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        <Total>14364460</Total>
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      <Total170>
        <CurrentTaxYearMinus4Years>2433511</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>2461600</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>2451853</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>2958712</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>4058784</CurrentTaxYear>
        <Total>14364460</Total>
      </Total170>
      <PublicSupportTotal170>14364460</PublicSupportTotal170>
      <GrossInvestmentIncome170>
        <CurrentTaxYearMinus4Years>29743</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>46047</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>22298</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>12507</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>3858</CurrentTaxYear>
        <Total>114453</Total>
      </GrossInvestmentIncome170>
      <TotalSupport>14478913</TotalSupport>
      <GrossReceiptsFromAdmissionsEtc>3698987</GrossReceiptsFromAdmissionsEtc>
      <PublicSupportPertcentage170>0.99210</PublicSupportPertcentage170>
      <PublicSupportPertcentPriorYear>0.99040</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>6027437</InvestmentCostOrOtherBasis>
        <Depreciation>2937762</Depreciation>
        <BookValue>3089675</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>3089675</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>MORTGAGES</Description>
        <Amount>695393</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>695393</TotalOfAmounts>
    </IRS990ScheduleD>
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      <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>
        <BaseCompensationFilingOrg>165783</BaseCompensationFilingOrg>
        <TotalCompensationFilingOrg>165783</TotalCompensationFilingOrg>
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      <Form990ScheduleJPartII>
        <NamePerson>BRYAN STONE</NamePerson>
        <BaseCompensationFilingOrg>160291</BaseCompensationFilingOrg>
        <TotalCompensationFilingOrg>160291</TotalCompensationFilingOrg>
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      <Form990ScheduleJPartII>
        <NamePerson>ROBIN SEBASTION</NamePerson>
        <BaseCompensationFilingOrg>157971</BaseCompensationFilingOrg>
        <TotalCompensationFilingOrg>157971</TotalCompensationFilingOrg>
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      <Form990ScheduleJPartII>
        <NamePerson>SHARMEEN SARKER</NamePerson>
        <BaseCompensationFilingOrg>153491</BaseCompensationFilingOrg>
        <TotalCompensationFilingOrg>153491</TotalCompensationFilingOrg>
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    <IRS990ScheduleO documentId="RetDoc5">
      <GeneralExplanation>
        <Identifier>ALL OTHER ACHIEVEMENTS 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>OTHER EXPENSES</Identifier>
        <ReturnReference>FORM 990, PART IX, LINE 24F</ReturnReference>
        <Explanation>TRANSCRIPTION 52,794 COMPUTER/IT SUPPORT 50,970 SUPPLIES - LAB 50,489 SUPPLIES - MEDICAL 43,646 PATIENT STATEMENT FEES 36,063 FMHA MORTGAGE - INTEREST 35,653 EQUIPMENT - MEDICAL 35,445 ARCHITECURAL AND ENGINEER 30,576 FMHA MORTGAGE - PRINCIPAL 29,173 MD CALL COVERAGE 27,991 CAPITAL OUTLAY - EMMETT 27,927 PRINTING/COPYING - MEDICA 26,041 RECRUITMENT &amp; RETENTION 23,016 AUDIT - ADMIN 22,468 UTILITIES 21,155 TELEPHONE 20,515 EQUIPMENT - ADMIN 19,963 PHYSICIAN CALL COVERAGE 19,888 MAINTENANCE &amp; REPAIRS 18,544 PROFESSIONAL DUES/FEES/SU 18,443 COMPUTER FEES 18,223 CAPITAL OUTLAY - VALE 17,996 INJECTIBLES - MEDICAL 17,802 CME - MEDICAL 16,538 CME 15,657 LAB EXPENSES - DENTAL 14,361 LAB 14,293 OFFICE PRODUCTS 13,642 OR SAFETY NET AGENCY OVER 13,579 EQUIPMENT 13,368 EQUIPMENT - PAYETTE DENTA 13,143 MAINTENANCE/REPAIRS - FAC 13,110 R &amp; R - ALL 12,775 UTILITIES - FACILITY 12,698 MEDICAL SUPPLIES - VALE 12,271 MAINTENANCE AGREEMENTS - 11,956 CAPITAL OUTLAY - NYSSA ME 11,764 ORGANIZATIONAL DUES 11,745 FACILITY REPAIRS/MAINT - 11,737 TELEPHONE - FACILITY 11,634 CAPITAL OUTLAY - ONTARIO 11,531 INSURANCE - FACILITY 11,307 LAB SUPPLIES - VALE 11,091 CONTINUING MEDICAL EDUCAT 10,767 OFFICE SUPPLIES - ADMIN 10,750 UTILITIES - FACILITIY 10,631 PAYROLL PROCESSING FEES 10,383 COMMUNITY PROMOTIONS 10,248 R &amp; R - OTHER 10,000 POSTAGE 9,849 340B PROGRAM 9,757 OTHER ARCHITECURAL AND EN 9,562 BANK FEES 9,213 FACILITY - REPAIRS AND MA 8,832 SUPPLIES - FACILITY 8,461 CONTINUING EDUCATION - NY 7,958 MEDICAL SUPPLIES - NYSSA 7,900 CONFERENCES/WORKSHOPS 7,634 FACILITY SUPPLIES 7,552 UTILITIES - NYSSA 7,413 UTILITIES - VALE 7,394 CME - DENTAL 7,367 UTILITIES - TOTAL 7,357 OFFICE SUPPLIES 6,810 LAB SUPPLIES - NYSSA 6,748 TELEPHONE - NYSSA 6,697 EQUIP - ADMIN 6,445 INJECTIBLES - VALE 6,401 CONTINUING EDUCATION - VA 6,287 TELEPHONE - TOTAL 6,107 SUPPLIES - INJECTABLES 6,057 PROFESSIONAL FEES/DUES/SU 5,833 INS/BOARD BONDING 5,775 SUPPLIES - SUSAN KOMAN 5,771 OFFICE PRODUCTS - TOTAL 5,690 MEDICAL - PRINTING/COPYIN 5,615 MAINT/REPAIR - FACILITY 5,547 TELEPHONE - VALE 5,396 SUPPLIES - NON CONSUMABLE 5,370 CAPITAL OUTLAY - NYSSA DE 5,157 MOVING EXPENSE - MEDICAL 4,952 OFFICE PRODUCTS - VALE 4,896 DUES/FEES/SUBSCRIPTIONS 4,767 INSURANCE FACILITY - VALE 4,694 VEHICLE PAYMENTS 4,464 CONTRACT MEDICAL 4,420 SUPPLIES - PAYETTE MEDICA 4,391 COMMUNITY SERVICE PROMOTI 4,268 OTHER - COMMUNITY SERVICE 4,224 EQUIPMENT - ADMINISTRATIO 4,128 INJECTIBLES - NYSSA 3,626 PRINTING &amp; COPYING 3,429 TAXES 3,389 INJECTIBLES 3,201 NON CONSUMABLE OFFICE SUP 3,186 PROF DUES/SUBSCRIPTIONS 3,140 UTILITIES - DENTAL FACILI 3,116 OFFICE PRODUCTS - NYSSA 2,996 MAINT/REPAIR - DENTAL FAC 2,463 ADMIN/ACCOUNTING 2,432 CONTRACT - MEDICAL 2,430 DISASTER PREPAREDNES SUPP 2,413 TELEPHONE - DENTAL FACILI 2,409 POSTAGE - VALE 2,297 COMPUTER FEES - DENTAL 2,278 MOVING EXPENSES 2,273 DUES/FEES/SUB - DENTAL 2,059 POSTAGE - NYSSA 2,034 INSURANCE FACILITY - NYSS 2,030 EQUIPMENT - PAYETTE MEDIC 2,000 MAINT/REPAIR - ADMIN FAC 1,858 SUPPLIES - NEW PLYMOUTH 1,848 FACILITY SUPPLIES - VALE 1,833 EQUIPMENT - ONTARIO MEDIC 1,769 EQUIPMENT - EMMETT 1,769 MISCELLANEOUS 1,640 EQUIPMENT - ADMIN - NYSSA 1,376 EQUIPMENT - ADMIN - VALE 1,376 POSTAGE - TOTAL 1,300 PHARMACEUTICALS 1,295 EQUIPMENT - ONTARIO DENTA 1,185 EQUIPMENT - NYSSA DENTAL 1,185 OFFICE SUPPLIES - DENTAL 1,179 ANSWERING SERVICE 1,155 FACILITY INSURANCE - ADMI 1,105 INSURANCE-DENTAL ACTIVITY 1,059 FACILITY SUPPLIES - NYSSA 1,049 LAB EQUIPMENT - VALE 1,011 EQUIPMENT - LAB 864 LEGAL FEES 815 JOB ANNOUNCEMENTS 768 PRINTING/COPYING 716 CONTRACT-MEDICAL-NYSSA 700 MAINTENANCE CONTRACTS 695 ADMINISTRATION AND LEGAL 678 COMMUNITY SERVICE 606 MAINTENANCE AGREE - ADMIN 605 EQUIPMENT - NYSSA MEDICAL 600 EQUIPMENT - VALE 600 EQUIPMENT - NEW PLYMOUTH 600 BANK S/C 586 PRINTING/COPYING - DENTAL 579 MAINTENANCE CONTRACT 571 PRINTING/PROMO - SUSAN KO 537 SUPPLIES - PHARMACEUTICAL 505 SUPPLIES - DENTAL FACILIT 503 PRINT/COPYING - ADMIN 491 FAC SUPPLIES - ADMIN 485 PHARMACEUTICALS - VALE 469 SUPPLIES - VALE 410 CONFERENCE WORKSHOPS 406 SUPPLIES - ONTARIO MEDICA 389 SUPPLIES - NYSSA DENTAL 366 SUPPLIES - PAYETTE DENTAL 340 MAINT AGREE - ADMIN 304 EQUIP MAINT &amp; REPAIR - DE 300 PROJECT INSPECTION FEES 300 TAXES - PROPERTY 289 ANSWERING SERVICE - NYSSA 277 ANSWERING SERVICE - VALE 277 REFERRALS - LAB 230 OTHER - LAB 222 REFERRALS - XRAY - VALE 198 CONTRACT - DENTAL 145 MAINTENANCE AGREEMENT - M 105 H1 N1 SUPPLIES 83 NON CONSUMABLE SUPPLIES 55 AUTO MAINT. ADMIN 53 ORG. DUES ADMIN 50 OTHER - MEDICAL 39 SUPPLIES - COMMUNITY SERV 21 REFFERRALS - LAB 11 TRANSFERS IN FROM PHS FM -206,881</Explanation>
      </GeneralExplanation>
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</Return>