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        <CurrentTaxYearMinus2Years>3858</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>2711</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>2848</CurrentTaxYear>
        <Total>44222</Total>
      </GrossInvestmentIncome170>
      <TotalSupport>18786507</TotalSupport>
      <GrossReceiptsFromAdmissionsEtc>4752983</GrossReceiptsFromAdmissionsEtc>
      <PublicSupportPertcentage170>0.99760</PublicSupportPertcentage170>
      <PublicSupportPertcentPriorYear>0.99530</PublicSupportPertcentPriorYear>
      <ThirtyThreePercntTestsCY170>X</ThirtyThreePercntTestsCY170>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc2">
      <OtherLandBuildings>
        <InvestmentCostOrOtherBasis>9182674</InvestmentCostOrOtherBasis>
        <Depreciation>3505906</Depreciation>
        <BookValue>5676768</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>5676768</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>MORTGAGES</Description>
        <Amount>477082</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>477082</TotalOfAmounts>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc4">
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>EDDIE RODRIQUEZ-LOPEZ MD</NamePerson>
        <Title>DOCTOR</Title>
        <BaseCompensationFilingOrg>188125</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>4961</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>193086</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>SHARMEEN NELSON</NamePerson>
        <Title>DOCTOR</Title>
        <BaseCompensationFilingOrg>180044</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>6681</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>186725</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>BRYAN STONE</NamePerson>
        <Title>DOCTOR</Title>
        <BaseCompensationFilingOrg>170041</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>6481</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>176522</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
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    <IRS990ScheduleO documentId="RetDoc5">
      <GeneralExplanation>
        <Identifier>ALL OTHER ACCOMPLISHMENT DESCRIPTION</Identifier>
        <ReturnReference>FORM 990, PAGE 2, PART III, LINE 4D</ReturnReference>
        <Explanation>HEALTH CARE FOR MIGRANT WORKERS</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ORGANIZATION'S PROCESS USED TO REVIEW FORM 990</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 11B</ReturnReference>
        <Explanation>NO REVIEW WAS OR WILL BE CONDUCTED.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ENFORCEMENT OF CONFLICTS POLICY</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 12C</ReturnReference>
        <Explanation>POLICY OF ORGANIZATION IS TO REVIEW COMPLIANCE WITH NEW DIRECTORS, OFFICERS, AND KEY EMPLOYEES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION PROCESS FOR TOP OFFICIAL</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 15A</ReturnReference>
        <Explanation>BOARD OF DIRECTORS PERFORM EVALUATIONS AND DETERMINE COMPENSATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>GOVERNING DOCUMENTS DISCLOSURE EXPLANATION</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 19</ReturnReference>
        <Explanation>NO DOCUMENTS AVAILABLE TO THE PUBLIC</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>GROUP RETURN METHOD</Identifier>
        <ReturnReference>FORM 990, PAGE 7, PART VII</ReturnReference>
        <Explanation>PARENT ORGANIZATION HAS FILED A SEPARATE RETURN</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER EXPENSES</Identifier>
        <ReturnReference>FORM 990, PART IX, LINE 24E</ReturnReference>
        <Explanation>MISCELLANEOUS 103,721 0 0 SUPPLIES 78,517 0 0 PATIENT SERVICES 54,940 0 0 SUPPLIES - LAB 54,599 0 0 SUPPLIES - MEDICAL 49,492 0 0 PATIENT STATEMENT FEES 38,670 0 0 TRANSCRIPTION 34,087 0 0 INJECTIBLES - MEDICAL 30,742 0 0 COMPUTER FEES - DENTAL 27,907 0 0 UTILITIES 21,579 3,922 0 PROFESSIONAL DUES/FEES/SU 24,498 0 0 RESERVE 24,000 0 0 TELEPHONE 14,828 9,115 0 FMHA MORTGAGE - PRINCIPAL 22,107 0 0 FMHA MORTGAGE - INTEREST 21,429 0 0 TELEPHONE - FACILITY 21,266 0 0 FACILITY - REPAIRS AND MA 21,020 0 0 PRINTING/COPYING - MEDICA 21,017 0 0 UTILITIES - FACILITIY 19,749 0 0 CME 18,340 0 0 AUDIT - ADMIN 0 18,035 0 ORGANIZATIONAL DUES 0 17,140 0 UTILITIES - FACILITY 17,084 0 0 MAINTENANCE AGREEMENTS - 16,970 0 0 MD CALL COVERAGE 16,823 0 0 PHYSICIAN CALL COVERAGE 15,464 0 0 MAINTENANCE &amp; REPAIRS 14,456 0 0 OFFICE PRODUCTS 14,012 0 0 OFFICE SUPPLIES - ADMIN 0 13,858 0 INSURANCE - FACILITY 13,817 0 0 BANK FEES 13,160 25 0 LAB SUPPLIES - VALE 12,490 0 0 MAINTENANCE/REPAIRS - FAC 11,960 0 0 CME - MEDICAL 11,912 0 0 FACILITY REPAIRS/MAINT - 11,642 0 0 PAYROLL PROCESSING FEES 0 11,595 0 CONTINUING MEDICAL EDUCAT 11,008 0 0 INJECTIBLES - VALE 10,904 0 0 OFFICE SUPPLIES 10,751 0 0 SUPPLIES - INJECTABLES 10,597 0 0 MEDICAL SUPPLIES - VALE 10,594 0 0 COMPUTER/IT SUPPORT 3,801 6,577 0 POSTAGE 8,364 1,716 0 UTILITIES - TOTAL 9,327 0 0 CONTRACT MEDICAL 9,147 0 0 UTILITIES - VALE 8,568 0 0 UTILITIES - NYSSA 8,374 0 0 CONFERENCES/WORKSHOPS 0 7,788 0 TELEPHONE - TOTAL 7,785 0 0 LAB SUPPLIES - NYSSA 7,668 0 0 OR SAFETY NET AGENCY OVER 7,576 0 0 TELEPHONE - NYSSA 7,206 0 0 LAB 7,168 0 0 SUPPLIES - FACILITY 7,063 0 0 OFFICE PRODUCTS - TOTAL 6,614 0 0 MEDICAL SUPPLIES - NYSSA 6,281 0 0 TELEPHONE - VALE 6,199 0 0 INJECTIBLES - NYSSA 5,888 0 0 PROFESSIONAL FEES/DUES/SU 5,811 0 0 OFFICE PRODUCTS - VALE 5,634 0 0 INS/BOARD BONDING 0 5,436 0 INJECTIBLES 5,094 0 0 ARCHITECURAL AND ENGINEER 5,085 0 0 OFFICE SUPPLIES - DENTAL 4,943 0 0 LAB EXPENSES - DENTAL 4,752 0 0 MAINT/REPAIR - FACILITY 4,747 0 0 CONTINUING EDUCATION - VA 4,526 0 0 EQUIPMENT - ADMIN 4,506 0 0 EQUIPMENT - ADMINISTRATIO 4,506 0 0 CONTINUING EDUCATION - NY 4,500 0 0 VEHICLE PAYMENTS 0 4,464 0 TRANSFER FMHA RESERVE 4,354 0 0 MEDICAL - PRINTING/COPYIN 4,332 0 0 OTHER - COMMUNITY SERVICE 4,316 0 0 CONSTRUCTION 4,265 0 0 CONSUMABLE EQUIPMENT - IT 4,174 0 0 FACILITY INSURANCE - ADMI 0 4,145 0 INSURANCE FACILITY - VALE 4,073 0 0 EQUIPMENT - DENTAL 3,877 0 0 UTILITIES - DENTAL FACILI 3,712 0 0 FACILITY SUPPLIES 3,705 0 0 MEDICAL EQUIPMENT - NYSSA 3,617 0 0 MEDICAL EQUIPMENT - VALE 3,617 0 0 EQUIPMENT - MEDICAL 3,522 0 0 COMMUNITY SERVICE PROMOTI 3,397 0 0 OFFICE PRODUCTS - NYSSA 3,153 0 0 CONSUMABLE EQUIPMENT - OF 3,062 0 0 REFERRAL/CONTRACT - DENTA 2,978 0 0 TELEPHONE - DENTAL FACILI 2,902 0 0 DISASTER PREPAREDNES SUPP 2,826 0 0 MAINT/REPAIR - ADMIN FAC 0 2,777 0 PRINTING &amp; COPYING 2,615 0 0 MAINT/REPAIR - DENTAL FAC 2,567 0 0 POSTAGE - VALE 2,550 0 0 CME - DENTAL 2,404 0 0 POSTAGE - NYSSA 2,275 0 0 AUTO MAINT. ADMIN 0 2,238 0 DUES/FEES/SUBSCRIPTIONS 2,207 0 0 CONSUMABLE EQUIPMENT - ME 2,033 0 0 CONTRACT - MEDICAL 1,989 0 0 JOB ANNOUNCEMENTS 1,890 0 0 INSURANCE-DENTAL ACTIVITY 1,886 0 0 FACILITY SUPPLIES - VALE 1,639 0 0 TAXES - PROPERTY 1,634 0 0 R &amp; R 1,610 0 0 DUES/FEES/SUB - DENTAL 1,574 0 0 BANK S/C 1,508 0 0 EQUIPMENT - ADMIN - VALE 1,502 0 0 EQUIPMENT 1,502 0 0 EQUIPMENT - ADMIN - NYSSA 1,502 0 0 EQUIP - ADMIN 0 1,502 0 EQUIPMENT - FACILITY 1,496 0 0 MAINTENANCE CONTRACTS 1,456 0 0 POSTAGE - TOTAL 1,450 0 0 PRINT/COPYING - ADMIN 0 1,405 0 CONSUMABLE EQUIPMENT - FA 1,306 0 0 SUPPLIES - DENTAL FACILIT 1,100 0 0 INSURANCE FACILITY - NYSS 948 0 0 PROMOTIONS/DOOR PRIZES/RE 938 0 0 PROF DUES/SUBSCRIPTIONS 882 0 0 PHARMACEUTICALS - VALE 836 0 0 CONTRACT-MEDICAL-NYSSA 783 0 0 FACILITY SUPPLIES - NYSSA 782 0 0 ANSWERING SERVICE 776 0 0 EQUIPMENT - LAB 775 0 0 MAINTENANCE AGREE - ADMIN 754 0 0 SUPPLIES - COMMUNITY SERV 717 0 0 CONTRACT - DENTAL 685 0 0 RECRUITMENT &amp; RETENTION 668 0 0 FAC SUPPLIES - ADMIN 0 574 0 REFERRALS - LAB 522 0 0 PRINTING/COPYING - DENTAL 504 0 0 PHARMACEUTICALS 493 0 0 PRINTING/COPYING 480 0 0 COMMUNITY SERVICE 450 0 0 MAINT/REPAIRS - FACILITY 440 0 0 SUPPLIES - PHARMACEUTICAL 396 0 0 MAINT AGREE - ADMIN 0 371 0 R AND R 332 0 0 AUTO MAINT/REPAIRS/INS 247 0 0 OTHER FACILITY - VALE 236 0 0 ANSWERING SERVICE - VALE 194 0 0 ANSWERING SERVICE - NYSSA 193 0 0 OTHER - LAB 162 0 0 REFERRALS - XRAY - VALE 145 0 0 MAINTENANCE AGREEMENT - M 120 0 0 CONFERENCE WORKSHOPS 100 0 0 PHARMACEUTICALS - NYSSA 71 0 0 REFFERRALS - LAB 65 0 0 LEGAL FEES 0 38 0 TRANSFERS IN FROM PHS FM -4,354 0 0 TRANSFERS PHS GRANT -24,000 0 0</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER CHANGES IN NET ASSETS EXPLANATION</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 9</ReturnReference>
        <Explanation>CHANGE IN LONG-TERM DEBT 41,732 ROUNDING 8 CHANGE IN FIXED ASSETS 146,724</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>