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        <CurrentTaxYearMinus4Years>46047</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>22298</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>12507</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>3858</CurrentTaxYearMinus1Year>
        <Total>84710</Total>
      </GrossInvestmentIncome170>
      <TotalSupport>18122556</TotalSupport>
      <GrossReceiptsFromAdmissionsEtc>3924436</GrossReceiptsFromAdmissionsEtc>
      <PublicSupportPertcentage170>0.99530</PublicSupportPertcentage170>
      <PublicSupportPertcentPriorYear>0.99210</PublicSupportPertcentPriorYear>
      <ThirtyThreePercntTestsCY170>X</ThirtyThreePercntTestsCY170>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc2">
      <DisclosedOrgsLegalControl>false</DisclosedOrgsLegalControl>
      <DisclosedForCharitablePurposes>false</DisclosedForCharitablePurposes>
      <WrittenPolicyMonitoring>false</WrittenPolicyMonitoring>
      <Sect170hRequirementsSatisfied>false</Sect170hRequirementsSatisfied>
      <SolicitedAssetsForSale>false</SolicitedAssetsForSale>
      <AgentTrusteeEtc>false</AgentTrusteeEtc>
      <IncludedOnFS>false</IncludedOnFS>
      <EndowmentsHeldByUnrelatedOrgs>false</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>false</EndowmentsHeldByRelatedOrgs>
      <AreRelatedOrgsListedScheduleR>false</AreRelatedOrgsListedScheduleR>
      <OtherLandBuildings>
        <InvestmentCostOrOtherBasis>8972083</InvestmentCostOrOtherBasis>
        <Depreciation>3148591</Depreciation>
        <BookValue>5823492</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>5823492</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>MORTGAGES</Description>
        <Amount>518814</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>518814</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>SHANNON SCHANTZ</NamePerson>
        <BaseCompensationFilingOrg>183139</BaseCompensationFilingOrg>
        <TotalCompensationFilingOrg>183139</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>EDDIE RODRIQUEZ-LOPEZ MD</NamePerson>
        <BaseCompensationFilingOrg>172488</BaseCompensationFilingOrg>
        <TotalCompensationFilingOrg>172488</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>ROBIN SEBASTION</NamePerson>
        <BaseCompensationFilingOrg>166370</BaseCompensationFilingOrg>
        <TotalCompensationFilingOrg>166370</TotalCompensationFilingOrg>
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      <Form990ScheduleJPartII>
        <NamePerson>SHARMEEN SARKER</NamePerson>
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        <TotalCompensationFilingOrg>165870</TotalCompensationFilingOrg>
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      <Form990ScheduleJPartII>
        <NamePerson>BRYAN STONE</NamePerson>
        <BaseCompensationFilingOrg>165469</BaseCompensationFilingOrg>
        <TotalCompensationFilingOrg>165469</TotalCompensationFilingOrg>
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    </IRS990ScheduleJ>
    <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>TRANSFER FMHA RESERVE 154,354 ARCHITECURAL AND ENGINEER 130,195 SUPPLIES 77,615 FMHA MORTGAGE - INTEREST 70,099 COMPUTER/IT SUPPORT 66,144 TRANSCRIPTION 59,693 MISCELLANEOUS 58,820 COMPUTER FEES 58,804 EQUIPMENT - IT 58,660 SUPPLIES - MEDICAL 57,832 SUPPLIES - LAB 54,452 CONSUMABLE EQUIPMENT - ME 49,077 EQUIPMENT - ADMINISTRATIO 43,570 EQUIP - ADMIN 37,801 CONSUMABLE EQUIPMENT - DE 37,424 PATIENT STATEMENT FEES 34,859 EQUIPMENT - FACILITY 34,288 MD CALL COVERAGE 33,679 PROFESSIONAL DUES/FEES/SU 27,142 PRINTING/COPYING - MEDICA 23,460 AUDIT - ADMIN 22,918 340B PROGRAM 22,323 PHYSICIAN CALL COVERAGE 21,344 INJECTIBLES - MEDICAL 21,277 CAPITAL OUTLAY - NYSSA ME 21,180 TELEPHONE 20,739 CAPITAL OUTLAY - PAYETTE 20,406 UTILITIES 20,300 EQUIPMENT 19,118 R AND R 18,000 EQUIPMENT - ADMIN 17,495 CME 17,203 FACILITY - REPAIRS AND MA 16,192 EQUIPMENT - ADMIN - VALE 16,183 CME - MEDICAL 15,163 TELEPHONE - FACILITY 14,161 EQUIPMENT - ADMIN - NYSSA 13,230 UTILITIES - FACILITY 13,191 LAB SUPPLIES - VALE 12,275 FACILITY REPAIRS/MAINT - 11,432 MEDICAL SUPPLIES - VALE 11,348 CONFERENCES/WORKSHOPS 11,180 INSURANCE - FACILITY 11,168 UTILITIES - FACILITIY 11,119 MAINTENANCE AGREEMENTS - 11,062 CONTRACT MEDICAL 10,712 PAYROLL PROCESSING FEES 10,710 BANK FEES 10,657 LAB 10,238 MOVING EXPENSE - MEDICAL 10,165 OFFICE PRODUCTS 9,986 CONSUMABLE EQUIPMENT - FA 9,762 CAPITAL OUTLAY 9,578 EQUIPMENT - PAYETTE MEDIC 9,496 POSTAGE 9,387 CONTINUING MEDICAL EDUCAT 9,386 ORGANIZATIONAL DUES 8,910 MAINTENANCE/REPAIRS - FAC 8,433 OFFICE SUPPLIES - ADMIN 8,031 MAINTENANCE &amp; REPAIRS 8,018 UTILITIES - VALE 7,911 TELEPHONE - NYSSA 7,690 LAB EXPENSES - DENTAL 7,562 UTILITIES - NYSSA 7,526 UTILITIES - TOTAL 7,319 SUPPLIES - FACILITY 7,133 INJECTIBLES - VALE 7,039 SUPPLIES - INJECTABLES 6,997 MEDICAL SUPPLIES - NYSSA 6,963 LAB SUPPLIES - NYSSA 6,706 PROFESSIONAL FEES/DUES/SU 6,673 CONSUMABLE EQUIPMENT - IT 6,593 EQUIPMENT - MENTAL HEALTH 6,277 TELEPHONE - TOTAL 6,233 COMPUTER FEES - DENTAL 5,620 CONTINUING EDUCATION - VA 5,614 TELEPHONE - VALE 5,613 INS/BOARD BONDING 5,211 OFFICE PRODUCTS - TOTAL 5,183 EQUIPMENT - ONTARIO DENTA 5,029 MEDICAL - PRINTING/COPYIN 5,014 CONTINUING EDUCATION - NY 4,914 OTHER - COMMUNITY SERVICE 4,746 OFFICE SUPPLIES 4,659 SUPPLIES - PAYETTE MEDICA 4,538 VEHICLE PAYMENTS 4,464 OFFICE PRODUCTS - VALE 4,181 INJECTIBLES - NYSSA 4,173 MAINT/REPAIR - FACILITY 4,131 FACILITY INSURANCE - ADMI 4,119 INSURANCE FACILITY - VALE 4,007 EQUIPMENT - PAYETTE DENTA 3,956 SUPPLIES - SUSAN KOMAN 3,797 UTILITIES - DENTAL FACILI 3,634 R &amp; R - ALL 3,415 PRINTING &amp; COPYING 3,407 JOB ANNOUNCEMENTS 3,406 EQUIPMENT - LAB 3,359 CAPITAL OUTLAY - NYSSA DE 3,314 CME - DENTAL 3,185 INJECTIBLES 3,179 EQUIPMENT - SOCIAL SERVIC 3,138 COMMUNITY SERVICE PROMOTI 2,915 TAXES 2,891 ADMINISTRATION AND LEGAL 2,718 PRINTING/PROMO - SUSAN KO 2,654 DUES/FEES/SUB - DENTAL 2,559 SUPPLIES - EMMETT 2,540 ADMIN/ACCOUNTING 2,532 OFFICE PRODUCTS - NYSSA 2,495 CAPITAL OUTLAY - NEW PLYM 2,404 TELEPHONE - DENTAL FACILI 2,347 PROF DUES/SUBSCRIPTIONS 2,318 EQUIPMENT - NYSSA DENTAL 2,309 FACILITY SUPPLIES 2,290 POSTAGE - VALE 2,244 CONTRACT - MEDICAL 2,190 SUPPLIES - VALE 2,159 PATIENT SERVICES 1,986 POSTAGE - NYSSA 1,980 SUPPLIES - NYSSA DENTAL 1,807 FACILITY SUPPLIES - VALE 1,776 CAPITAL OUTLAY - EMMETT 1,731 CAPITAL OUTLAY - VALE 1,662 AUTO MAINT. ADMIN 1,565 CONSUMABLE EQUIPMENT - SO 1,475 BANK S/C 1,457 ADMINSTRATION AND LEGAL 1,421 EQUIPMENT - NEW PLYMOUTH 1,293 POSTAGE - TOTAL 1,267 PRINT/COPYING - ADMIN 1,249 DUES/FEES/SUBSCRIPTIONS 1,202 FACILITY SUPPLIES - NYSSA 1,096 SUPPLIES - ONTARIO MEDICA 1,086 ANSWERING SERVICE 988 MAINT/REPAIR - DENTAL FAC 951 INSURANCE FACILITY - NYSS 948 OFFICE SUPPLIES - DENTAL 931 PRINTING/COPYING 921 CONTRACT - DENTAL 914 INSURANCE-DENTAL ACTIVITY 874 MEDICAL EQUIPMENT - NYSSA 859 MEDICAL EQUIPMENT - VALE 853 PHARMACEUTICALS - VALE 843 EQUIPMENT - ONTARIO MEDIC 830 PRINTING/COPYING - DENTAL 821 CONTRACT-MEDICAL-NYSSA 792 SUPPLIES - PAYETTE DENTAL 788 SUPPLIES - NYSSA MEDICAL 781 MAINTENANCE CONTRACTS 767 CONSUMABLE EQUIPMENT - LA 758 MAINTENANCE AGREE - ADMIN 732 CONSUMABLE EQUIPMENT - OF 698 CAPITAL OUTLAY - ONTARIO 643 COMMUNITY PROMOTIONS 638 PHARMACEUTICALS 626 SUPPLIES - ONTARIO DENTAL 592 PROJECT INSPECTION FEES 563 EQUIPMENT - NYSSA MEDICAL 557 SUPPLIES - DENTAL FACILIT 386 MAINT AGREE - ADMIN 369 COMMUNITY SERVICE 331 FAC SUPPLIES - ADMIN 328 EQUIPMENT - EMMETT 285 PRINTING/COPYING - ADMINI 257 TAXES - PROPERTY 251 ANSWERING SERVICE - NYSSA 247 ANSWERING SERVICE - VALE 247 SUPPLIES - PHARMACEUTICAL 231 SUPPLIES - NEW PLYMOUTH 219 JOB ANNOUCEMENTS 158 REFERRALS - LAB 133 LEGAL FEES 113 MAINTENANCE AGREEMENT - M 110 REFFERRALS - LAB 104 AUTO MAINT/REPAIRS/INS 86 SUPPLIES - COMMUNITY SERV 84 PHARMACEUTICALS - NYSSA 62 REFERRALS - XRAY - VALE 60 OTHER - LAB 50 CONFERENCE/WORKSHOPS 35 PRINTING/COPYING - ADMIN 24 OR SAFETY NET AGENCY OVER 17 ROUNDING 2 DISASTER PREPAREDNES SUPP -1,356 TRANSFERS IN FROM PHS FM -154,354</Explanation>
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</Return>