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          <USAddress>
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        </ContractorAddress>
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      <ContractorCompensationGrp>
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        </ContractorName>
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          <USAddress>
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        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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          </BusinessName>
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          <USAddress>
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        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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          <USAddress>
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          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>KPS3</BusinessNameLine1Txt>
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          <USAddress>
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      <OtherExpensesGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DANIEL MIRELES</PersonNm>
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        <PersonNm>RONALD WALTER</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DEVAN WALKER</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
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      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT REGULARLY REVIEWS ANY ISSUES THAT ARISE UNDER THE CONFLICT OF INTEREST POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION FOR THE CEO IS APPROVED BY THE BOARD OF DIRECTORS ANNUALLY. ALL OFFICERS AND KEY EMPLOYEES' SALARIES ARE REVIEWED DURING THEIR ANNUAL PERFORMANCE EVALUATION WITH THEIR DIRECT SUPERVISOR. ALL OTHER SALARIES ARE REVIEWED BY THE BOARD ANNUALLY AS PART OF THE BUDGET APPROVAL PROCESS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 18</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S 990 IS MADE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X11, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>REGIONAL AMBULANCE SERVICES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
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          <CityNm>RENO</CityNm>
          <StateAbbreviationCd>NV</StateAbbreviationCd>
          <ZIPCd>89502</ZIPCd>
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        <PrimaryActivitiesTxt>PROVIDES EMPLOYEE SERVICES TO REMSA</PrimaryActivitiesTxt>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>REGIONAL EMERGENCY MEDICAL SERVICES AUTHORITY</BusinessNameLine1Txt>
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        <ShareOfEOYAssetsAmt>8905395</ShareOfEOYAssetsAmt>
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      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
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      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
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        <OtherOrganizationName>
          <BusinessNameLine1Txt>REGIONAL AMBULANCE SERVICES INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
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        <OtherOrganizationName>
          <BusinessNameLine1Txt>REGIONAL AMBULANCE SERVICES INC</BusinessNameLine1Txt>
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</Return>
