Civic Intelligence

Salem Physician Practices PC

990 • Fiscal year 2021 • EIN 83-1552401

Jan 01, 2021 to Dec 31, 2021 • Filed on Nov 11, 2022

310 Woodstown RoadSalem, NJ 08079

(856) 935-1000

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

99th percentile

17.42x

Higher debt load relative to assets than 99% of similar nonprofits.

2021 filings • NTEE E • $1M-$5M nonprofits • Source year 2021

Liabilities / Revenue

94th percentile

4.74x

Higher debt load relative to revenue than 94% of similar nonprofits.

2021 filings • NTEE E • $1M-$5M nonprofits • Source year 2021

Net Margin

5th percentile

-149%

Higher net margin than 5% of similar nonprofits.

2021 filings • NTEE E • $1M-$5M nonprofits • Source year 2021

Top Officer Pay

86th percentile

$537,329

Higher top officer pay than 86% of similar nonprofits.

Top officer pay equals 15.7% of source-year revenue.

2021 filings • NTEE E • $1M-$5M nonprofits • Source year 2021

Asset Growth

2nd percentile

-56%

Faster asset growth than 2% of similar nonprofits.

2021 filings • NTEE E • $1M-$5M nonprofits • Annualized from 2020 to 2021

Revenue Growth

9th percentile

-38%

Faster revenue growth than 9% of similar nonprofits.

2021 filings • NTEE E • $1M-$5M nonprofits • Annualized from 2020 to 2021

Assets

Down

$930,256

Down $1,195,067 (-56%) from 2020

Net Assets

Down

-$15,277,367

Down $5,854,818 (-62%) from 2020

Liabilities

Up

$16,207,623

Up $4,659,751 (+40%) from 2020

Revenue

Down

$3,417,456

Down $2,126,938 (-38%) from 2020

Expenses

Down

$8,504,079

Down $2,643,151 (-24%) from 2020

Net Income

Up

-$5,086,623

Up $516,213 (+9.2%) from 2020

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$30M$20M$10M$0-$10M-$20MAssets 2019: $1,337,320Liabilities 2019: $5,157,033Net Assets 2019: -$3,819,7132019Assets 2020: $2,125,323Liabilities 2020: $11,547,872Net Assets 2020: -$9,422,5492020Assets 2021: $930,256Liabilities 2021: $16,207,623Net Assets 2021: -$15,277,3672021Assets 2022: $20,422,668Liabilities 2022: $20,502,209Net Assets 2022: -$79,5412022Assets 2023: $156,269Liabilities 2023: $4,016,955Net Assets 2023: -$3,860,6862023Assets 2024: $426,034Liabilities 2024: $6,009,134Net Assets 2024: -$5,583,1002024

Highlighted filing

2021

Assets$930,256
Liabilities$16,207,623
Net Assets-$15,277,367

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$15M$10M$5.0M$0-$5.0M-$10MRevenue 2019: $3,415,673Expenses 2019: $7,235,386Net Income 2019: -$3,819,7132019Revenue 2020: $5,544,394Expenses 2020: $11,147,230Net Income 2020: -$5,602,8362020Revenue 2021: $3,417,456Expenses 2021: $8,504,079Net Income 2021: -$5,086,6232021Revenue 2022: $2,929,716Expenses 2022: $8,771,470Net Income 2022: -$5,841,7542022Revenue 2023: $823,661Expenses 2023: $4,604,806Net Income 2023: -$3,781,1452023Revenue 2024: $0Expenses 2024: $131,476Net Income 2024: -$131,4762024

Highlighted filing

2021

Revenue$3,417,456
Expenses$8,504,079
Net Income-$5,086,623
Jump To
Filing Snapshot
Filing Period
Jan 1, 2021 to Dec 31, 2021
Signed
Nov 11, 2022
Return Version
2021v4.2
Gross Receipts
$3,417,456
Mission and Program Overview

Mission

To provide primary care and specialty medical services in furtherance of the charitable tax-exempt purposes of inspira medical centers, inc.; an internal revenue code section 501(c)(3) tax-exempt hospital organization.

To provide primary care and specialty medical services in furtherance of the charitable tax-exempt purposes of salem county hospital corp; an irc 501(c)(3) tax-exempt org.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$919,643$616,654▼ $302,989
Inventories for Sale or Use$99,168$98,183▼ $985
Prepaid Expenses and Deferred Charges$42,079$87,996▲ $45,917
Cash and Non-Interest-Bearing Accounts$198,329$65,420▼ $132,909
Land, Buildings, and Equipment, Net$53,666$26,649▼ $27,017
Savings and Temporary Cash Investments$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Intangible Assets$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$1,325,324$930,256▼ $395,068
Other Assets Total$12,439$35,354▲ $22,915
Liabilities
Other Liabilities$7,857,566$12,328,304▲ $4,470,738
Accounts Payable and Accrued Expenses$3,173,408$3,879,319▲ $705,911
Unsecured Notes Loans Payable$485,094$0▼ $485,094
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$11,516,068$16,207,623▲ $4,691,555
Net Assets / Fund Balance
Net Assets With Donor Restrictions$0$0→ $0
Net Assets Without Donor Restrictions$-10,190,744$-15,277,367▼ $5,086,623
Total Net Assets Fund Balance$-10,190,744$-15,277,367▼ $5,086,623
Total Liabilities and Net Assets / Fund Balance$1,325,324$930,256▼ $395,068

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$4,051$70,949$75,000
Leasehold Improvements$19,118$3,194$22,312
Equipment$3,480$2,886$6,366
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Daniel S Timmerman Do MphTrustee - PresidentFT$494,830$42,499$537,329
Mitchell C Bober DoPhysicianFT$476,754$28,002$504,756
Harish Kakkilaya MdPhysicianFT$487,412$16,986$504,398
Michael Levy MdPhysicianFT$360,218$42,109$402,327
Henry C Ho MdPhysicianFT$336,974$14,113$351,087
James E Hubbs DoPhysicianFT$242,259$44,679$286,938

Board Members and Trustees

NameTitle
Tammy TorresCEO - Salem Medical Center
Vincent RiccitelliCFO - Salem Medical Center

Highest Paid Contractors

ContractorServicesLocationCompensation
Cooper University PhysiciansMedical1 FEDERAL STREET SUITE NW-400A, Camden, NJ 08103-1161$726,407
Sierra Health GroupBilling/rev Cycle440 FRANKLIN STREET SUITE 300, Bloomfield, NJ 07003$639,603
Med-link Computer Sciences LLCIt2 BROAD STREET SUITE 600, Bloomfield, NJ 07003$130,070
Revenue and Support

Revenue Composition

Contributions and Grants
$485,094
Program Service Revenue
$2,767,480
Investment Income
$0
Other Revenue
$164,882
Change in Net Assets
$-5,086,623
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$4,892,426
Other Expenses$3,611,653
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$3,734,792--$3,734,792
Fees for Services Other$1,144,820$58,604$0$1,203,424
Occupancy$651,557$103,609-$755,166
Current Officers, Directors, Trustees, and Key Employees$537,329--$537,329
Information Technology$394,583$62,745-$457,328
Fees for Services Management$347,594$55,273-$402,867
Other Employee Benefits$358,040--$358,040
Payroll Taxes$262,265--$262,265
Other Expenses$127,938$20,190-$148,128
Insurance$100,887$16,043-$116,930
Office Expenses$79,668$12,669-$92,337
Depreciation Depletion$27,017--$27,017
Conferences and Meetings$7,677$1,221-$8,898
Interest$533--$533
Total Functional Expenses$8,118,979$385,100$0$8,504,079
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Related Party$12,238,771
Other Liabilities$89,533
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
Yes

Governance Explanations

Part I, Lines 3 & 4 and Part VI, Section A, 1A & 1B

The organization is an affiliate within salem county hospital corp. D/b/a salem medical center and its affiliate; a tax-exempt integrated healthcare delivery system ("system"). Salem medical center is the tax-exempt parent entity of the system. As reflected on core form, part i, lines 3 and 4 and also in part vi, lines 1a and 1b, there is one voting member on the board of trustees. This voting member is not independent due to the fact that he is employed by the organization. Although this federal form 990 shows no independent board of trustees under the internal revenue service definitions; this organization acts in a charitable tax-exempt manner for purposes of internal revenue code section 501(c)(3) and is controlled by salem medical center; which is governed by a board whose majority is comprised of independent voting members.

CORE FORM, PART VI, SECTION A; QUESTION 3

The organization is an affiliate within salem medical center and its affiliate; a tax-exempt integrated healthcare delivery system ("system"). Salem medical center is the tax-exempt parent entity of the system. Salem medical center entered into a management services agreement with salem hospital management, llc ("manager"), a new jersey limited liability company, with experience in providing management and consulting services. The manager was engaged to perform the following services for salem medical center and its affiliate: management support, managed care contracting, vendor contracting, human resources contracting, group purchasing, facilities and plant management, business office staff orientation/training/support, continuing education for staff, physician relations, corporate compliance and accreditation compliance, regulatory compliance and auditing, risk management, credentialing, utilization review, corporation performance improvement and quality control, cash management, revenue cycle management, preparation of hospital operating reports and financial statements, maintenance of general ledger, information technology services, and coordination of legal matters. In addition, the manager was contracted to provide the system with full-time services of a chief executive officer and chief financial officer. The following individuals were compensated by the manager during 2021. Additionally, in accordance with the form 990 instructions, included below are the individuals' reportable compensation and other compensation (deferred compensation & non-taxable benefits) received from the management company for services provided for the year ended december 31, 2021. Tammy torres (chief executive officer) -------------------------------------- reportable compensation - $329,304 other compensation (non-taxable benefits) - $993 total compensation - $330,297 vincent riccitelli (chief financial officer) -------------------------------------------- reportable compensation - $227,479 other compensation (non-taxable benefits) - $10,662 total compensation - $238,141

CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7

Salem medical center is the sole member of this organization which exists through a physician nominee agreement due to state of new jersey corporate practice of medicine prohibition rules and regulations.

CORE FORM, PART VI, SECTION B; QUESTION 11B

The organization is an affiliate within salem medical center and its affiliate; a tax-exempt integrated healthcare delivery system ("system"). This organization's federal form 990 was provided to the voting member of the organization's governing body, its board of trustees, prior to filing with the internal revenue service ("irs"). The organization's governing body has assumed the responsibility to oversee and coordinate the federal form 990 preparation, review and filing process for all tax-exempt affiliates within the system. As part of the organization's federal form 990 tax return preparation process the system hired a professional certified public accounting ("cpa") firm with experience and expertise in both healthcare and not-for-profit tax return preparation to prepare the federal form 990. The cpa firm's tax professionals worked closely with the system's finance personnel and other system individuals ("internal working group") to obtain the information needed in order to prepare a complete and accurate tax return. The cpa firm prepared a draft federal form 990 and furnished it to the internal working group for their review. The internal working group reviewed the draft federal form 990 and discussed questions and comments with the cpa firm. Revisions were made to the draft federal form 990 where necessary and a final draft was furnished by the cpa firm to the internal working group for final review and approval. Following this review, the form 990 was then provided to the organization's governing body prior to filing with the irs.

CORE FORM, PART VI, SECTION B; QUESTION 12

Salem physician practices, p.c.'s ("spp") conflict of interest policy requires officers and trustees to annually disclose interests that could give rise to conflicts of interest. In 2021, spp's officers and trustees completed a conflict of interest disclosure form, and, in compliance with the policy, discussed potential conflicts as they arose and excluded trustee(s) who had a conflict of interest from discussion and voting on the matters with which such trustee(s) had a conflict. When a trustee recused himself or herself from a vote due to a conflict of interest, the trustee's recusal was noted in the board minutes.

CORE FORM, PART VI, SECTION B; QUESTION 15

The organization is an affiliate within salem medical center and its affiliate; a tax-exempt integrated healthcare delivery system ("system"). The officers reported within core form, part vii, of this federal form 990 also serve as officers/senior executive management for salem medical center ("smc"). Smc's senior executive management (i.e., the ceo and cfo) is provided through a management services agreement with salem hospital management, llc (the "manager"). Smc's board of trustees indirectly approves the compensation of the ceo and cfo by approving the fee paid to the manager, which it did, and which approval is documented in the minutes of the respective smc board of trustees meeting. In order to determine a reasonable fair market level of compensation for the ceo and cfo, the manager reviewed (i) historical compensation of smc senior leadership under previous ownership, (ii) compensation data from similar healthcare organizations from irs form 990s, and (iii) a comprehensive compensation survey containing data from comparable hospitals to smc in the region. The compensation survey utilized by the manager was performed by an independent third party. No one from either the manager or smc had any involvement in the completion of the compensation survey.

CORE FORM, PART VI, SECTION C; QUESTION 19

The organization's filed certificate of incorporation and any amendments can be obtained and reviewed through the state of new jersey department of the treasury.

Core Form, Part VII and Schedule J

Core form, part vii and schedule j reflects certain board members or officers receiving compensation and benefits from the organization. Please note this remuneration was for services rendered as full-time employees of the organization and not for services rendered as a voting member or officer of the organization's board of trustees.

Core Form, Part VII, Section A, Column B

The organization is an affiliate within salem medical center and its affiliate; a tax-exempt integrated healthcare delivery system ("system"). Certain board of trustee members and officers included on core form, part vii and schedule j of this form 990 may hold similar positions with both this organization and other affiliates within the system. The hours shown on this form 990 for board members who receive no compensation for services rendered in a non-board capacity, represents the estimated hours devoted per week for this organization. To the extent these individuals serve as a member of the board of trustees of other related organizations in the system, their respective hours per week per organization are approximately the same as reflected on core form, part vii of this form 990. The hours reflected on core form, part vii of this form 990, for board members who receive compensation for services rendered in a non-board capacity, paid officers and key employees, reflect total hours worked per week on behalf of the system; not solely this organization.

Filing and Contact Details

Filer

Filer Name
Salem Physician Practices Pc
EIN
83-1552401
In Care Of
% VINCENT RICCITELLI
Phone
8569351000
Address
310 WOODSTOWN ROAD, SALEM, NJ 08079

Signing Officer

Name
Vincent Riccitelli
Title
CFO
Phone
8563396007
Signed
2022-11-11
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Daniel S Timmerman Do Mph
Formed
2018
Legal Domicile
Nj
Voting Board Members
1
Independent Board Members
0
Employees
45
Volunteers
0

Preparer

Firm
WithumSmithBrown PC
Address
200 Jefferson Park Suite 400, Whippany, NJ 07981-1070
Preparer
Scott J Mariani
Phone
9738989494
Supplemental Narrative

Additional Explanations

CORE FORM, PART III; QUESTION 3

The organization's net patient service revenue decreased approximately 35% from the prior year. The decrease in net patient service revenue is attributable to the professional billing for emergency and hospitalist physicians which the organization historically handled on behalf of an unrelated internal revenue code section 501(c)(3) tax-exempt healthcare system. In 2021, the professional billing for these physicians contractually reverted back to the unrelated healthcare system.

Core Form, Part X

The beginning balance sheet has been restated to conform with the organization's amended 2020 federal form 990 and its audited financial statements.

CORE FORM, PART XII; QUESTION 2

The organization is an affiliate within salem medical center and its affiliate; a tax-exempt integrated healthcare delivery system ("system"). An independent cpa firm audited the consolidated financial statements of the system for the years ended december 31, 2021, and december 31, 2020; respectively. The audited consolidated financial statements contain consolidating schedules on an entity-by-entity basis. The independent cpa firm issued an unmodified opinion with respect to the audited consolidated financial statements. The organization's audited financial statements have been prepared assuming that salem county hospital corp. (d/b/a salem medical center) and its affiliate will continue as a going concern. As discussed in note 1 to the organization's audited financial statements, the medical center has a deficiency of revenue over expenses for the years ended december 31, 2021 and 2020, a working capital deficiency at december 31, 2021 and 2020, and management has stated that substantial doubt exists about the medical center's ability to continue as a going concern. Management's evaluation of the events and conditions and management's plans regarding these matters are also described in note 1. The audited financial statements do not include any adjustments that might result from the outcome of this uncertainty. The auditor's opinion is not modified with respect to this matter. Salem medical center's board of trustees has assumed responsibility for the oversight of the audit of the consolidated financial statements, which includes this organization, and the selection of an independent auditor.

Form 990 Part IX Line 11G

Description:physician fees total fees:776284

Form 990 Part IX Line 11G

Description:billing & collection fees total fees:300000

Form 990 Part IX Line 11G

Description:purchased services total fees:127140

Financial Statement Notes

Schedule D, Part X

The organization is an affiliate within salem medical center and its affiliate; a tax-exempt integrated healthcare delivery system ("system"). An independent cpa firm audited the consolidated financial statements of the system for the years ended december 31, 2021 and december 31, 2020. The following footnote is included in the system's 2021 audited consolidated financial statements that reports the organization's liability for uncertain tax positions under fin 48 (asc 740): the center follows the accounting guidance for uncertainties in income tax positions which requires that a tax position be recognized or derecognized based on a "more likely than not" threshold. This applies to positions taken or expected to be taken in a tax return. The center does not believe its combined financial statements include any material uncertain tax positions. In addition, there have been no tax related interest or penalties for the period presented in these combined financial statements. Should any such penalties be incurred, the center's policy would be to recognize them as operating expenses.

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