Civic Intelligence

Salem Physician Practices PC

990 • Fiscal year 2020 • EIN 83-1552401

Jan 01, 2020 to Dec 31, 2020 • 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

95th percentile

5.43x

Higher debt load relative to assets than 95% of similar nonprofits.

2020 filings • NTEE E • $5M-$10M nonprofits • Source year 2020

Liabilities / Revenue

88th percentile

2.08x

Higher debt load relative to revenue than 88% of similar nonprofits.

2020 filings • NTEE E • $5M-$10M nonprofits • Source year 2020

Net Margin

5th percentile

-101%

Higher net margin than 5% of similar nonprofits.

2020 filings • NTEE E • $5M-$10M nonprofits • Source year 2020

Top Officer Pay

67th percentile

$551,141

Higher top officer pay than 67% of similar nonprofits.

Top officer pay equals 9.9% of source-year revenue.

2020 filings • NTEE E • $5M-$10M nonprofits • Source year 2020

Asset Growth

87th percentile

59%

Faster asset growth than 87% of similar nonprofits.

2020 filings • NTEE E • $5M-$10M nonprofits • Annualized from 2019 to 2020

Revenue Growth

90th percentile

62%

Faster revenue growth than 90% of similar nonprofits.

2020 filings • NTEE E • $5M-$10M nonprofits • Annualized from 2019 to 2020

Assets

Up

$2,125,323

Up $788,003 (+59%) from 2019

Net Assets

Down

-$9,422,549

Down $5,602,836 (-147%) from 2019

Liabilities

Up

$11,547,872

Up $6,390,839 (+124%) from 2019

Revenue

Up

$5,544,394

Up $2,128,721 (+62%) from 2019

Expenses

Up

$11,147,230

Up $3,911,844 (+54%) from 2019

Net Income

Down

-$5,602,836

Down $1,783,123 (-47%) from 2019

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 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

2020

Assets$2,125,323
Liabilities$11,547,872
Net Assets-$9,422,549

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 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

2020

Revenue$5,544,394
Expenses$11,147,230
Net Income-$5,602,836
Jump To
Filing Snapshot
Filing Period
Jan 1, 2020 to Dec 31, 2020
Signed
Nov 11, 2022
Return Version
2020v4.1
Gross Receipts
$4,744,391
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$1,037,373$919,643▼ $117,730
Cash and Non-Interest-Bearing Accounts$50,259$198,329▲ $148,070
Inventories for Sale or Use$98,183$99,168▲ $985
Land, Buildings, and Equipment, Net$79,942$53,666▼ $26,276
Prepaid Expenses and Deferred Charges$58,914$42,079▼ $16,835
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$1,337,320$1,325,324▼ $11,996
Other Assets Total$12,649$12,439▼ $210
Liabilities
Other Liabilities$3,261,734$7,857,566▲ $4,595,832
Accounts Payable and Accrued Expenses$1,895,299$3,173,408▲ $1,278,109
Unsecured Notes Loans Payable$0$485,094▲ $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$5,157,033$11,516,068▲ $6,359,035
Net Assets / Fund Balance
Net Assets With Donor Restrictions$0$0→ $0
Net Assets Without Donor Restrictions$-3,819,713$-10,190,744▼ $6,371,031
Total Net Assets Fund Balance$-3,819,713$-10,190,744▼ $6,371,031
Total Liabilities and Net Assets / Fund Balance$1,337,320$1,325,324▼ $11,996

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$28,357$46,643$75,000
Leasehold Improvements$20,556$1,756$22,312
Equipment$4,753$1,613$6,366
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Daniel S Timmerman Do MphTrustee - PresidentFT$295,480$255,661$551,141
Mitchell C Bober DoPhysicianFT$195,377$328,180$523,557
Henry C Ho MdPhysicianFT$308,981$1,007$309,988
Paul R Kouyoumdji MdPhysicianFT$242,098$60,708$302,806
Harish Kakkilaya MdPhysicianFT$264,748$2,560$267,308
James E Hubbs MdPhysicianFT$191,787$38,807$230,594

Board Members and Trustees

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

Highest Paid Contractors

ContractorServicesLocationCompensation
Cooper University PhysiciansMedical1 FEDERAL STREET STE NW-400A, Camden, NJ 08103-1161$3,152,695
Sierra Health GroupBilling/rev Cycle440 FRANKLIN STREET SUITE 300, Bloomfield, NJ 07003$375,868
Orthopedic Neurosurgical SpecialiMedical807 N HADDON AVE SUITE 1, Haddonfield, NJ 08033$369,355
Med-link Computer Sciences LLCIt2 BROAD STREET SUITE 600, Bloomfield, NJ 07003$195,348
Revenue and Support

Revenue Composition

Contributions and Grants
$255,262
Program Service Revenue
$4,319,954
Investment Income
$0
Other Revenue
$169,175
All Other Contributions
$0
Change in Net Assets
$-6,371,031
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$7,094,453
Salaries, Compensation, and Employee Benefits$4,020,969
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$5,232,214$0$0$5,232,214
Other Salaries and Wages$2,875,966--$2,875,966
Occupancy$739,558--$739,558
Current Officers, Directors, Trustees, and Key Employees$551,141-$0$551,141
Other Employee Benefits$370,402--$370,402
Information Technology$364,058--$364,058
Payroll Taxes$223,460--$223,460
Other Expenses$114,595--$114,595
Insurance$101,160--$101,160
Fees for Services Management$90,692--$90,692
Office Expenses$87,942--$87,942
Depreciation Depletion$27,017--$27,017
Conferences and Meetings$3,880--$3,880
Interest$1,575--$1,575
Fees for Services Legal$880--$880
Total Functional Expenses$11,115,422$0$0$11,115,422
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$7,675,087
Other Liabilities$182,479
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 2020. 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, 2020. Tammy torres (chief executive officer) -------------------------------------- reportable compensation - $321,884 other compensation (non-taxable benefits) - $1,075 total compensation - $322,959 vincent riccitelli (chief financial officer) -------------------------------------- reportable compensation - $86,736 other compensation (non-taxable benefits) - $4,282 total compensation - $91,018 vincent riccitelli became an employee of the management company effective august 2020. Prior to becoming an employee of the management company, healthcare preferred partners was contracted to provide a chief financial officer to the system. The chief financial officer was responsible for the management of the financial functions of the hospital its related organization. In addition, the chief financial officer was responsible for managing the system's outsourced financial functions, payer relations/contracting, physician contracting, preparation of monthly financial statements and managing the performance of the audit of the financial statements. Vincent riccitelli served as the contracted chief financial officer through july 2020. Fees paid to healthcare preferred partners by salem hospital management, llc for the chief financial officer services provided to the system amounted to $119,000. Total fees paid to healthcare preferred partners by salem medical center for all consulting services provided is further disclosed in schedule l of the salem medical center (ein: 84-4971362) federal form 990.

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 2020, the process was not followed formally due to covid-related disruptions in the normal course of board activities. In 2020, the board did not complete the annual disclosure forms per the conflict of interest policy, but 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.

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
Voting Board Members
1
Independent Board Members
0
Employees
41
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 PAGE 1, SECTION B; AMENDED RETURN

This federal form 990 has been amended to reflect the organization's balance sheet, statement of revenue and statement of functional expenses in accordance with its audited financial statements for the year ended december 31, 2020. These changes affected the following parts of this amended form 990: - core form, part i; lines 8 - 22 - core form, part iii, line 4a - core form, part viii - core form, part ix - core form, part x - core form, part xi in addition, the following has been updated within this amended form 990: - core form, part vi; question 11a (and associated schedule o narrative) - core form, part vi; question 12c (and associated schedule o narrative) - schedule o narrative for core form, part vi; question 15

Core Form, Part X

The prior year balance sheet has been restated to conform with the organization's 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, 2020, and december 31, 2019; 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 affiliate will continue as a going concern. As discussed in note 1 to the audited financial statements, the medical center has a deficiency of revenue over expenses for the year ended december 31, 2020, a working capital deficiency at december 31, 2020, and management has stated that substantial doubt exists about the medical center's ability to continue as a going concern. Additionally, significant uncertainty exists with respect to the ultimate impact of covid-19 on the medical center's financial condition. 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:4757621

Form 990 Part IX Line 11G

Description:billing & collection fees total fees:361680

Form 990 Part IX Line 11G

Description:purchased services total fees:112913

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, 2020 and december 31, 2019. The following footnote is included in the system's 2020 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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