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      <FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>28010</ProgramServicesAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>35390</ProgramServicesAmt>
        <ManagementAndGeneralAmt>68363</ManagementAndGeneralAmt>
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        <TotalAmt>17106</TotalAmt>
        <ProgramServicesAmt>14949</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2157</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>61790</TotalAmt>
        <ProgramServicesAmt>8048</ProgramServicesAmt>
        <ManagementAndGeneralAmt>53742</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>216167</ProgramServicesAmt>
        <ManagementAndGeneralAmt>59024</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>26297</TotalAmt>
        <ManagementAndGeneralAmt>26297</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
        <TotalAmt>606783</TotalAmt>
        <ProgramServicesAmt>494690</ProgramServicesAmt>
        <ManagementAndGeneralAmt>112093</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>CONTRACT SERVICES</Desc>
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        <ProgramServicesAmt>230731</ProgramServicesAmt>
        <ManagementAndGeneralAmt>340</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>EQUIPMENT REPAIRS/MAINT</Desc>
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        <ProgramServicesAmt>119034</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6618</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>DATA PROCESSING</Desc>
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        <ProgramServicesAmt>55280</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2886</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>212818</TotalAmt>
        <ProgramServicesAmt>171500</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>7884376</TotalAmt>
        <ProgramServicesAmt>6313894</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1570482</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>1860321</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>499950</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>45148</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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      <LandBldgEquipCostOrOtherBssAmt>6426631</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>1095114</LandBldgEquipAccumDeprecAmt>
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        <BOYAmt>5424016</BOYAmt>
        <EOYAmt>5331517</EOYAmt>
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        <EOYAmt>51300</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>6740522</BOYAmt>
        <EOYAmt>8090758</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>684069</EOYAmt>
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      <DeferredRevenueGrp>
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      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>2819821</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>2790425</BOYAmt>
        <EOYAmt>3805120</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>2766953</BOYAmt>
        <EOYAmt>3144589</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>1183144</BOYAmt>
        <EOYAmt>1141049</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>3950097</BOYAmt>
        <EOYAmt>4285638</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>6740522</BOYAmt>
        <EOYAmt>8090758</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>335541</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
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    <IRS990ScheduleA documentId="RetDoc6">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>1862491</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1672062</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2804697</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2182533</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2447251</CurrentTaxYearAmt>
        <TotalAmt>10969034</TotalAmt>
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      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>1862491</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1672062</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2804697</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2182533</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2447251</CurrentTaxYearAmt>
        <TotalAmt>10969034</TotalAmt>
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      <PublicSupportTotal170Amt>10969034</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>12454</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>14691</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>11710</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6335</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>5367</CurrentTaxYearAmt>
        <TotalAmt>50557</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <TotalSupportAmt>11019591</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>14362276</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.99540</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.99450</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>
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    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc3">
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        <InvestmentCostOrOtherBasisAmt>5295525</InvestmentCostOrOtherBasisAmt>
        <DepreciationAmt>533159</DepreciationAmt>
        <BookValueAmt>4762366</BookValueAmt>
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      <LeaseholdImprovementsGrp>
        <InvestmentCostOrOtherBasisAmt>109266</InvestmentCostOrOtherBasisAmt>
        <DepreciationAmt>17768</DepreciationAmt>
        <BookValueAmt>91498</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>751840</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>461187</DepreciationAmt>
        <BookValueAmt>290653</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>270000</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>83000</DepreciationAmt>
        <BookValueAmt>187000</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>5331517</TotalBookValueLandBuildingsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>8219917</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>8219917</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>8219917</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>7884376</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>7884376</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>7884376</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <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>DR CAMERON GRANGE</PersonNm>
        <TitleTxt>DOCTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>228782</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>37114</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>265896</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LUCIEN DAIGLE</PersonNm>
        <TitleTxt>DENTIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>231962</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>23945</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>255907</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DR PAUL PELLETIER</PersonNm>
        <TitleTxt>DOCTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>209747</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>19823</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>229570</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>HEATHER PELLETIER</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>179441</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>37114</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>216555</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANTHONY PREISSLER</PersonNm>
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        <NontaxableBenefitsFilingOrgAmt>13003</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>196441</TotalCompensationFilingOrgAmt>
      </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>