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Governance Register
US nonprofit · EIN 831552401 · Salem, NJiSource and licenceOrganisation record IRS Exempt Organizations Business Master File (EIN 831552401) - NTEE activity code, address.Board and officers IRS Form 990 annual filings, Part VII (directors, trustees, officers, key employees), read year by year to observe tenure.Latest return IRS Form 990 series e-file data - 990 for the year to 31 December 2024: assets, liabilities, staff, website, telephone, pay, related organisations (Schedule R).Finances by year IRS Form 990 e-file data - total revenue and total expenses by tax year.Renewal outlook Computed by Governance Register from the observed filing history and filed revenue (us-approach-v4-clean). Not a statement that the organisation is recruiting.Deductibility IRS Publication 78 data (code SO), downloaded 18 October 2026.Licence US Federal Government public domain.How we handle data

Salem Physician Practices PC's network

1 person2 organisationsi1 person and 2 organisations on this map.The large node is the subject of this page. Solid lines are what the register itself records (1). Violet dotted lines (2) are likely: the same full name sits on the current board of another organisation in the same register and region. Form 990 filings give names without a person identifier; SEC insider filings carry a CIK. It may be a different person.

The board

1 listediTime on the board is observed from the annual filings: the IRS files no appointment date, so the bar counts years from the first filing the person appears on - a lower bound, not a filed start date. Names are exactly as filed. The IRS publishes no person identifier, so this edition does not yet link a person across organisations in the tables. The network map shows same-name matches as likely links only, never as confirmed.Tenure and departures are observed across annual filings. Observed tenure is a lower bound - a member may have joined before the first year on record. The organisation reported 1 voting members of its governing body on its latest Form 990 Part VI, which matches the board listed here.
NameRole as filedSinceOn the board
Scott E Wagner MD MBA (also filed as Scott Wagner MD MBA)PresIDENT - Trustee2022
4 yrs
Under 5 years5 to 6 years6 years or more

Officers and senior leadership

13 listediNamed in Part VII as officers, key employees or highest-compensated staff - not board members, shown for completeness.
NameTitle as filedOn the filings
Angela J Oates MDPhysician2019
Barry M Berman MDPhysician2019
Daniel S Timmerman DomphGeneral Surgeon2023
Donald BeversCFO (Termed 06/15/19)2019
Harish Kakkilaya MDPhysiciansince 2020
Henry C HO MDPhysiciansince 2020
James E Hubbs DOPhysiciansince 2019
Michael Levy MDOrthopedic Surgeonsince 2022
Mitchell C Bober DOPhysician - Primary Caresince 2019
Paul R Kouyoumdji MPhysician2019
Paul R Kouyoumdji MDPediatriciansince 2020
Tammy TorresCEO - Salem Medical Centersince 2019
Vincent RiccitelliCFO - Salem Medical Centersince 2019

Pay and hours

year to 31 December 2024iFrom Part VII of the Form 990: compensation reported for each officer, director, trustee, key employee and highest-paid staff member, and the average hours a week they report. Most board members are unpaid; a blank means nothing was reported. Pay from related organisations is shown separately.
NameTitle as filedHours a weekPay from the organisationRelated organisationsOther
Scott E Wagner MD MBAPresIDENT - Trustee0$0$696k$113k

About

Legal name
Salem Physician Practices PC
EIN
831552401
Address
310 Woodstown Road, Salem, NJ, 08079
State
New Jersey
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. (as filed on the Form 990)
Activity (NTEE)
E11 Health care
IRS classification
501(c)03 (tax-exempt under section 501(c)(3) where shown)
Classified purpose
Health Care
Size band
4 (IRS master file code)
Formed
2018
Principal officer
Scott Wagner MD MBA (as named on the Form 990)
IRS ruling date
1 November 2018
Status
Code 01 (unconditional exemption)
Form 990 filings on record
5, latest 2024
IRS Publication 78
SO (contributions deductible)

Most connected

Latest return

year to 31 December 2024iFigures from the newest Form 990 or 990-EZ in the IRS e-file releases of 2025 and 2026, for the year ending 31 December 2024. US dollars, as filed.
Total assets
$426k
Total liabilities
$6m
Net assets or fund balances
Minus $5.6m
Contributions and grants received
$0
Program service revenue
$0
Employees
0

Filed finances

1 yeariTotals as filed on the IRS Form 990 (revenue and expenses), by tax year.
Tax yearTotal revenueTotal expensesSurplus or deficit
2024$0$131kDeficit $131k

As filed on the IRS Form 990. US dollars.