2024-06-13T19:52:32-05:00 2023-07-31 390859910 BAKER TILLY ADVISORY GROUP LP 790 N WATER ST SUITE 2000 MILWAUKEE WI 53202 990 2022-08-01 263902724 ROGERS BEHAVIORAL HEALTH SYSTEM INC ROGE 2626464411 34700 VALLEY ROAD OCONOMOWOC WI 53066 CHRIS JAGODITZ CFO 2626464411 2024-06-13 1 CHRIS JAGODITZ XXX-XX-XXXX 1 TROY MARINE CPA P00187863 4147775500 2024-06-13 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z CHRIS JAGODITZ 34700 VALLEY ROAD OCONOMOWOC WI 53066 2872073 0 X WWW.ROGERSBH.ORG X 2007 WI THE PARENT ORGANIZATION FOR OUR BEHAVIORAL HEALTH CARE OPERATIONS (ROGERS MEMORIAL HOSPITAL, INC. ) AND SUPPORTING FOUNDATION (ROGERS MEMORIAL HOSPITAL FOUNDATION, INC.). 12 10 0 10 0 0 0 0 2865807 2848651 11205 23422 0 0 2877012 2872073 0 0 0 0 2780142 2509786 0 0 0 87224 339206 2867366 2848992 9646 23081 2057088 2080169 0 0 2057088 2080169 X OUR VISION:WE ENVISION A FUTURE WHERE PEOPLE HAVE THE TOOLS TO RISE ABOVE THE CHALLENGES OF MENTAL ILLNESS, ADDICTION, AND STIGMA TO LEAD HEALTHY LIVES. WE BRING THIS VISION TO LIFE BY CONSTANTLY ELEVATING THE STANDARD FOR BEHAVIORAL HEALTHCARE, DEMONSTRATING OUR EXCEPTIONAL TREATMENT OUTCOMES, AND ACTING WITH COMPASSION AND RESPECT.OUR VALUES:EXCELLENCE - WE ARE COMMITTED TO CONTINUOUS IMPROVEMENT INCLUDING RECRUITMENT AND RETENTION OF HIGHLY TALENTED EMPLOYEES WHO DELIVER CLINICALLY EFFECTIVE TREATMENTS WITH THE BEST POSSIBLE OUTCOMES.COMPASSION - WE ARE DEDICATED TO A HEALTHY CULTURE WHERE EMPLOYEES, PATIENTS, AND FAMILIES EXPERIENCE EMPATHY, ENCOURAGEMENT, AND RESPECT.ACCOUNTABILITY - WE EMBRACE OUR RESPONSIBILITY TO OUR PATIENTS, FAMILIES, REFERRING PROVIDERS, PAYORS AND COMMUNITY MEMBERS TO PROVIDE CARE THAT IS HIGH QUALITY, COST EFFECTIVE AND SUSTAINABLE. 0 0 2509786 2848651 ROGERS BEHAVIORAL HEALTH SYSTEM, INC. (RBH, INC.) WAS FORMED TO COORDINATE THE ACTIVITIES OF AFFILIATE ORGANIZATIONS - ROGERS MEMORIAL HOSPITAL, INC. AND ROGERS MEMORIAL HOSPITAL FOUNDATION, INC. - WITH THE GOAL OF EXPANDING ACCESS TO BEHAVIORAL HEALTH SERVICES. RBH, INC. ESTABLISHES, MONITORS AND EXECUTES STRATEGIC INITIATIVES. RBH, INC. IS ONE OF THE NATION'S LARGEST PROVIDERS OF SPECIALIZED BEHAVIORAL HEALTH SERVICES. IN FISCAL YEAR 2023 WE SERVED OUR COMMUNITY WITH 58,792 INPATIENT DAYS 94,575 RESIDENTIAL PATIENT DAYS AND 284,409 OUTPATIENT PATIENT DAYS. THIS REPRESENTS AN -.2% DECREASE OVER THE PRIOR FISCAL YEAR. 2509786 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 12 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X CHRIS JAGODITZ 2626464411 34700 VALLEY ROAD OCONOMOWOC WI 53066 PATRICK HAMMER CEO - RBHS / BOARD MEMBER - TERM. 05/2023 1.00 40.00 X X 1473243 0 257085 JOHN BOYD CEO - TERMED 05/2023 1.00 40.00 X X 0 684636 140689 BRADLEY RIEMANN CHIEF CLIN OFF./BOARD MEMBER - TERM. 07/2023 1.00 40.00 X X 0 649383 135653 JERRY HALVERSON CHIEF MEDICAL OFFICER/ BOARD MEMBER 1.00 40.00 X X 0 503323 90824 CYNTHIA MEYER PRESIDENT & CEO - STARTED 06/2023 1.00 40.00 X X 79083 0 0 BARB GORMACKI BOARD CHAIR 3.00 3.00 X X 0 0 0 BOB OLSON BOARD VICE-CHAIR 3.00 3.00 X X 0 0 0 MICHAEL SEVI BOARD SECRETARY 3.00 3.00 X X 0 0 0 WILLIAM T MULLIGAN BOARD TREASURER 3.00 3.00 X X 0 0 0 CHRIS FITZPATRICK BOARD MEMBER 1.00 1.00 X 0 0 0 ERIK CARDENAS BOARD MEMBER 1.00 1.00 X 0 0 0 GINA MARKSON BOARD MEMBER 1.00 1.00 X 0 0 0 KAMILAH WILLIAMS-KEMP BOARD MEMBER 1.00 1.00 X 0 0 0 MARTIN BORELL BOARD MEMBER 1.00 1.00 X 0 0 0 MAUREEN STAPLETON BOARD MEMBER 1.00 1.00 X 0 0 0 JOANNE HORVATH CFO - TERM. 09/2022 0.00 40.00 X 779059 0 40362 CHRIS JAGODITZ CFO - STARTED 02/2023 1.00 40.00 X 0 0 0 ARNOLD STUEBER FORMER CFO - TERM. 06/2021 0.00 0.00 X 247520 0 0 2578905 1837342 664613 3 1 1 0 0 AFFILIATE MGMT FEES 900099 2848651 2848651 2848651 23422 23422 2872073 2848651 0 23422 1757088 1757088 476824 476824 203974 203974 71900 71900 341 341 4590 4590 95491 95491 -23554 -23554 IRC SECTION 4960 EXCISE 170710 170710 DUES/FEES & SUBSCRIPTIO 91628 91628 2848992 2509786 339206 0 1513801 2080169 543287 0 2057088 2080169 0 0 X 2057088 2080169 2057088 2080169 2057088 2080169 23081 0 X X 0 1 X 1 0 X X X 2 ROGERS MEMORIAL HOSPITALINC 391139101 3 0 0 2848651 ROGERS MEMORIAL HOSPITAL FOUNDATION 391363507 7 0 0 0 2 0 2848651 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PART I, SECTION A, LINE 12G: ROGERS BEHAVIORAL HEALTH SYSTEM, INC. WAS FOUNDED IN 2007 TO COORDINATE AND EXPAND ACCESSIBILITY TO HIGH QUALITY BEHAVIORAL HEALTHCARE SERVICES. THE SYSTEM INCLUDES ROGERS MEMORIAL HOSPITAL, INC. AND ROGERS MEMORIAL HOSPITAL FOUNDATION, INC. ROGERS MEMORIAL HOSPITAL, INC. IS WISCONSIN'S LARGEST BEHAVIORAL HEALTHCARE SERVICES PROVIDER AND HAS BEEN OPERATING FOR OVER A CENTURY. THROUGH PARTNERSHIPS AND CONSULTING RELATIONSHIPS WITH SEVERAL HOSPITAL SYSTEMS, ROGERS MEMORIAL HOSPITAL NOW PROVIDES OVER 45 PERCENT OF ALL OF THE INPATIENT MENTAL HEALTH CARE IN THE STATE OF WISCONSIN. ROGERS MEMORIAL HOSPITAL, INC. CURRENTLY OPERATES FACILITIES IN OCONOMOWOC, MILWAUKEE, AND BROWN DEER, WISCONSIN AND IS STAFFED BY HIGHLY QUALIFIED MENTAL HEALTH PROFESSIONALS INCLUDING TEAMS OF PHYSICIANS, THERAPISTS, COUNSELORS, DIETITIANS, AND OTHER PROFESSIONAL STAFF TO MEET THE INDIVIDUAL NEEDS OF ITS PATIENTS, THE HOSPITAL OFFERS THE FOLLOWING SERVICES: INPATIENT CARE, PARTIAL HOSPITALIZATION, RESIDENTIAL TREATMENT, AND SUPPORT GROUPS. THE HOSPITAL CURRENTLY FACILITATES THE FOLLOWING SUPPORT GROUPS: ALCOHOLICS ANONYMOUS, IMPAIRED PROFESSIONAL ALCOHOLICS ANONYMOUS, NARCOTICS ANONYMOUS, AND SURVIVORS OF SUICIDE. ROGERS MEMORIAL HOSPITAL ALSO HAS TREATMENT CENTERS IN WISCONSIN (MADISON, BROWN DEER, APPLETON, KENOSHA), FLORIDA (MIAMI AND TAMPA), TENNESSEE (NASHVILLE), ILLINOIS (HINSDALE AND SKOKIE), MINNESOTA (EDEN PRAIRIE AND ST. PAUL), PENNSYLVANIA (PHILADELPHIA), GEORGIA (ATLANTA), AND CALIFORNIA (SAN FRANCISCO, SAN DIEGO, LA), WASHINGTON (SEATTLE), COLORADO (DENVER). ROGERS MEMORIAL HOSPITAL FOUNDATION, INC. SUPPORTS PATIENTS AND PROGRAMS OF AFFILIATES OF ROGERS BEHAVIORAL HEALTH SYSTEM INC. BY RAISING AND MANAGING PHILANTHROPIC INCOME. THROUGH DONATIONS PROVIDED BY INDIVIDUALS, CORPORATIONS, AND LOCAL FOUNDATIONS, ROGERS MEMORIAL HOSPITAL FOUNDATION, INC. SUPPORTS PROGRAMS SUCH AS THE FOLLOWING: PATIENT CONTINUATION SCHOLARSHIPS, ANGEL FUND, SPIRITUAL CARE PROGRAM AND HOSPITAL CAPITAL EXPANSION PROJECTS. THE SYSTEM IS DEDICATED TO EXPANDING AND UPDATING ITS FACILITIES TO IMPROVE THE QUALITY OF ITS PROGRAMS. THE FOUNDATION IS AN INTEGRAL PART OF RAISING FUNDS IN SUPPORT OF THESE EXPANSION PROJECTS. AS A SOLE CORPORATE MEMBER OF ROGERS MEMORIAL HOSPITAL, INC. AND ROGERS MEMORIAL FOUNDATION INC., ROGERS BEHAVIORAL HEALTH SYSTEM, INC. WILL IMPROVE STRATEGIC DIRECTION NECESSARY TO COORDINATE AND EXPAND ACCESSIBILITY TO HIGH QUALITY BEHAVIORAL HEALTHCARE SERVICES. THE SYSTEM PROVIDES SUPPORT TO THE SUPPORTING ORGANIZATIONS IN MORE WAYS THAN JUST MONETARY SUPPORT INCLUDING BUT NOT LIMITED TO STRATEGIC PLANNING AND OTHER MANAGEMENT SERVICES. ROGERS BEHAVIORAL HEALTH SYSTEM, INC. WILL ESTABLISH, EXECUTE AND MONITOR STRATEGIC INITIATIVES TO EXPAND ACCESSIBILITY TO HIGH QUALITY BEHAVIORAL HEALTH SERVICES. OTHER SUPPORT REPORTED IN COLUMN (VI) IS AN ALLOCATION OF COSTS INCURRED FOR SALARIES AND OTHER EXPENSES AT NO MARK-UP TO SUPPORT ROGERS MEMORIAL HOSPITAL. PART IV, SECTION A, LINE 1: ROGERS BEHAVIORAL HEALTH SYSTEM, INC.'S GOVERNING DOCUMENTS DO NOT LIST EACH INDIVIDUAL ENTITY SEPARATELY AS A SUPPORTING ORGANIZATION. HOWEVER, THE GOVERNING DOCUMENTS INDICATE THE CORPORATION MAY CREATE OR ACQUIRE OTHER ORGANIZATIONS UPON CONFIRMATION THAT SUCH CREATION OR ACQUISITION IS CONSISTENT WITH ITS PURPOSE AND THAT THE ADDITION OF SUCH ORGANIZATION(S) WILL BE CONSISTENT WITH THE CORPORATION'S STATUS UNDER SECTION 509(A)(3) OF THE INTERNAL REVENUE CODE. FURTHERMORE, ROGERS BEHAVIORAL HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF EACH OF THE SUPPORTED ORGANIZATIONS LISTED IN SCHEDULE A, PART 1, LINE 12G. PART IV, SECTION C, LINE 1: THE SYSTEM IS THE SOLE CORPORATE MEMBER AND RESERVES THE POWER TO ELECT THE BOARD MEMBERS AND PRESIDENT, DEFINE THE MISSION, AND APPROVE ALL FINANCIAL POLICIES AND PROCEDURES. ROGERS BEHAVIORAL HEALTH SYSTEM HAS THE ABILITY TO CONTROL MANAGEMENT AND THE BOARD OF DIRECTORS' DECISIONS. PER THE BY-LAWS OF EACH SUPPORTED ORGANIZATION LISTED ON SCHEDULE A, PART I, LINE 12G, ROGERS BEHAVIORAL HEALTH SYSTEM HAS THE FOLLOWING POWERS: 1. APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE MEMBERS OF THE BOARD OF DIRECTORS, AUTHORIZE VACANCIES, AND DETERMINE THE NUMBER OF DIRECTORS ON THE BOARD OF DIRECTORS 2. APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE PRESIDENT/EXECUTIVE DIRECTOR, AND CONDUCT REGULAR EVALUATIONS OF THE PRESIDENT/EXECUTIVE DIRECTOR 3. PARTICIPATE IN THE PREPARATION OF, AND GIVE APPROVAL TO, ANY PLAN OF DISSOLUTION OR MERGER, CONSOLIDATION, ACQUISITION OR DISPOSITION OF REAL PROPERTY OR RELOCATION OF THE CORPORATION'S FACILITIES 4. APPROVE LONG-TERM BORROWING OF MONEY AND OTHER FORMS OF LONG-TERM INDEBTEDNESS5. APPROVE THE ESTABLISHMENT, TRANSFER AND/OR DISSOLUTION OF ANY WHOLLY-OWNED AND PARTIALLY OWNED DIRECT OR INDIRECT SUBSIDIARIES 6. APPROVE THE PURCHASE, SALE, LEASE, DISPOSITION, ENCUMBRANCE OR ALIENATION OF REAL PROPERTY, AND THE SALE, LEASE, DISPOSITION OR ENCUMBRANCE OF SUBSTANTIALLY ALL OF THE CORPORATION'S PERSONAL PROPERTY 7. RECEIVE AND APPROVE BUDGETS AND FINANCIAL REPORTS 8. APPROVE THE FINANCIAL POLICIES AND PROCEDURES OF THE CORPORATION AND ANY DEVIATIONS FROM SUCH POLICIES AND PROCEDURES 9. AMEND AND APPROVE THE ARTICLES OF INCORPORATION AND BYLAWS ROGERS MEMORIAL HOSPITAL REPORTS TO THE SAME BOARD OF DIRECTORS. 0 X PART X, LINE 2: THE SYSTEM IS A TAX-EXEMPT ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 509(A)(2) OF THE CODE. THE ORGANIZATION IS ALSO EXEMPT FROM STATE INCOME TAXES ON RELATED INCOME. THE SYSTEM FILES A FORM 990 (RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX) ANNUALLY. WHEN THIS RETURN IS FILED IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD ULTIMATELY BE SUSTAINED. EXAMPLES OF TAX POSITIONS INCLUDE SUCH MATTERS AS THE FOLLOWING: THE TAX EXEMPT STATUS OF THE ENTITY AND VARIOUS POSITIONS RELATIVE TO POTENTIAL SOURCES OF UNRELATED BUSINESS INCOME TAX (UBIT). UBIT IS REPORTED ON FORM 990-T, AS APPROPRIATE. THE BENEFIT OF A TAX POSITION IS RECOGNIZED IN THE FINANCIAL STATEMENTS IN THE PERIOD DURING WHICH, BASED ON ALL AVAILABLE EVIDENCE, MANAGEMENT BELIEVES THAT IT IS MORE LIKELY THAN NOT THAT THE POSITIONS WILL BE SUSTAINED UPON EXAMINATION, INCLUDING THE RESOLUTION OF APPEALS OR LITIGATION PROCESS, IF ANY. 1 1 0 0 0 0 0 0 0 PATRICK HAMMER CEO - RBHS / BOARD MEMBER - TERM. 05/2023 680380 0 764756 0 28107 0 225609 0 31476 0 1730328 0 0 0 JOHN BOYD CEO - TERMED 05/2023 0 493406 0 99452 0 91778 0 115700 0 24989 0 825325 0 0 JOANNE HORVATH CFO - TERM. 09/2022 217089 0 1075 0 560895 0 9124 0 31238 0 819421 0 0 0 BRADLEY RIEMANN CHIEF CLIN OFF./BOARD MEMBER - TERM. 07/2023 0 461542 0 158986 0 28855 0 85582 0 50071 0 785036 0 0 JERRY HALVERSON CHIEF MEDICAL OFFICER/ BOARD MEMBER 0 376135 0 97689 0 29499 0 52798 0 38026 0 594147 0 0 ARNOLD STUEBER FORMER CFO - TERM. 06/2021 0 0 0 0 247520 0 0 0 0 0 247520 0 0 0 PART I, LINE 1A HEALTH AND SOCIAL MEMBERSHIPS FOR CERTAIN OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES AND HIGHEST COMPENSATED INDIVIDUALS ARE INCLUDED IN TAXABLE WAGES AS THEY ARE PAID BY ROGERS MEMORIAL HOSPITAL. PART I, LINE 3 THE CEO IS PAID BY ROGERS MEMORIAL HOSPITAL, INC., A RELATED ORGANIZATION; HOWEVER, HE DEVOTES THE MAJORITY OF HIS TIME TO THE FILING ORGANIZATION. ROGERS MEMORIAL HOSPITAL, INC. USES THE FOLLOWING TO ESTABLISH THE CEO'S COMPENSATION: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -FORM 990 OF OTHER ORGANIZATIONS -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINES 4A-B SOME EMPLOYEES RECEIVED A SEVERANCE PAYMENT DURING THE CALENDER YEAR. THE TERMS AND CONDITIONS OF THE CONFIDENTIAL SEVERANCE AGREEMENT ARE AVAILABLE TO THE INTERNAL REVENUE SERVICE UPON REQUEST. ROGERS MEMORIAL HOSPITAL, INC., PROVIDES A SUPPLEMENTAL NON-QUALIFIED RETIRMENT PLAN TO ELIGIBLE EMPLOYEES. DURING 2022, PATRICK HAMMER, JOHN BOYD, BRADLEY RIEMANN, BRIAN KAY, CINDY MEYER, AND CHRIS JAGODITZ PARTICIPATED IN THIS PLAN. INDIVIDUALS DID NOT HAVE AMOUNTS VESTED AND PAID DURING THIS TIME. FORM 990, PART VI, SECTION B, LINE 11B THE CFO OF ROGERS BEHAVIORAL HEALTH SYSTEM COMPLETES A DETAILED REVIEW OF FORM 990 PRIOR TO MAKING THE 990 AVAILABLE TO THE BOARD MEMBERS. IRS FORM 990 IS MADE AVAILABLE TO THE BOARD MEMBERS ELECTRONICALLY VIA THE BOARDS' WEBSITE FOR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C EACH DIRECTOR AND OFFICER SHALL, SHOULD A CONFLICT ARISE AT ANY TIME, PROMPTLY DISCLOSE SUCH CONFLICTS IN WRITING TO THE CHAIRPERSON OF THE BOARD OF DIRECTORS; AND IN MATTERS WHERE A MEMBER HAS A CONFLICT THAT REQUIRES A VOTE, ABSTAIN. ANNUALLY, THE CONFLICT OF INTEREST FORM WILL BE SUBMITTED TO THE CHAIRMAN OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 15 THE CEO'S COMPENSATION IS DETERMINED BY INDUSTRY ANALYSIS AND IS SUPPORTED WITH ANALYSIS BY AN EXTERNAL CONSULTANT. APPROVAL OF THE RESULTS IS BY THOSE BOARD MEMBERS WITHOUT A CONFLICT OF INTEREST AND THE APPROVAL IS DOCUMENTED. OTHER KEY OFFICERS' COMPENSATION IS DETERMINED BY INDUSTRY SIMILAR TO THE PROCESS USED TO DETERMINE THE CEO'S COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 ROGERS BEHAVIORAL HEALTH SYSTEM, INC. DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. ROGERS MEMORIAL HOSPITAL INC 34700 VALLEY ROAD OCONOMOWOC WI 53066 391139101 PROVIDE INPATIENT AND OUTPATIENT PSYCHIATRIC SERVICES TO PATIENTS WI 501(C)(3) LINE 3 ROGERS BEHAVIORAL HEALTH SYSTEM INC 1 ROGERS MEMORIAL HOSPITAL FOUNDATION INC 34700 VALLEY ROAD OCONOMOWOC WI 53066 391363507 OPERATED TO RAISE FUNDS FOR THE BENEFIT OF RELATED ORGANIZATIONS WI 501(C)(3) LINE 7 ROGERS BEHAVIORAL HEALTH SYSTEM INC 1 ROGERS BEHAVIORAL HEALTH - GEORGIA INC 34700 VALLEY ROAD OCONOMOWOC WI 53066 844421252 PROVIDE MENTAL HEALTH AND ADDICTION TREATMENT GA 501(C)(3) LINE 10 ROGERS MEMORIAL HOSPITAL INC 1 ROGERS BEHAVIORAL HEALTH - WASHINGTON INC 34700 VALLEY ROAD OCONOMOWOC WI 53066 852221921 PROVIDE SUBSTANCE ABUSE AND MENTAL HEALTH CLINICS WA 501(C)(3) LINE 10 ROGERS MEMORIAL HOSPITAL INC 1 ROGERS BEHAVIORAL HEALTH - COLORADO INC 34700 VALLEY ROAD OCONOMOWOC WI 53066 873488063 PROVIDE MENTAL HEALTH AND ADDICAITION TREATMENT CO 501(C)(3) LINE 10 ROGERS MEMORIAL HOSPITAL INC 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 ROGERS MEMORIAL HOSPITAL INC L 2848651 FMV OF SERVICES PERFORMED