SHOM IS in the medical services industry, specifically assisted care. Yes, payroll expense is the largest outlier since it's heavily people oriented. REMEMBER, they paid out $24K in charitable contributions (which is completely voluntary) so, in essence, net profit is more like $84K.
NOW, if the merger increases revenues exponentially, there will be some redundent expenses eliminated, marginalized and some economies of scale come in to play.
Looking pretty good to me.