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      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <TotalRevenuePerForm990Amt>5583257</TotalRevenuePerForm990Amt>
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      <DonatedServicesUseFcltsAmt>15827</DonatedServicesUseFcltsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part V, Line 4: Intended uses of the endowment fund.</FormAndLineReferenceDesc>
        <ExplanationTxt>The Endowment Funds are intended to be used to supplement funds needed to support operations as needed.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X : FIN48 Footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>Accounting principles generally accepted in the United States of America require management to evaluate tax positions taken by the Organization and recognize a tax liability (or asset) if the Organization has taken an uncertain position that more-likely-than-not would not be sustained upon examination by the Internal Revenue Service. Management has analyzed the tax positions taken by the plan, and has concluded that as of June 30, there are no uncertain positions taken or expected to be taken that would require recognition of a liability (or asset) or disclosure in the financial statements. The Organization is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress. Management believes it is no longer subject to income tax examinations for years prior to 2021.</ExplanationTxt>
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        <PersonNm>JAMES A FINGER</PersonNm>
        <TitleTxt>CEA</TitleTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS ORGANIZED AS A NOT-FOR-PROFIT CORPORATION. MEMBERS OF THE ORGANIZATION ARE MUNICIPALITIES IN VERMONT EMS DISTRICT 10 WHOSE COMMUNITIES' CITIZENS VOTE TO BELONG. EACH COMMUNITY AND THE LOCAL HOSPITAL APPOINT MEMBERS TO THE ORGANIZATIONS BOARD OF DIRECTORS WITH THE RESPONSIBILITY OF GENERAL MANAGEMENT OF AND AUTHORITY OVER PROPERTY, BUSINESS, AND AFFAIRS OF THE ORGANIZATION. MEMBERS MAY NOT RECEIVE A SHARE OF THE ORGANIZATIONS PROFITS OR EXCESS DUES OR A SHARE OF NET ASSETS UPON THE ORGANIZATION'S DISSOLUTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The President of the Board of Directors and the Chief Executive Administrator review the 990 before filing with the IRS. Any questions or issues are addressed before the final filing to the IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>The Chief Executive Administrator has a contract with a base salary that is set by the Governing Board of Directors. This contract is increased yearly by contract and/or CIP All Urban Wage Earners and Clerical Workers Index. There are no other top management officials beyond the CEA and there is no compensation for any Board of Director members.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization currently does not have a conflict of interest policy. The audited financial statements are not available to the public. The organization will provide a copy of Form 990 and its governing documents upon request through their office.</ExplanationTxt>
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    </IRS990ScheduleO>
  </ReturnData>
</Return>