustments: | LTC Stabilization Funds 593,400. |
| Part XII, Line 2d - Other Adjustments: | Gaming Expense 3,793. |
| Part XII, Line 4b - Other Adjustments: | LTC Stabilization Funds 593,400. |
Schedule G IRS990ScheduleG
Gaming Information GamingInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Revenue Other Gaming | $69,824 | GrossRevenueOtherGamingAmt |
| Oth Direct Expnss Other Gaming | $3,793 | OthDirectExpnssOtherGamingAmt |
| Volunteer Labor Other Gaming | 0 | VolunteerLaborOtherGamingInd |
| Gross Revenue Total Gaming | $69,824 | GrossRevenueTotalGamingAmt |
| Oth Direct Expnss Total Gaming | $3,793 | OthDirectExpnssTotalGamingAmt |
| Direct Expense Summary Gaming | $3,793 | DirectExpenseSummaryGamingAmt |
| Net Gaming Income Summary | $66,031 | NetGamingIncomeSummaryAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| States Where Gaming Conducted | NH | StatesWhereGamingConductedCd |
| Licensed | Yes (1) | LicensedInd |
| License Suspended Etc | 0 | LicenseSuspendedEtcInd |
| Gaming With Nonmembers | Yes (1) | GamingWithNonmembersInd |
| Member Of Other Entity | 0 | MemberOfOtherEntityInd |
| Gaming Other Facility | 1.00000 | GamingOtherFacilityPct |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Ray Milliard | BusinessNameLine1Txt |
Persons With Books US Address PersonsWithBooksUSAddress
| 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) |
|---|---|---|
| Cntrct With3rd Prty For Game Rev | Yes (1) | CntrctWith3rdPrtyForGameRevInd |
| Gaming Revenue Received By Org | $69,824 | GamingRevenueReceivedByOrgAmt |
| Gaming Revenue Rtn By3 Prty | $3,500 | GamingRevenueRtnBy3PrtyAmt |
Third Party Business Name ThirdPartyBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Chasers Poker | BusinessNameLine1Txt |
Third Party US Address ThirdPartyUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7 Veterans Memorial Parkway | AddressLine1Txt |
| City | Salem | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03079 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Manager Person | Ray Milliard | GamingManagerPersonNm |
| Gaming Manager Compensation | $0 | GamingManagerCompensationAmt |
| Gaming Manager Services Prov | Ray Milliard is an Officer of Salemhaven and the amount of compensation related to gaming activities is indeterminable. | GamingManagerServicesProvTxt |
| Gaming Manager Is Director Ofcr | Yes (X) | GamingManagerIsDirectorOfcrInd |
| Charitable Distribution Rqr | 0 | CharitableDistributionRqrInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule G, Part III, Line 15a: | FormAndLineReferenceDesc |
| Explanation | The Organization had an agreement where Chasers Poker would provide Salemhaven, Inc. a percentage of revenue from Chasers Poker's games of chance proceeds. Salemhaven, Inc. never paid Chasers Poker directly and was not directly involved in administrating any of the games of chance. Salemhaven was charged $500 a day for the seven day event which was taken directly out of the proceeds earned by Chasers Poker which then donated the remaining $69,824 of proceeds to Salemhaven. | ExplanationTxt |
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 | Yes (1) | 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 | $113,053 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $0 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $5,200 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $0 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $0 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $0 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $0 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $0 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $41,093 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $0 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $159,346 | 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 | Part I, Line 7 | FormAndLineReferenceDesc |
| Explanation | Ray Milliard received a Christmas bonus approved by the Board of Directors. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 2 | Board members Robert Slein and Brendan Slein have a family relationship. |
| 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 | Salemhaven pulls demographic reports and surveys for the Board to review and decide on compensation for Administrator, Ray Milliard. |
| 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). |