Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
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Total |
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Calendar year
(or fiscal year beginning in)
![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf .... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) .. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal
year beginning in) ![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 113,467 | 453,125 | 603,333 | 1,074,464 | 2,689,450 | 4,933,839 |
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | 102,336 | 128,826 | 38,852 | 195,211 | 127,479 | 592,704 |
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | 28,775 | 28,775 | ||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | 215,803 | 581,951 | 642,185 | 1,298,450 | 2,816,929 | 5,555,318 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | 80,500 | 405,536 | 197,177 | 494,264 | 639,000 | 1,816,477 |
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | 80,500 | 405,536 | 197,177 | 494,264 | 639,000 | 1,816,477 |
| 8 | Public support. (Subtract line 7c from line 6.) | 3,738,841 | |||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 215,803 | 581,951 | 642,185 | 1,298,450 | 2,816,929 | 5,555,318 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 5 | 5 | ||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 5 | 5 | ||||
| 11 | Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 215,803 | 581,951 | 642,185 | 1,298,450 | 2,816,934 | 5,555,323 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by 0.035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2024 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2024 |
(iii) Distributable Amount for 2024 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2024 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI).
See instructions. |
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| 3 Excess distributions carryover, if any, to 2024: | ||||
| a From 2019....... | ||||
| b From 2020....... | ||||
| c From 2021....... | ||||
| d From 2022....... | ||||
| e From 2023....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2024 distributable amount | ||||
|
i
Carryover from 2019 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2024 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2024 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2024, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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6
Remaining underdistributions for 2024. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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7 Excess distributions carryover to 2025. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2020..... | ||||
| b Excess from 2021..... | ||||
| c Excess from 2022..... | ||||
| d Excess from 2023..... | ||||
| e Excess from 2024..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
| Return Reference | Explanation |
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| 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 CONTINUES TO GROW. IN THE YEARS SINCE HURRICANE IAN IN 2022, WE CONTINUE TO EXPERIENCE HIGH DEMAND FOR OUR SERVICES. WE OPERATE 2 MOBILE MEDICAL CLINICS MAINTAINING A ROBUST MONTHLY TRAVEL SCHEDULE TO PROVIDE MEDICAL CARE IN THE UNDERSERVED AREAS IN OUR COMMUNITY. IN ADDITION, WE OPERATE A BRICK-AND-MORTAR WALK-IN CLINIC THAT ALSO SERVES AS OUR ADMINISTRATIVE OFFICE. IN 2024, WE PROVIDED FREE MEDICAL SCREENINGS AND PROVIDED COMPREHENSIVE MEDICAL CARE FOR 3014 CLIENTS. WE PARTICIPATED IN 26 OUTREACH EVENTS. OUR 296 VOLUNTEERS DONATED 4,389 HOURS TO HELP US FULFILL OUR MISSION. HURRICANE DISASTER RELIEF IS AN INCREASINGLY LARGE PART OF OUR MISSION. IN 2024 OUR COMMUNITY EXPERIENCED 2 HURRICANES BACK-TO-BACK. HURRICANES HELENE AND MILTON CAUSED WIDESPREAD DAMAGE FROM FLOODING AND TORNADOS. WITHIN JUST A FEW DAYS, WE MOBILIZED OUR MEDICAL CLINICS, STAFF, AND VOLUNTEERS TO TRAVEL TO THE MOST DEVASTATED AREAS. BECAUSE OF THE ASSISTANCE OF THE STRATEGIC PARTNERSHIPS, WE FORMED WITH LOCAL, STATE, AND NATIONAL AID ORGANIZATIONS WE WERE ABLE TO DEPLOY QUICKLY AND EFFECTIVELY. 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 SINCE 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 OFFER TELEHEALTH VISITS. WE ALSO PROVIDE FREE, CONFIDENTIAL HIV TESTING AT ALL OUR MOBILE CLINIC LOCATIONS. OUR NEW PARTNERSHIPS AND DONORS THIS YEAR ALLOWED US TO PROVIDE ENHANCED SERVICES FOR OUR CLIENTS INCLUDING AN INCREASE IN OUR PREVENTATIVE CANCER SCREENING CAPABILITIES AND EXPANSION OF TRAVEL SERVICES TO PROVIDE SERVICES TO THE IMMOKALEE COMMUNITY. WE ALSO RECEIVED IN-KIND MEDICAL EQUIPMENT INCLUDING PORTABLE X-RAY AND ULTRASOUND EQUIPMENT AND DONATED SERVICES INCLUDING UPGRADES TO OUR MEDICAL MOBILE CLINICS AND STRATEGIC PLANNING CONSULTING SERVICES. PREMIER MOBILE HEALTH SERVICES IS STAFFED WITH HIGHLY SKILLED MULTILINGUAL PROFESSIONALS. 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 STUDENTS AS THEY TRANSITION INTO PROFESSIONAL MEDICAL CAREERS. IN 2024 WE TRAINED 22 STUDENTS WHICH INCLUDED 13 NURSE PRACTITIONERS, 2 MEDICAL ASSISTANTS, 2 PHYSICIAN ASSISTANTS, 4 REGISTERED NURSES AND 1 PHLEBOTOMIST. OUR GENEROUS DONORS HELPED US TO CREATE A SENSE OF BELONGING AND SUPPORT DURING THESE DIFFICULT TIMES AS FAMILIES CONTINUE TO RECOVER FROM HURRICANES OVER THE PAST COUPLE YEARS. DURING OUR BACK-TO-SCHOOL SEASON, WE GAVE AWAY 350 BACKPACKS FILLED WITH DONATED SCHOOL SUPPLIES, AND WE PERFORMED 463 FREE SCHOOL PHYSICALS. AT THE 6TH ANNUAL BREAKFAST WITH SANTA EVENT, WE PERFORMED 300 BASIC MEDICAL SCREENINGS WITH THE CHILDREN IN ATTENDANCE AND THE CHILDREN RECEIVED VISION AND HEARING SCREENINGS FROM OUR COMMUNITY PARTNER. CHILDREN ALSO RECEIVED FREE HAIRCUTS, OVER 600 CHRISTMAS TOYS, 50 BICYCLES AND HELMETS, MEDICAL SUPPLIES, FREE FLU SHOTS, DIAPERS, HYGIENE SUPPLIES AND COUNTLESS OTHER ITEMS. BECAUSE OF OUR COLLABORATION WITH OUR PARTNERS, WE ALSO DISTRIBUTED TOTE BAGS TO THE FAMILIES THROUGHOUT THE YEAR FILLED WITH SANITARY NAPKINS, BABY ITEMS AND MEDICAL SUPPLIES. WE ALSO HELD SEVERAL OUTREACH EVENTS IN PARTNERSHIP WITH LEE HEALTH OFFERING FREE LUNG, BREAST, PROSTATE AND COLORECTAL CANCER SCREENINGS. WE WERE HONORED TO RECEIVE THE GOLD STANDARD SEAL FROM THE NATIONAL ASSOCIATION OF FREE AND CHARITABLE CLINICS FOR THE SECOND YEAR IN A ROW. THIS RECOGNITION IS A TESTAMENT TO OUR HARD WORK, DEDICATION, AND UNWAVERING COMMITMENT TO PROVIDING QUALITY HEALTHCARE SERVICES TO THOSE IN NEED. 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 COMMUNITY CONTINUES THE LONG RECOVERY FROM HURRICANES IAN, HELENE AND MILTON OVER THE PAST TWO YEARS. THERE HAS BEEN A RISE IN THE POPULATIONS WE SERVE AND THE NEED TO EXPAND OUR SERVICES IS GREATER THAN EVER. MANY STILL CANNOT SEE THEIR CURRENT MEDICAL PROVIDERS BECAUSE OF JOB LOSSES, LOST INSURANCE, AND THEIR ABILITY TO COMMUTE. THEIR NEEDS RANGE FROM MENTAL HEALTH ISSUES TO ACUTE AND CHRONIC DISEASE MANAGEMENT INCLUDING DIABETES, HYPERTENSION, HYPERLIPIDEMIA, OBESITY, MOBILITY PROBLEMS, SMOKING, INCREASED ALCOHOL CONSUMPTION, ISOLATION, UNEMPLOYMENT, HUNGER, AND MORE. THE LONG-TERM RECOVERY EFFORTS FROM THESE HURRICANES EXPANDED OUR PRESENCE IN THE COMMUNITY AND THEREFORE INCREASED THE NUMBER REQUESTS FROM COMMUNITY CENTERS, CHURCHES, AND OTHER FACILITIES TO BE ADDED TO OUR MOBILE CLINIC ROUTE. THE UNWINDING OF MEDICAID CONTINUES TO BE 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 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 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. |
| Software ID: | |
| Software Version: |