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      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
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        <ProgramServicesAmt>2478083</ProgramServicesAmt>
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      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>631766</ProgramServicesAmt>
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      <FeesForServicesLegalGrp>
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        <ProgramServicesAmt>163</ProgramServicesAmt>
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      <FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>16200</ProgramServicesAmt>
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      <AdvertisingGrp>
        <TotalAmt>14997</TotalAmt>
        <ProgramServicesAmt>11533</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3464</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OccupancyGrp>
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        <ProgramServicesAmt>115492</ProgramServicesAmt>
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      <TravelGrp>
        <TotalAmt>14224</TotalAmt>
        <ProgramServicesAmt>11819</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2405</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
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        <ProgramServicesAmt>35103</ProgramServicesAmt>
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      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>119072</ProgramServicesAmt>
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      <InsuranceGrp>
        <TotalAmt>21765</TotalAmt>
        <ProgramServicesAmt>4226</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17539</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
        <TotalAmt>325305</TotalAmt>
        <ProgramServicesAmt>246265</ProgramServicesAmt>
        <ManagementAndGeneralAmt>79040</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>CONTRACT SERVICES</Desc>
        <TotalAmt>246350</TotalAmt>
        <ProgramServicesAmt>245701</ProgramServicesAmt>
        <ManagementAndGeneralAmt>649</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>EQUIPMENT REPAIRS/MAINT</Desc>
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        <ProgramServicesAmt>140663</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4420</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>TELEPHONE</Desc>
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        <ProgramServicesAmt>61643</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7516</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>263226</TotalAmt>
        <ProgramServicesAmt>216156</ProgramServicesAmt>
        <ManagementAndGeneralAmt>47070</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>5206941</TotalAmt>
        <ProgramServicesAmt>4333885</ProgramServicesAmt>
        <ManagementAndGeneralAmt>873056</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>467455</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>895846</EOYAmt>
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        <EOYAmt>268548</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>30539</BOYAmt>
        <EOYAmt>9005</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>2751885</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>419747</LandBldgEquipAccumDeprecAmt>
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        <BOYAmt>1940580</BOYAmt>
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        <BOYAmt>36256</BOYAmt>
        <EOYAmt>251823</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>4028735</BOYAmt>
        <EOYAmt>4277934</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>498862</BOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>942907</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>1387920</BOYAmt>
        <EOYAmt>1477740</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>2384283</BOYAmt>
        <EOYAmt>2551328</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>256532</BOYAmt>
        <EOYAmt>248866</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>2640815</BOYAmt>
        <EOYAmt>2800194</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>4028735</BOYAmt>
        <EOYAmt>4277934</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>159379</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
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    <IRS990ScheduleA documentId="RetDoc6">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>1193335</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1164648</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1462513</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1862491</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1672062</CurrentTaxYearAmt>
        <TotalAmt>7355049</TotalAmt>
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      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>1193335</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1164648</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1462513</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1862491</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1672062</CurrentTaxYearAmt>
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      <PublicSupportTotal170Amt>7355049</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
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        <CurrentTaxYearMinus3YearsAmt>8645</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>10193</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>12454</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>14691</CurrentTaxYearAmt>
        <TotalAmt>51781</TotalAmt>
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      <TotalSupportAmt>7406830</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>3694258</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.99300</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.99180</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc3">
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        <InvestmentCostOrOtherBasisAmt>2005690</InvestmentCostOrOtherBasisAmt>
        <DepreciationAmt>262466</DepreciationAmt>
        <BookValueAmt>1743224</BookValueAmt>
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      <LeaseholdImprovementsGrp>
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        <BookValueAmt>39455</BookValueAmt>
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      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>435379</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>126920</DepreciationAmt>
        <BookValueAmt>308459</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>270000</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>29000</DepreciationAmt>
        <BookValueAmt>241000</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>2332138</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>CONSTRUCTION IN PROGRESS</Desc>
        <BookValueAmt>251823</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>251823</TotalBookValueOtherAssetsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>5366320</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>5366320</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>5366320</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>5206941</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>5206941</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>5206941</TotalExpensesPerForm990Amt>
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    <IRS990ScheduleJ documentId="RetDoc4">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>HEATHER PELLETIER</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>129972</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>36247</CompensationBasedOnRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>129972</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>36247</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LUCIEN DAIGLE</PersonNm>
        <TitleTxt>DENTIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>248378</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>27789</CompensationBasedOnRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>248378</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>27789</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DR CAMERON GRANGE</PersonNm>
        <TitleTxt>DOCTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>215785</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>36247</CompensationBasedOnRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>215785</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>36247</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DR PAUL PELLETIER</PersonNm>
        <TitleTxt>DOCTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>188768</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>27789</CompensationBasedOnRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>188768</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>27789</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DR REBECCA REEVES</PersonNm>
        <TitleTxt>DOCTOR</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>36247</CompensationBasedOnRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>153373</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>36247</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc5">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MISSION OF FISH RIVER RURAL HEALTH IS TO PROVIDE ACCESS TO COMPREHENSIVE PRIMARY AND PREVENTIVE CARE OF THE HIGHEST QUALITY TO THE UNDERSERVED POPULATION AND TO IMPROVE THE HEALTH CARE STATUS OF THE RESIDENTS OF THE ST. JOHN VALLEY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 IS REVIEWED BY THE BOARD OF DIRECTORS PRIOR TO FILING</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD HAS ADOPTED A CODE OF CONDUCT WHICH INCLUDES A CONFLICT OF INTEREST POLICY. IT IS SENT ANNUALLY TO THE BOARD MEMBERS FOR REVIEW AND SIGNATURE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION PAY SCALES ARE DISCUSSED AND DECIDED BY THE EXECUTIVE/PERSONNEL COMMITTEE ON AN ANNUAL BASIS. COMMITTEE USES COMPARABILITY DATA THAT IS PUBLISHED BY THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AND THE MAINE DEPARTMENT OF LABOR. IN ADDITION LOCAL AGENCIES ARE SURVEYED ANNUALLY FOR COMPARISON PURPOSES. THE DISCUSSION AND DECISON MAKING IS COMPLETED WITHOUT AFFECTED EMPLOYEES PRESENT. THE COMMITEE'S DECISON GOES TO THE FULL BOARD FOR REVIEW AND APPROVAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE 15.A.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENTS ARE MADE AVAILABLE UPON REQUEST</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>