2024-08-21T18:21:47-04:00 2023-12-31 592309183 HSCTUSCAN & COMPANY PA 1470 ROYAL PALM SQUARE BLVD FORT MYERS FL 339191082 990 2023-01-01 825372657 PREMIER MOBILE HEALTH SERVICES CORPORATION PREM 2392887949 10676 COLONIAL BLVD STE 20 FORT MYERS FL 33913 NADINE SINGH CEO 2393992744 2024-08-15 true true SHARON M THOMPSON P00244903 2399392233 2024-08-13 2023 2024-08-08 14:25:15Z NADINE SINGH 10676 COLONIAL BLVD SUITE 20 FORT MYERS FL 33913 1298450 false X PREMIERMOBILEHEALTH.ORG X 2018 FL PREMIER MOBILE HEALTH SERVICES MISSION IS TO PROVIDE ACCESS TO QUALITY HEALTHCARE SERVICES TO THE MEDICALLY VULNERABLE AND THOSE WHO ARE MOST AT RISK OF DEVELOPING AND EXPERIENCING LONG-TERM ILLNESSES AND HOSPITALIZATION. 10 9 9 84 0 1071675 1074464 234570 195211 0 28775 1306245 1298450 1700 0 0 377980 631259 0 25751 451687 461317 831367 1092576 474878 205874 591420 829854 293630 316080 297790 513774 X PREMIER MOBILE HEALTH SERVICES MISSION IS TO PROVIDE ACCESS TO QUALITY HEALTHCARE SERVICES TO THE MEDICALLY VULNERABLE AND THOSE WHO ARE MOST AT RISK OF DEVELOPING AND EXPERIENCING LONG-TERM ILLNESSES AND HOSPITALIZATION. false false 938762 195211 SINCE OUR FOUNDING IN 2018 WITH A SINGLE MOBILE MEDICAL CLINIC, OUR ORGANIZATION HAS GROWN RAPIDLY WITH OUR HIGHEST RATE OF GROWTH BEGINNING IN 2022. WE NOW HAVE 2 MOBILE MEDICAL CLINICS AND HAVE OPENED OUR BRICK-AND- MORTAR WALK-IN CLINIC THAT ALSO SERVES AS OUR ADMINISTRATIVE OFFICE. OUR HIGHLY SKILLED MULTILINGUAL PROFESSIONALS GREW FROM 6 TO 13 AND THE MEMBERS OF OUR VOLUNTEER RANKS GREW FROM 49 TO 84. IN 2023 OUR VOLUNTEERS DONATED OVER 2,400 SERVICE HOURS. OUR PATIENT COUNT IN 2023 WAS 2,409 WHICH REPRESENTS A GROWTH RATE OF 63% OVER 2022. OUR GENEROUS DONORS HELPED US TO CREATE A SENSE OF BELONGING AND SUPPORT DURING THESE DIFFICULT TIMES AS FAMILIES CONTINUE TO RECOVER FROM HURRICANE IAN THAT DEVASTED OUR COMMUNITY IN SEPTEMBER 2022. WE PARTICIPATED IN 24 COMMUNITY OUTREACH EVENTS IN 2023 WHERE WE SCREENED 512 INDIVIDUALS, PERFORMED 127 FREE SCHOOL PHYSICALS, AND ALSO PERFORMED 33 OTHER TESTS AND PROCEDURES INCLUDING HIV TESTS, PROSTATE AND BREAST EXAMS. CHILDREN HAVE RECEIVED 36 DENTAL SCREENINGS AND SUPPLIES, PLUS 54 VISION AND HEARING SCREENINGS. WE GAVE AWAY 350 BACKPACKS FILLED WITH DONATED SCHOOL SUPPLIES AT OUR BACK TO SCHOOL EVENT. WE ALSO PROVIDED 500 CHRISTMAS TOYS, 16 BICYCLES, 100 HEALTHY FOOD BOXES, MEDICAL SUPPLIES, FREE FLU SHOTS, HYGIENE SUPPLIES AND COUNTLESS OTHER ITEMS AT OUR BREAKFAST WITH SANTA EVENT. BECAUSE OF OUR COLLABORATION WITH OUR PARTNERS, WE ALSO DISTRIBUTED TOTE BAGS TO THE FAMILIES THROUGHOUT THE YEAR FILLED WITH SANITARY NAPKINS AND MEDICAL SUPPLIES TOTALING OVER 87,000. WE ALSO HELD SEVERAL OUTREACH EVENTS IN PARTNERSHIP WITH LEE HEALTH OFFERING FREE LUNG CANCER SCREENINGS. ALL OF THIS WAS DONE IN ADDITION TO MAINTAINING A VERY ROBUST MONTHLY TRAVEL SCHEDULE FOR OUR MOBILE CLINIC TO PROVIDE MEDICAL CARE IN THE UNDERSERVED AREAS IN OUR COMMUNITY. THE SIGNIFICANT GROWTH CAN BE ATTRIBUTED TO THE LONG-TERM RECOVERY EFFORTS FROM THE HURRICANE WHICH EXPANDED OUR PRESENCE IN THE COMMUNITY AND THEREFORE, INCREASED THE NUMBER OF REQUESTS FROM COMMUNITY CENTERS, CHURCHES, AND OTHER FACILITIES TO BE ADDED TO OUR MOBILE CLINIC ROUTE. IN ADDITION, THE UNWINDING OF MEDICAID HAS CREATED A HEALTHCARE CRISIS THAT REQUIRES URGENT ATTENTION AND SUPPORT TO ENSURE THAT EVERYONE IN THE COMMUNITY CAN RECEIVE THE CARE THEY DESERVE. MEDICAID PLAYS A VITAL ROLE IN PROVIDING AFFORDABLE HEALTHCARE COVERAGE TO LOW-INCOME INDIVIDUALS AND FAMILIES, ENSURING THAT THEY HAVE ACCESS TO ESSENTIAL MEDICAL TREATMENTS, PREVENTIVE CARE, AND MEDICATIONS. HOWEVER, AS MEDICAID PROGRAMS FACE BUDGET CUTS AND POLICY CHANGES, THERE IS A PROFOUND IMPACT ON COUNTLESS INDIVIDUALS, LEAVING THEM WITHOUT ACCESS TO CRUCIAL HEALTHCARE SERVICES. MANY INDIVIDUALS ARE BEING LEFT UNINSURED AND UNABLE TO AFFORD THE HEALTHCARE SERVICES THEY DESPERATELY NEED. THIS PLACES AN EVEN GREATER BURDEN ON THE MOBILE CLINICS AND THE COMMUNITY WE SERVE. OUR CLINICS, ALREADY OPERATING WITH LIMITED RESOURCES, NOW FACE AN INCREASED DEMAND FOR OUR SERVICES AS WE TRY TO MEET THE HEALTHCARE NEEDS OF THOSE WHO HAVE FALLEN THROUGH THE GAPS IN THE SYSTEM. WE ARE COMMITTED TO MAKING HEALTH CARE CONVENIENT FOR OUR PATIENTS. OUR PARTNERSHIPS AND DONORS HAVE FUNDED OUR CAPABILITY TO DISPENSE CONVENTIONAL MEDICATIONS AND THE OPERATION OF A POINT OF CARE IN-HOUSE LABORATORY. THIS LABORATORY IS A HUGE BENEFIT FOR THE UNINSURED PATIENTS WE SERVE AS IT ENSURES QUICK LAB RESULTS, SO THEY NO LONGER MUST WAIT FOR THEIR TEST RESULTS TO COME BACK FOR A SECOND VISIT. WE ALSO PROVIDE PATIENT-FRIENDLY TRANSPORTATION FOR THOSE UNABLE TO PICK UP THEIR PRESCRIPTIONS AND TRAVEL TO THEIR LIFE-SAVING APPOINTMENTS, SUCH AS DIALYSIS, PHYSICAL THERAPY, AND OTHER ESSENTIAL MEDICAL REFERRALS. FOR ADDED CONVENIENCE, WE ALSO OFFER TELEHEALTH VISITS. OUR ABILITY TO PROVIDE FREE HEALTH CARE SERVICES IS ALSO MADE POSSIBLE BY OUR 12 AFFILIATION AGREEMENTS WITH NATIONAL AND LOCAL UNIVERSITIES HELPING US PROVIDE SERVICES AT NO-COST AND LOW-COST. OUR ORGANIZATION IS A BRIDGE FOR MEDICAL RESIDENTS, NURSE PRACTITIONER STUDENTS, MEDICAL ASSISTANTS AND CERTIFIED NURSING ASSISTANT STUDENTS, AS THEY TRANSITION INTO PROFESSIONAL CAREERS. IN 2023 WE TRAINED 13 STUDENTS IN THE MEDICAL FIELD. WE WERE HONORED TO RECEIVE THE GOLD STANDARD SEAL FROM THE NATIONAL ASSOCIATION OF FREE AND CHARITABLE CLINICS. THIS RECOGNITION IS A TESTAMENT TO OUR HARD WORK, DEDICATION, AND UNWAVERING COMMITMENT TO PROVIDING QUALITY HEALTHCARE SERVICES TO THOSE IN NEED. THE TEAM EFFORTS HAVE UNDOUBTEDLY MADE A PROFOUND IMPACT ON THE LIVES OF COUNTLESS INDIVIDUALS AND COMMUNITIES. THIS AWARD IS A REMINDER OF THE INCREDIBLE DIFFERENCE THAT CAN BE MADE WHEN WE COME TOGETHER WITH A SHARED PURPOSE TO MAKE A POSITIVE IMPACT ON THE WORLD. OUR ORGANIZATION IS ALSO HONORED TO BE A PART OF THE HARVARD UNIVERSITY MOBILE HEALTH MAP, AS HARVARD CONTINUES TO MAKE THE CASE THAT "MOBILE HEALTHCARE IS GOOD FOR COMMUNITIES". WE BRING MUCH NEEDED MEDICAL CARE, AND BRING LOVE, HOPE, COMPASSION, AND A SENSE OF WELL-BEING TO THE INDIVIDUALS WE ARE SERVING DURING THE WORST TIME OF THEIR LIVES. OUR VAST EXPERIENCE IN CARING FOR THE MARGINALIZED AND THE UNDERSERVED COMMUNITIES IN OUR AREA HAS PREPARED US TO BE ABLE TO RESPOND THE WAY WE ARE TODAY. PREMIER MOBILE HEALTH SERVICES REMAINS COMMITTED TO PROVIDING ESSENTIAL LIFE-SAVING CARE TO THOSE AFFECTED WHILE CLOSING THE HEALTHCARE EQUITY GAP. 938762 true true false false false false false false false false true false false true true false true false false false false false false false false false false false false true false false false true false false false false true false false false false false false false false true 21 0 9 true false false false false false false false false X 10 9 false false true false false false false true true false false true true true true true true true false false FL X X NADINE SINGH 2392887949 10676 COLONIAL BLVD SUITE 20 FORT MYERS FL 33913 NADINE SINGH CEO 50.00 X X 210890 0 2458 KEVIN ANDERSON CHAIR 2.00 X X 0 0 0 CYRINE BUTLER DIRECTOR 2.00 X 0 0 0 KATHLEEN DECORTE FORMER SECRE 2.00 X X 0 0 0 ROY DELGADO DIRECTOR 2.00 X 0 0 0 KAREN KRIEGER DIRECTOR 2.00 X 0 0 0 EMMANUEL MAGARA VICE CHAIR 2.00 X X 0 0 0 LOLITA MELHADO FORMER CHAIR 2.00 X X 0 0 0 JUNE PETERS-BROWN SECRETARY 2.00 X X 0 0 0 AMY PINTER DIRECTOR 2.00 X 0 0 0 SUSAN SCHORY FORMER DIREC 2.00 X 0 0 0 CHAR NEQUA SMITH DIRECTOR 2.00 X 0 0 0 DIANE SPEARS TREASURER 2.00 X X 0 0 0 210890 2458 1 false true false 1074464 74093 1074464 MEDICAL SERVICES 195211 195211 195211 INSURANCE PROCEEDS 28775 28775 28775 1298450 195211 28775 210890 158168 42178 10544 396628 359706 31527 5395 5119 4364 621 134 18622 15875 2259 488 8624 8624 43340 42751 484 105 37545 29127 8418 32158 27334 3216 1608 75548 64216 7555 3777 9405 9405 5924 5924 15437 5718 9719 55979 47582 5598 2799 16660 14407 1502 751 MEDICAL SUPPLIES 71244 71244 OUTREACH EXPENSE 28091 28091 LAB SERVICES 25362 25362 VEHICLE EXPENSES 22815 22815 13185 6673 6362 150 1092576 938762 128063 25751 322192 509110 30879 36842 13430 18685 355262 168582 229710 186680 2676 71070 591420 829854 16647 30697 32022 68626 68626 140935 118160 35400 31500 67097 293630 316080 X 297790 505774 8000 297790 513774 591420 829854 X 205874 10110 X X false true X true false X 28322 113467 453125 603333 1074464 2272711 20303 102336 128826 38852 195211 485528 28775 28775 48625 215803 581951 642185 1298450 2787014 15000 90723 384574 301400 848879 1640576 15000 90723 384574 301400 848879 1640576 1146438 48625 215803 581951 642185 1298450 2787014 0.41130 0.47100 0.00000 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 36260 5642 30618 19059 9612 9447 299943 153328 146615 186680 RIGHT OF USE ASSET - OPERATING 65767 SECURITY DEPOSITS 5303 71070 OPERATING LEASE OBLIGATIONS 67097 67097 1298450 1298450 1298450 1092576 1092576 1092576 X X false false false false false false false false false NADINE SINGH CEO 210890 2458 213348 NADINE SINGH PRESIDENT/CEO STARTUP AND WORKING CAPITAL X 90600 68626 false true false 68626 X 11 49017 COMPARABLE MARKET VALUES X GIFT CARD 1 250 AT COST X SCHOOL SUPPLIES 350 9991 COMPARABLE MARKET VALUES X FOOD/TOYS 516 14835 COMPARABLE MARKET VALUES false false false FORM 990 - ORGANIZATION'S MISSION PREMIER MOBILE HEALTH SERVICES MISSION IS TO PROVIDE ACCESS TO QUALITY HEALTHCARE SERVICES TO THE MEDICALLY VULNERABLE AND THOSE WHO ARE MOST AT RISK OF DEVELOPING AND EXPERIENCING LONG-TERM ILLNESSES AND HOSPITALIZATION. FORM 990, PAGE 2, PART III, LINE 4A SINCE OUR FOUNDING IN 2018 WITH A SINGLE MOBILE MEDICAL CLINIC, OUR ORGANIZATION HAS GROWN RAPIDLY WITH OUR HIGHEST RATE OF GROWTH BEGINNING IN 2022. WE NOW HAVE 2 MOBILE MEDICAL CLINICS AND HAVE OPENED OUR BRICK-AND- MORTAR WALK-IN CLINIC THAT ALSO SERVES AS OUR ADMINISTRATIVE OFFICE. OUR HIGHLY SKILLED MULTILINGUAL PROFESSIONALS GREW FROM 6 TO 13 AND THE MEMBERS OF OUR VOLUNTEER RANKS GREW FROM 49 TO 84. IN 2023 OUR VOLUNTEERS DONATED OVER 2,400 SERVICE HOURS. OUR PATIENT COUNT IN 2023 WAS 2,409 WHICH REPRESENTS A GROWTH RATE OF 63% OVER 2022. OUR GENEROUS DONORS HELPED US TO CREATE A SENSE OF BELONGING AND SUPPORT DURING THESE DIFFICULT TIMES AS FAMILIES CONTINUE TO RECOVER FROM HURRICANE IAN THAT DEVASTED OUR COMMUNITY IN SEPTEMBER 2022. WE PARTICIPATED IN 24 COMMUNITY OUTREACH EVENTS IN 2023 WHERE WE SCREENED 512 INDIVIDUALS, PERFORMED 127 FREE SCHOOL PHYSICALS, AND ALSO PERFORMED 33 OTHER TESTS AND PROCEDURES INCLUDING HIV TESTS, PROSTATE AND BREAST EXAMS. CHILDREN HAVE RECEIVED 36 DENTAL SCREENINGS AND SUPPLIES, PLUS 54 VISION AND HEARING SCREENINGS. WE GAVE AWAY 350 BACKPACKS FILLED WITH DONATED SCHOOL SUPPLIES AT OUR BACK TO SCHOOL EVENT. WE ALSO PROVIDED 500 CHRISTMAS TOYS, 16 BICYCLES, 100 HEALTHY FOOD BOXES, MEDICAL SUPPLIES, FREE FLU SHOTS, HYGIENE SUPPLIES AND COUNTLESS OTHER ITEMS AT OUR BREAKFAST WITH SANTA EVENT. BECAUSE OF OUR COLLABORATION WITH OUR PARTNERS, WE ALSO DISTRIBUTED TOTE BAGS TO THE FAMILIES THROUGHOUT THE YEAR FILLED WITH SANITARY NAPKINS AND MEDICAL SUPPLIES TOTALING OVER 87,000. WE ALSO HELD SEVERAL OUTREACH EVENTS IN PARTNERSHIP WITH LEE HEALTH OFFERING FREE LUNG CANCER SCREENINGS. ALL OF THIS WAS DONE IN ADDITION TO MAINTAINING A VERY ROBUST MONTHLY TRAVEL SCHEDULE FOR OUR MOBILE CLINIC TO PROVIDE MEDICAL CARE IN THE UNDERSERVED AREAS IN OUR COMMUNITY. THE SIGNIFICANT GROWTH CAN BE ATTRIBUTED TO THE LONG-TERM RECOVERY EFFORTS FROM THE HURRICANE WHICH EXPANDED OUR PRESENCE IN THE COMMUNITY AND THEREFORE, INCREASED THE NUMBER OF REQUESTS FROM COMMUNITY CENTERS, CHURCHES, AND OTHER FACILITIES TO BE ADDED TO OUR MOBILE CLINIC ROUTE. IN ADDITION, THE UNWINDING OF MEDICAID HAS CREATED A HEALTHCARE CRISIS THAT REQUIRES URGENT ATTENTION AND SUPPORT TO ENSURE THAT EVERYONE IN THE COMMUNITY CAN RECEIVE THE CARE THEY DESERVE. MEDICAID PLAYS A VITAL ROLE IN PROVIDING AFFORDABLE HEALTHCARE COVERAGE TO LOW-INCOME INDIVIDUALS AND FAMILIES, ENSURING THAT THEY HAVE ACCESS TO ESSENTIAL MEDICAL TREATMENTS, PREVENTIVE CARE, AND MEDICATIONS. HOWEVER, AS MEDICAID PROGRAMS FACE BUDGET CUTS AND POLICY CHANGES, THERE IS A PROFOUND IMPACT ON COUNTLESS INDIVIDUALS, LEAVING THEM WITHOUT ACCESS TO CRUCIAL HEALTHCARE SERVICES. MANY INDIVIDUALS ARE BEING LEFT UNINSURED AND UNABLE TO AFFORD THE HEALTHCARE SERVICES THEY DESPERATELY NEED. THIS PLACES AN EVEN GREATER BURDEN ON THE MOBILE CLINICS AND THE COMMUNITY WE SERVE. OUR CLINICS, ALREADY OPERATING WITH LIMITED RESOURCES, NOW FACE AN INCREASED DEMAND FOR OUR SERVICES AS WE TRY TO MEET THE HEALTHCARE NEEDS OF THOSE WHO HAVE FALLEN THROUGH THE GAPS IN THE SYSTEM. WE ARE COMMITTED TO MAKING HEALTH CARE CONVENIENT FOR OUR PATIENTS. OUR PARTNERSHIPS AND DONORS HAVE FUNDED OUR CAPABILITY TO DISPENSE CONVENTIONAL MEDICATIONS AND THE OPERATION OF A POINT OF CARE IN-HOUSE LABORATORY. THIS LABORATORY IS A HUGE BENEFIT FOR THE UNINSURED PATIENTS WE SERVE AS IT ENSURES QUICK LAB RESULTS, SO THEY NO LONGER MUST WAIT FOR THEIR TEST RESULTS TO COME BACK FOR A SECOND VISIT. WE ALSO PROVIDE PATIENT-FRIENDLY TRANSPORTATION FOR THOSE UNABLE TO PICK UP THEIR PRESCRIPTIONS AND TRAVEL TO THEIR LIFE-SAVING APPOINTMENTS, SUCH AS DIALYSIS, PHYSICAL THERAPY, AND OTHER ESSENTIAL MEDICAL REFERRALS. FOR ADDED CONVENIENCE, WE ALSO OFFER TELEHEALTH VISITS. OUR ABILITY TO PROVIDE FREE HEALTH CARE SERVICES IS ALSO MADE POSSIBLE BY OUR 12 AFFILIATION AGREEMENTS WITH NATIONAL AND LOCAL UNIVERSITIES HELPING US PROVIDE SERVICES AT NO-COST AND LOW-COST. OUR ORGANIZATION IS A BRIDGE FOR MEDICAL RESIDENTS, NURSE PRACTITIONER STUDENTS, MEDICAL ASSISTANTS AND CERTIFIED NURSING ASSISTANT STUDENTS, AS THEY TRANSITION INTO PROFESSIONAL CAREERS. IN 2023 WE TRAINED 13 STUDENTS IN THE MEDICAL FIELD. WE WERE HONORED TO RECEIVE THE GOLD STANDARD SEAL FROM THE NATIONAL ASSOCIATION OF FREE AND CHARITABLE CLINICS. THIS RECOGNITION IS A TESTAMENT TO OUR HARD WORK, DEDICATION, AND UNWAVERING COMMITMENT TO PROVIDING QUALITY HEALTHCARE SERVICES TO THOSE IN NEED. THE TEAM EFFORTS HAVE UNDOUBTEDLY MADE A PROFOUND IMPACT ON THE LIVES OF COUNTLESS INDIVIDUALS AND COMMUNITIES. THIS AWARD IS A REMINDER OF THE INCREDIBLE DIFFERENCE THAT CAN BE MADE WHEN WE COME TOGETHER WITH A SHARED PURPOSE TO MAKE A POSITIVE IMPACT ON THE WORLD. OUR ORGANIZATION IS ALSO HONORED TO BE A PART OF THE HARVARD UNIVERSITY MOBILE HEALTH MAP, AS HARVARD CONTINUES TO MAKE THE CASE THAT "MOBILE HEALTHCARE IS GOOD FOR COMMUNITIES". WE BRING MUCH NEEDED MEDICAL CARE, AND BRING LOVE, HOPE, COMPASSION, AND A SENSE OF WELL-BEING TO THE INDIVIDUALS WE ARE SERVING DURING THE WORST TIME OF THEIR LIVES. OUR VAST EXPERIENCE IN CARING FOR THE MARGINALIZED AND THE UNDERSERVED COMMUNITIES IN OUR AREA HAS PREPARED US TO BE ABLE TO RESPOND THE WAY WE ARE TODAY. PREMIER MOBILE HEALTH SERVICES REMAINS COMMITTED TO PROVIDING ESSENTIAL LIFE-SAVING CARE TO THOSE AFFECTED WHILE CLOSING THE HEALTHCARE EQUITY GAP. FORM 990, PAGE 6, PART VI, LINE 4 THE ORGANIZATION'S BYLAWS WERE AMENDED DURING 2023 TO UPDATE THE ROLES AND RESPONSIBLITIES OF THE CHAIRPERSON OF THE BOARD OF DIRECTORS AND THE CEO OF THE ORGANIZATION. FORM 990, PAGE 6, PART VI, LINE 11B THE FORM 990 IS REVIEWED BY THE PRESIDENT/CEO AND BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PAGE 6, PART VI, LINE 12C CONFLICTS OF INTEREST ARE MONITORED DURING EMPLOYEE EVALUATIONS AND COMMUNICATING WITH BOARD MEMBERS. FORM 990, PAGE 6, PART VI, LINE 15A THE COMPENSATION OF THE PRESIDENT/CEO IS APPROVED BY THE BOARD OF DIRECTORS. FORM 990, PAGE 6, PART VI, LINE 19 GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9 THE PRIOR PERIOD ADJUSTMENT CONSISTS OF THE NET EFFECT OF RECORDING BEGINNING BALANCES FOR ACCOUNTS RECEIVABLE AND ACCOUNTS PAYABLE IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. FORM 990, PAGE 12, PART XII, LINE 2C THE ORGANIZATION OBTAINED THEIR FIRST AUDIT OF THEIR FINANCIAL STATEMENTS AS OF AND FOR THE YEAR ENDED DECEMBER 31, 2023.