Our energetic and motivating therapists provide a personalized, focused approach to “Move you Forward” and get you back to your life …and you’ll probably have fun while you’re doing it! We use an evidenced-based approach and we support generous continuing education for our staff, providing you a treatment plan designed specifically to reduce your pain, get you moving, and reduce future injuries. Our staff specializes in a range of treatments including Custom Foot Orthotics, Oncology Rehabilitation & Lymphedema Treatment, Graston Technique, Concussion Management, Message Therapy, Occupational therapy, Wound Care, and Vestibular Rehabilitation.
Our Kihei Staff
Alex was born and raised in the Greater Seattle area and considers himself a proud Double Dawg; he received his Bachelor of Science in Biochemistry in 2016 and his Doctorate of Physical Therapy in 2022 from the University of Washington. Through his pursuit of growth and knowledge to best treat his patients, Alex obtained his Certified Orthopedic Manual Therapist (COMT) certification through Aspire in 2024.
Alex believes in meeting the patient where they’re at and developing a collaborative program to restore dysfunctions. Through a thorough evaluation and assessment of the kinematic chain from head to toe, a combination of manual techniques alongside proper exercises are implemented to restore normal mechanics and movement patterns. Patients are viewed as integral pieces in their active recovery in achieving their goals. Drawing from his managerial experience with Nike, he continues to embrace the famous words of Bill Bowerman to inspire patients to strive for their personal best; “If you have a body, you are an athlete”.
With his free time, Alex enjoys surfing, chill beach days, line dancing, playing soccer, spikeball, hiking, and bonding with family and friends over a delicious meal or happy hour. Alex is ecstatic in the opportunities to engage with and serve the communities on Maui and embracing the aloha spirit.
Tiffany graduated from Duquesne University in 1998, with her Bachelors in Athletic Training and her Master’s in Physical Therapy. She also played Division I Volleyball while at Duquesne. In August of 2015, she graduated from Evidence In Motion’s Executive Private Practice Doctoral Program. She is a Certified Lymphedema Therapist, receiving training in 2003 (135 hours) and then sitting for the LANA (Lymphology Association of North America) exam, the highest standard in credentialing among lymphedema therapists in the US.
Tiffany is a PORi (Physiological Oncology Rehabilitation Institute)- Certified Oncology Rehabilitation Therapist. She has completed the Foundations of Oncology Coursework, Chemotoxicity and Cancer Exercise Management, Head and Neck Cancer and also the Breast Cancer Training. She has mentored and trained with the founder of PORI, and is excited to continue to expand Imua’s Oncology Rehabilitation Program to meet all the needs of Maui’s Cancer population.
Tiffany serves as Imua Physical Therapy’s Director of Clinics. Throughout her career, she has served several roles in the physical therapy profession in managing outpatient clinics and now as a private practice owner. She enjoys the opportunities she has to mentor, coach and train younger therapists and assistants in documentation, clinical skills, and leadership. She has been an active member of the APTA and the Hawaii Chapter of the APTA since 2005.
She is also passionate about volunteering with Assistance Dogs of Hawaii, and has been a Puppy Raiser for several dogs in the last few years that have been permanently placed in facilities. When not working, Tiffany loves spending time with her husband and twin boys being active or supporting their activities. She also enjoys yoga, stand up paddleboarding, hiking and relaxing with her family on Maui.
Sami grew up in Southern California before moving to Tucson and graduating from the University of Arizona with her Bachelors in Public Health in 2018. She continued on to get her license as a Physical Therapist Assistant, followed by her certification to become a Certified Personal Trainer. Sami loves working with people and making a difference every day. Sami has had a passion for health and fitness since she was young. Playing soccer and softball throughout her childhood, she later followed that passion into CrossFit, before finding her way into the field of physical therapy. Sami worked as a PT technician for 2 years while studying to become a PTA, and graduated with her Associates in Physical Therapy in 2021. Sami specializes in oncology and has completed PORi’s Foundations of Oncology training, as well as PORi’s Chemotoxicity and Breast Cancer Management Course. She looks forward to continuing her education in oncology rehabilitation. When not working as PTA, Sami is the owner of Saltee Fitness and has found additional enthusiasm for health and fitness in the world of Personal Training. Sami became a Certified Personal Trainer in 2023 and believes that the combined knowledge she’s attained as a PTA and CPT is beneficial for the overall health and wellness of the individuals she works with. One of Sami’s favorite places to be is the beach, as she is happy snorkeling, scuba diving, or just relaxing. When not on a beach, Sami loves exploring Maui and all it has to offer!
Melissa was born and raised in western NY, then moved to Chicago. Melissa became interested in massage work after her own injury and chronic illness. Massage helped her to heal and she desired to help others do the same. In pursuit of her calling, she attended the Soma Institute of Massage, where she was valedictorian. During her studies, she had the opportunity to complete an internship at the Rehabilitation Center of Chicago where she worked on professional athletes, local marathon runners and patients with chronic pain and injury. Maui fulfilled her dream of living on a tropical island and she is now involved in the local mommy and church communities here, where she spends part of her time planning play groups and helping to run the Keiki Klothing Exchange. Melissa is trained in many modalities that allows for customization of massage to each patient’s needs with any injury, illness or pain. Melissa believes that massage has a place in both healing and preventing injury/illness.
Originally from South Carolina, Megin spent a decade in Oregon before relocating to the upper Midwest to launch her career in Physical Therapy. She earned her Doctorate in Physical Therapy from the University of Mary in Bismarck, ND, in 2011, following her undergraduate degree in Environmental Studies and Philosophy at the University of Oregon in 2003.
Megin is a board-certified orthopedic clinical specialist with a focus in lower extremity rehabilitation. She has been a USA Gymnastics medical provider since 2021 and worked with James Sewell Ballet in Minneapolis, MN as their lead therapist from 2013-2023. Megin was faculty for the physical therapy sports and orthopedic residents at Twin Cities Orthopedics during their inaugural year and lectures locally and nationally on lower extremity rehab as well as dance medicine.
While she has a particular interest in performing arts rehabilitation—including dance, music, and circus arts—her expertise extends to treating complex foot and ankle conditions, hip arthroscopy, post-operative lower extremity care, and pediatric patients. Since moving to Maui in 2023, Megin has also enjoyed working with the geriatric population, helping patients maintain their physical health and independence.
She is deeply committed to evidence-based care and brings a diverse skill set that includes advanced manual therapy techniques including tool-assisted soft tissue mobilization. Her exercise prescription is influenced by Pilates, Functional Range Conditioning, TRX, and she has implemented return-to-sport progressions for a variety of sports at the professional level.
Outside of her professional work, Megin enjoys exploring the ocean with her husband. Together, they are avid scuba divers and snorkelers, often participating in coral reef clean-up events to remove fishing line and lead weights. Grateful to call Maui home, Megin embraces the island lifestyle while continuing her passion for helping others achieve their best physical health.
Our Lahaina Staff
Peter R Ferrer is a graduate from Barry University In Miami Florida with a Masters degree in Physical Therapy. He has 26 years experience and has worked in several settings including a Trauma Hospital, occupational medicine, orthopedic and sports medicine.
He has actively been taking advanced training and coursework throughout his career. Peter has a diverse background that includes Cranio-sacral (Upledger Institute) and has more recently completed a 3 year Clinical osteopathic/Manual therapy degree from the French Osteopath Alain Gehin.
Peter also was manager/Supervisor of a large trauma hospital Outpatient PT dept and was director of clinical education. He has also taught several courses in gentle osteopathic techniques such as MET (Muscle energy) and Tensegrity.
His specialties are knee and ankle rehab but is well versed in a variety of disorders as well as chronic pain syndromes. Peter enjoys an active lifestyle that includes surfing, yoga, golf, hiking and swimming. He is currently living In Napili with his wife Alna and their dog Irie and is thrilled to be in Maui serving the community.
Colin has worked in Lahaina since 2018 where his PT career started. He studied health sciences as an undergraduate, and received his Bachelor of Science in Nutrition from the University of Tennessee-Knoxville in 2013. At the beginning of 2015, he went on to pursue his DPT in physical therapy from Tennessee State University.
Lahaina has provided the opportunity to treat a myriad of patients and conditions within a small community. Although his interests were primarily in sports injuries, he has adapted and grown with the needs of the community. Colin treats vestibular pathologies including vertigo and has learned a lot from his patients over the years. In 2024 after several years advancing his coursework, he received his COMT certification from Aspire.
His time with Imua has seen him from a new graduate to a long time clinician on the west side. After the Lahaina fire Colin worked as the Kihei manager for short period. He has since returned to work in his home where he treats professional dancers, athletes, surfers, and everyone in between.
Colin enjoys surfing, golfing, dirt biking, fishing, and chasing the best sunset that any town has to offer alongside his beautiful wife, Chelsea.
Our Maui Lani Staff
Zachary was raised in Ventura, CA where he learned early on his love for sports, staying active, and being outdoors. While attending BYU Hawaii in his undergraduate studies, he worked as a Student Athletic Trainer and developed a passion for rehabilitation. He spent two years in Peru as a service missionary for his church, where he became fluent in Spanish.
Zachary earned his Doctor of Physical Therapy (DPT) degree from Loma Linda University, and has since then been working on becoming a Certified Orthopedic Manual Therapist (COMT).
Zachary is a firm believer in the therapeutic benefits of manual therapy and employs a variety of techniques including joint mobilizations, soft tissue mobilizations, myofascial release, Active Release Technique (ART), cupping therapy, and Graston Technique to address musculoskeletal dysfunctions and alleviate pain.
Zachary specializes in diagnosing and treating a wide range of orthopedic conditions from head to toe. He also treats vestibular conditions with success in treating patients with Benign Paroxysmal Positional Vertigo (BPPV) and vestibular hypofunctions. He is also trained to fit custom foot orthotics by Sole Supports to help posture and injuries of the foot.
As a passionate advocate for patient-centered care, Zachary believes in empowering individuals to actively participate in their own healing process. By tailoring personalized treatment plans and incorporating evidence-based practices he strives to provide the highest quality of care for every patient.
Zachary and his wife Al moved to Maui in 2020 and both enjoy surfing, hiking, skateboarding, going to the beach, and enjoying nature. They have a son named Crosby, who they enjoy raising in a healthy, active lifestyle with a love for God.
Tiffany graduated from Duquesne University in 1998, with her Bachelors in Athletic Training and her Master’s in Physical Therapy. She also played Division I Volleyball while at Duquesne. In August of 2015, she graduated from Evidence In Motion’s Executive Private Practice Doctoral Program. She is a Certified Lymphedema Therapist, receiving training in 2003 (135 hours) and then sitting for the LANA (Lymphology Association of North America) exam, the highest standard in credentialing among lymphedema therapists in the US.
Tiffany is a PORi (Physiological Oncology Rehabilitation Institute)- Certified Oncology Rehabilitation Therapist. She has completed the Foundations of Oncology Coursework, Chemotoxicity and Cancer Exercise Management, Head and Neck Cancer and also the Breast Cancer Training. She has mentored and trained with the founder of PORI, and is excited to continue to expand Imua’s Oncology Rehabilitation Program to meet all the needs of Maui’s Cancer population.
She is certified in Graston Technique, an evidenced-based form of instrument assisted soft-tissue mobilization that enables clinicians to effectively address scar tissue and fascial restrictions through comprehensive training, resulting in improved patient outcomes. She is Certified in Mechanical Diagnosis & Treatment, a well-researched, exercise based approach of assessment, diagnosis and treatment. She maintains her Athletic Training Certification, and she has also recently completed Complete Concussion Management Certification. Other clinical interests include Vestibular Rehabilitation (oncologic & non-oncologic) and NAIOMT.
Tiffany serves as Imua Physical Therapy’s Director of Clinics. Throughout her career, she has served several roles in the physical therapy profession in managing outpatient clinics and now as a private practice owner. She enjoys the opportunities she has to mentor, coach and train younger therapists and assistants in documentation, clinical skills, and leadership. She has been an active member of the APTA and the Hawaii Chapter of the APTA since 2005.
She is also passionate about volunteering with Assistance Dogs of Hawaii, and has been a Puppy Raiser for several dogs in the last few years that have been permanently placed in facilities. When not working, Tiffany loves spending time with her husband and twin boys being active or supporting their activities. She also enjoys yoga, stand up paddleboarding, hiking and relaxing with her family on Maui.
Sami grew up in Southern California before moving to Tucson and graduating from the University of Arizona with her Bachelors in Public Health in 2018. She continued on to get her license as a Physical Therapist Assistant, followed by her certification to become a Certified Personal Trainer. Sami loves working with people and making a difference every day. Sami has had a passion for health and fitness since she was young. Playing soccer and softball throughout her childhood, she later followed that passion into CrossFit, before finding her way into the field of physical therapy. Sami worked as a PT technician for 2 years while studying to become a PTA, and graduated with her Associates in Physical Therapy in 2021. Sami specializes in oncology and has completed PORi’s Foundations of Oncology training, as well as PORi’s Chemotoxicity and Breast Cancer Management Course. She looks forward to continuing her education in oncology rehabilitation. When not working as PTA, Sami is the owner of Saltee Fitness and has found additional enthusiasm for health and fitness in the world of Personal Training. Sami became a Certified Personal Trainer in 2023 and believes that the combined knowledge she’s attained as a PTA and CPT is beneficial for the overall health and wellness of the individuals she works with. One of Sami’s favorite places to be is the beach, as she is happy snorkeling, scuba diving, or just relaxing. When not on a beach, Sami loves exploring Maui and all it has to offer!
Adrianna Nunes is a licensed physical therapist at Imua PT and holds a doctorate in physical therapy. Dr. Nunes has experience with treating various impairments and is focused on providing optimal patient centered care.
Dr. Nunes received her bachelor’s degree in Kinesiology and Exercise Science at California State University, Northridge. Along with focusing on her academics at CSUN, she received an athletic scholarship to play Division I Collegiate Soccer for the Women’s Soccer Team.
During her time as a soccer player, Dr. Nunes sustained many major injuries where she spent a lot of time in physical therapy. There is where she gained a great interest in pursuing physical therapy as a career. Dr. Nunes earned her doctorate in physical therapy from West Coast University in 2017. In her clinical internships, she worked at various settings and gained experience treating various diagnoses.
Prior to her time at Imua PT, Dr. Nunes worked at UCLA Rehabilitation Services and Vargo PT in Los Angeles where she focused on treating various post-operative, orthopedic and work-related injuries. Dr. Nunes is CPR, AED and First Aid certified.
Dr. Nunes is married with 2 children and enjoys exercising, watching movies/sports and spending time with her family.
Originally from South Carolina, Megin spent a decade in Oregon before relocating to the upper Midwest to launch her career in Physical Therapy. She earned her Doctorate in Physical Therapy from the University of Mary in Bismarck, ND, in 2011, following her undergraduate degree in Environmental Studies and Philosophy at the University of Oregon in 2003.
Megin is a board-certified orthopedic clinical specialist with a focus in lower extremity rehabilitation. She has been a USA Gymnastics medical provider since 2021 and worked with James Sewell Ballet in Minneapolis, MN as their lead therapist from 2013-2023. Megin was faculty for the physical therapy sports and orthopedic residents at Twin Cities Orthopedics during their inaugural year and lectures locally and nationally on lower extremity rehab as well as dance medicine.
While she has a particular interest in performing arts rehabilitation—including dance, music, and circus arts—her expertise extends to treating complex foot and ankle conditions, hip arthroscopy, post-operative lower extremity care, and pediatric patients. Since moving to Maui in 2023, Megin has also enjoyed working with the geriatric population, helping patients maintain their physical health and independence.
She is deeply committed to evidence-based care and brings a diverse skill set that includes advanced manual therapy techniques including tool-assisted soft tissue mobilization. Her exercise prescription is influenced by Pilates, Functional Range Conditioning, TRX, and she has implemented return-to-sport progressions for a variety of sports at the professional level.
Outside of her professional work, Megin enjoys exploring the ocean with her husband. Together, they are avid scuba divers and snorkelers, often participating in coral reef clean-up events to remove fishing line and lead weights. Grateful to call Maui home, Megin embraces the island lifestyle while continuing her passion for helping others achieve their best physical health.
Corey is a licensed occupational therapist at IMUA PT. He received his Master of Occupational Therapy from Loma Linda University and Occupational Therapy Doctorate from the University of Southern California.
Corey’s professional journey in OT began at Casa Colina Hospital and Centers for Healthcare in Pomona, CA while treating post-operative, orthopedic, neurological and trauma injuries in an inpatient and acute care setting. Corey then moved to Maui with his wife and 2 children and transitioned to working at Therapeutic Associates of Maui (TAM) while treating work-related injuries by helping clients return to work and maximize their functional performance. At TAM, Corey also managed work conditioning and hardening programs, provided ergonomics consultation, conducted functional capacity evaluations and post offer employment tests for many local businesses on island. While living on Maui, Corey has also worked with Bayada Home Health Care providing in home care, home safety assessments, medical equipment recommendations and caregiver training.
In addition, Corey is a former lecturer and clinical instructor for the Occupational Therapy Assistant program at Kapi’olani Community College on Oahu and has been invited by the University of Hawaii Maui College’s Nursing Program with regards to teaching proper work- related body mechanics and patient handling techniques.
Corey’s other interests include fitness training and has received certification as a Fitness Trainer with the International Sports Sciences Association. He also enjoys helping coach Little League, volunteering for his children’s cub scouts’ events, cooking, going to the beach and river and spending time with his family.
Melissa was born and raised in western NY, then moved to Chicago. Melissa became interested in massage work after her own injury and chronic illness. Massage helped her to heal and she desired to help others do the same. In pursuit of her calling, she attended the Soma Institute of Massage, where she was valedictorian. During her studies, she had the opportunity to complete an internship at the Rehabilitation Center of Chicago where she worked on professional athletes, local marathon runners and patients with chronic pain and injury. Maui fulfilled her dream of living on a tropical island and she is now involved in the local mommy and church communities here, where she spends part of her time planning play groups and helping to run the Keiki Klothing Exchange. Melissa is trained in many modalities that allows for customization of massage to each patient’s needs with any injury, illness or pain. Melissa believes that massage has a place in both healing and preventing injury/illness.
Sarah was raised in Boulder, Colorado and has always had an active lifestyle. She grew up competing in Swimming and Soccer and was fascinated with aerobic training. She started her education 20 plus years ago at the Boulder College of Massage Therapy and soon started working with athletes of all kinds, as well as high end spas that took her around the world on a Cruise Ship. After a shoulder injury brought her home, she decided to take a short break from massage and go back to school and get an AOS degree in Personal training.
In 2007 she passed The American Council on Exercise national exam and began working in health clinics around Colorado. She also wanted to gain a more rounded perspective on health and wellness and went to school for her 200 hour Yoga Certification in 2008. Now with many years of massage, bodywork and wellness under her belt and a young daughter she wanted to move to Maui to explore her love of the water and help the community of Maui be more conscious of healthy movement and bodywork.
She moved here to Kihei in 2017 and fell in love with the Aina, and the Maui ohana. Sarah works full time as a massage therapist and bodyworker and uses many modalities in her therapy. She is now a 500 Registered Yoga Instructor and teaches in Kihei and Wailea. Her Idea behind healing the body is a well rounded outlook that combines all of her experience, knowledge, compassion, and empathy to guide, motivate, and provide the space for her clients to heal.
In her spare time she enjoys being in the water swimming and snorkeling. Exploring different hikes around Maui and spending time with her now 13 year old daughter.
Jai is a lifetime Physical Therapist and previously a certified athletic trainer. He is very enthusiastic about helping people with cancer. He is a stage four cancer survivor with associated heart, liver, kidney failure who has fully recovered. He incorporated methods he learned as a physical therapist and athletic trainer in his recovery.
Jai established an LLC in 2021 called “Free Cancer Care” that includes a website, YouTube channel, e-book, online seminar, and complete selection of yoga and Pilates videos designed to help people with cancer.
The first part of his career was working with World Champions and Hall of Fame athletes. He has worked with many of the best orthopedic sports surgeons in the world. This included working in Hilo with world champion Kickboxers. Jai worked in Kauai, where he expanded Health South PT from Lahui to Eli’eli. Furthermore, he was named as the top customer service provider by patient surveys of over two thousand clinics worldwide.
The second part of his career has focused on serving geriatric patients, and becoming educated in cancer rehabilitation at PORI (Physiological Oncology Rehabilitation Institute). He has completed the Foundations of Oncology Coursework, Chemotoxicity and Cancer Exercise Management, and Pelvic Cancer & Lower Extremity Rehabilitation.
Jai has lived on four of the Hawaiian Islands through the years and was recently married on Maui. He has returned to make this part of his career all about helping people with cancer.
He believes that life is all about learning, serving, and living. He enjoys spending time with his wife, snorkeling, and meditating.
Lastly, he likes to say, “After stage IV cancer I fell in love, learned to dance, got married, and moved to Maui to help people with cancer full-time.”
Much Aloha!
Ryan was raised in Virginia by two physical therapist parents. Throughout childhood, he witnessed how they served, healed and changed lives through their work. Young and inspired, Ryan wanted to do the same.
Ryan received his Bachelors of Science degree from James Madison University in 2017. He then went on to complete his graduate studies at University of Lynchburg, earning his Doctorate in Physical Therapy in 2020. He began his journey as a physical therapist in Maryland, primarily working with patients recovering from total knee and hip replacement surgery. He moved to Maui in 2021 and is fortunate to call Makawao his home.
He has continually developed skills in treating neurological, vestibular and orthopedic conditions. Most recently, Ryan earned his COMT (Certification in Orthopedic Manual Therapy) through Aspire (an Orthopedic Manual Therapy Institute).
His goal is to empower the upcountry community and work alongside them to overcome challenges and restore function to allow them to do what they need to do!
Ryan and his beautiful wife Cassidy love being outside. They love people. They love God. You will likely find them, mountain biking, bow hunting, surfing, camping, beaching or jamming to some tunes. You’ll also likely find Ryan kicking a soccer ball wherever and whenever he can.
Sean is a 2001 graduate from the University of Puget Sound with a degree in Occupational Therapy. Sean has worked in a variety of settings including acute hospital care, sports, skilled nursing, outpatient, and home health.
He’s originally born and raised on Oahu, but has worked in California and Nevada, relocating to Maui to be closer to family. In his spare time, he coaches his son’s baseball and his daughter’s softball teams.
Melissa was born and raised in Washington state, but has lived over half of her life on Maui. After her
Dr. Jack Bott is originally from Wadsworth, Ohio and received his Bachelors of Science in Exercise Science from Slippery Rock University in Pennsylvania. He continued at Slippery Rock University for graduate school and received his Doctor of Physical Therapy degree in 2016.
Post-professionally, Dr. Bott completed a full-time sports residency at the Texas Medical Center in Houston, Texas with the IRONMAN Sports Medicine Institute. He achieved certification as a Board Certified Sports Clinical Specialist in 2018. Additionally, he pursued certifications Sports and Orthopedic Manual Therapy and additional modalities. His background has provided him a unique skill set that includes: hands-on techniques such as myofascial release, dry needling, taping, cupping, Active Release Technique (ART), joint mobilization, and manipulation, as well as short and long term mobility and strength programming.
Dr. Bott works full time as an Assistant Professor at Franklin Pierce University’s Doctor of Physical Therapy program based in Arizona. He has been involved in academia for over 4 years, and enjoys balancing teaching and working with patients.
In the clinic, Dr. Bott thoroughly enjoys working with clients who find value in leading an active lifestyle. Whether recovering from an injury or an operation, maintaining a certain level of activity, or competing competitively, Dr. Bott prides himself in building personal relationships with his clients to guide them towards their goals.
Most importantly, Dr. Bott enjoys his time with his family, Dr. Melissa Abellanida, daughter Maggie (5), and son Jordan (3). As a family, they love to spend their time outdoors, traveling, and staying active.
Paulina Czartoryski is a first generation Polish-American who grew up on Long Island, New York. In 2022, she earned her Bachelor of Science in Exercise Science, along with a minor in Research Studies, from Nova Southeastern University in Fort Lauderdale, Florida. While at NSU, she contributed to research on sports supplements and body composition. In 2025, she went on to receive her Doctor of Physical Therapy degree from Hunter College in New York City.
In 2022, Paulina also achieved certification as a Certified Strength and Conditioning Specialist (CSCS). Her background includes work as a personal trainer, as well as clinical experience in outpatient orthopedics, outpatient neurology, and acute care. In addition to her academic and clinical training, Paulina served as an ocean lifeguard for several summers on Long Island, developing strong skills in safety, endurance, and community service that continue to influence her approach to patient care.
Outside the clinic, Paulina is passionate about surfing, which she discovered in her early 20s and has loved ever since. She has shared this love with others through volunteer work for adaptive surfing. She also enjoys running, swimming, kickboxing, and weightlifting.
She is committed to sharing her love of movement with her patients, whether they are recovering from injury, managing a condition, or working toward higher-level performance goals.