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      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>59349</TotalAmt>
        <ProgramServicesAmt>59349</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>AMBULANCE BILLING SERV FEES</Desc>
        <TotalAmt>72243</TotalAmt>
        <ProgramServicesAmt>72243</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>EQUIPMENT REPAIR</Desc>
        <TotalAmt>40575</TotalAmt>
        <ProgramServicesAmt>40575</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
        <TotalAmt>9848</TotalAmt>
        <ManagementAndGeneralAmt>9848</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>226732</TotalAmt>
        <ProgramServicesAmt>109445</ProgramServicesAmt>
        <ManagementAndGeneralAmt>117287</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>803346</TotalAmt>
        <ProgramServicesAmt>499403</ProgramServicesAmt>
        <ManagementAndGeneralAmt>303943</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>917057</BOYAmt>
        <EOYAmt>526704</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>1578700</BOYAmt>
        <EOYAmt>2577919</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
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        <EOYAmt>260326</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>26917</BOYAmt>
        <EOYAmt>27343</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>2791778</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>2135038</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>838313</BOYAmt>
        <EOYAmt>656740</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>4663</BOYAmt>
        <EOYAmt>4663</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>3614765</BOYAmt>
        <EOYAmt>4053695</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>21180</BOYAmt>
        <EOYAmt>42038</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>205855</BOYAmt>
        <EOYAmt>205855</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>227035</BOYAmt>
        <EOYAmt>247893</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>3387730</BOYAmt>
        <EOYAmt>3805802</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>3387730</BOYAmt>
        <EOYAmt>3805802</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>3614765</BOYAmt>
        <EOYAmt>4053695</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>418072</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="990A">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>58326</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>57799</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>16668</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>22304</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>23267</CurrentTaxYearAmt>
        <TotalAmt>178364</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TaxRevLeviedOrgnztnlBnft170Grp>
        <CurrentTaxYearMinus4YearsAmt>503951</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>515082</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>510886</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>507853</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>522839</CurrentTaxYearAmt>
        <TotalAmt>2560611</TotalAmt>
      </TaxRevLeviedOrgnztnlBnft170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>562277</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>572881</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>527554</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>530157</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>546106</CurrentTaxYearAmt>
        <TotalAmt>2738975</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>2738975</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus3YearsAmt>3786</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1891</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1927</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>40236</CurrentTaxYearAmt>
        <TotalAmt>47840</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <TotalSupportAmt>2786815</TotalSupportAmt>
      <PublicSupportCY170Pct>0.98280</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.99720</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="990D">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>68575</OtherCostOrOtherBasisAmt>
        <BookValueAmt>68575</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>35000</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>35000</DepreciationAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>724217</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>589621</DepreciationAmt>
        <BookValueAmt>134596</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>1917338</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1467133</DepreciationAmt>
        <BookValueAmt>450205</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>46648</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>43284</DepreciationAmt>
        <BookValueAmt>3364</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>656740</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>DEPOSITS</Desc>
        <BookValueAmt>4663</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>4663</TotalBookValueOtherAssetsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>1221418</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>1221418</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>1221418</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>803346</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>803346</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>803346</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Footnote for uncertain tax position under FIN 48 (Part X)</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION FOLLOWS FASB ASC TOPIC 740, INCOME TAXES, AND EVALUATES ITS INCOME TAX POSITIONS EACH YEAR. THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE AND BELIEVES IT HAS NO UNCERTAIN TAX POSITIONS FOR OPEN TAX YEARS. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE FINANCIAL STATEMENTS FOR THE FISCAL YEARS ENDED SEPTEMBER 30, 2023 AND 2022. IN THE EVENT THE ORGANIZATION INCURS INTEREST OR PENALTIES RELATED TO UNCERTAIN TAX POSITIONS, INTEREST WOULD BE INCLUDED AS A COMPONENT OF INTEREST EXPENSE AND PENALTIES WOULD BE INCLUDED AS A COMPONENT OF PROGRAM SERVICES IN THE STATEMENT ACTIVITES. IN ADDITION, THE ORGANIZATION HAS BEEN DETERMINED BY INTERNAL REVENUE SERVICE (IRS) NOT TO BE A PRIVATE FOUNDATION WITHIN THE MEANING OF SECTION 409(A) OF THE INTERNAL REVENUE CODE. THERE WAS NO UNRELATED BUSINESS INCOME FOR THE FISCAL YEARS ENDED SEPTEMBER 30, 2023 AND 2022. THE ORGANIZATION FILES FORM 990 INFORMATIONAL RETURN WITH THE INTERNAL REVENUE SERVICE (IRS) AND A FORM CHAR-500 INFORMATIONAL RETURN WITH NEW YORK STATE CHARITES BUREAU. FOR FEDERAL INCOME TAX PURPOSES, THE TAX RETURN ESSENTAILLY REMAIN OPEN FOR POSSIBLE EXAMINATION FOR THE YEARS ENDED SEPTEMBER 30, 2021 THROUGH 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="990O">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>AFTER THE PREPARED RETURN HAS BEEN APPROVED BY THE CFO AND THE PRESIDENT, IT IS SUBMITTED TO EACH MEMBER OF THE BOARD OF DIRECTORS ACCOMPANIED BY A DOCUMENT TITLED BOARD REVIEW OF FORM 990. THIS ACCOMPANYING DOCUMENT, PREPARED BY THE CFO, DRAWS THE BOARDS ATTENTION TO THE INFORMATION THEY NEED TO FOCUS ON IN ORDER TO MEET THEIR OVERSIGHT RESPONSIBILITES. THEY ARE PRESENTED WITH THE OPPORTUNITY TO ASK QUESTIONS PRIOR TO THE RETURN BEING FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy compliance Part VI line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>AFTER THE PREPARED RETURN HAS BEEN APPROVED BY THE TREASURER AND THE PRESIDENT, IT IS SUBMITTED TO EACH MEMBER OF THE BOARD OF DIRECTORS ACCOMPANIED BY A DOCUMENT TITLED BOARD REVIEW OF FORM 990. THIS ACCOMPANYING DOCUMENT, PREPARED BY THE TREASURER, DRAWS THE BOARDS ATTENTION TO THE INFORMATION THEY NEED TO FOCUS ON IN ORDER TO MEET THEIR OVERSIGHT RESPONSIBILITES. THEY ARE PRESENTED WITH THE OPPURTUNITY TO ASK QUESTIONS PRIOR TO THE RETURN BEING FILED. FORM 990, PART VI, LINE 12C- EXPLANATION OF MONITORING AND ENFORCEMENT OF CONFLICTS ANNUALLY, THE CHAIRMAN OF THE BOARD DISCUSSES THE CONFLICT OF INTEREST POLICY WITH THE BOARD MEMBERS AND CORPORATE OFFICERS AND REQUESTS COMPLETION OF A CONFLICT OF INTEREST STATEMENT INCLUDING ANY EXISTING OR POTENTIAL CONFLICTS OF INTEREST. CONFLICTS DISCLOSED ARE REVIEWED BY THE CHAIRMAN OF THE BOARD AND THE CHAIR OF THE GOVERNANCE COMMITTEE. ANY ADDITIONS TO POTENTIAL OR ACTUAL CONFLICTS OF INTEREST WOULD BE COMMUNICATED TO THE PRESIDENT OF THE COMPANY FOR MONITORING PROPOSED AND ON-GOING TRANSACTIONS DURING THE YEAR. IF THERE ARE POTENTIAL TRANSACTIONS THAT WOULD CREATE A CONFLICT OF INTEREST, THE BOARD MEMBER WITH THE CONFLICT IS PROHIBITED FROM VOTING ON THE ISSUE. CURRENTLY, ALL BOARD MEMBERS AND CORPORATE OFFICERS ARE COVERED BY THE POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 availability to public Part VI line 18</FormAndLineReferenceDesc>
        <ExplanationTxt>FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. THE TAX FORMS ARE AVAILABLE UPON REQUEST OR BY VISITING WWW.GUIDESTAR.ORG OR WWW.CHARITIESNYS.COM/REGISTRYSEARCH/SEARCH_CHARITIES/JSP</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART VI, LINE 19- OTHER ORGANIZATION DOCUMENTS PUBLICLY AVAILABLEGOVERNING DOCUMENTS ARE MADE AVAILABLE ON OUR WEBSITE FOR THE GENERAL PUBLIC TO VIEW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>List of other expenses Part IX line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER EXPENSES-PROGRAM SERVICESAMBULANCE SUPPLIES $65,660DISPATCHING $14,975FUEL $14,140LAUNDRY $595RADIO REPAIRS $5,269TRAINING &amp; EDUCATION $8,806TOTAL $109,445 OTHER EXPENSES-MANAGEMENT &amp; GENERAL-BILLING ADMIN FEES $9,362CLEANING SUPPLIES $5,779DUES &amp; SUBSCRIPTIONS $2,149FUEL $3,759GROUND MAINTENANCE $1,446LAUNDRY $105LICENSES &amp; FEES $101MEETING EXPENSE $18,995PHYSICALS $6,446POSTAGE $1,000REIMBURSEMENTS $27,375REPAIRS &amp; MAINTENANCE $16,119TAXES $1,578TELEPHONE $2,370UNIFORMS $8,452UTILITIES $12,251TOTAL $117,287</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>