﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2023v5.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2024-08-20T11:35:27-04:00</ReturnTs>
    <TaxPeriodEndDt>2023-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>825326756</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>GORMAN &amp; ASSOCIATES PC</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>1825 FRANKLIN ST STE B</AddressLine1Txt>
        <CityNm>NORTHAMPTON</CityNm>
        <StateAbbreviationCd>PA</StateAbbreviationCd>
        <ZIPCd>180671573</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2023-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>232390018</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>NORTHAMPTON REGIONAL EMERGENCY</BusinessNameLine1Txt>
        <BusinessNameLine2Txt>MEDICAL SERVICES INC</BusinessNameLine2Txt>
      </BusinessName>
      <BusinessNameControlTxt>NORT</BusinessNameControlTxt>
      <PhoneNum>6102627679</PhoneNum>
      <USAddress>
        <AddressLine1Txt>1525 CANAL STREET</AddressLine1Txt>
        <CityNm>NORTHAMPTON</CityNm>
        <StateAbbreviationCd>PA</StateAbbreviationCd>
        <ZIPCd>18067</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>ERIC WESCOE</PersonNm>
      <PersonTitleTxt>EXECUTIVE DIRECTOR</PersonTitleTxt>
      <PhoneNum>6102627679</PhoneNum>
      <SignatureDt>2024-08-16</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>true</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>ROBERT B TRAVIS CPA</PreparerPersonNm>
      <PTIN>P01044470</PTIN>
      <PhoneNum>6102621280</PhoneNum>
      <PreparationDt>2024-08-16</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2023</TaxYr>
    <BuildTS>2024-08-08 14:25:15Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="5">
    <IRS990 documentId="RetDoc3" referenceDocumentId="RetDoc5">
      <DoingBusinessAsName>
        <BusinessNameLine1Txt>NORTHAMPTON REGIONAL EMS</BusinessNameLine1Txt>
      </DoingBusinessAsName>
      <PrincipalOfficerNm>ERIC WESCOE</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>313 EAST TENTH STREET</AddressLine1Txt>
        <CityNm>NORTHAMPTON</CityNm>
        <StateAbbreviationCd>PA</StateAbbreviationCd>
        <ZIPCd>18067</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>2286122</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>N/A</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1985</FormationYr>
      <LegalDomicileStateCd>PA</LegalDomicileStateCd>
      <ActivityOrMissionDesc>TO PROVIDE EMERGENCY MEDICAL CARE AND TRANSPORTATION</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>6</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>6</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>70</TotalEmployeeCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <PYContributionsGrantsAmt>322384</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>96891</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>2032099</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>2160537</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>-34033</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>28694</CYInvestmentIncomeAmt>
      <CYOtherRevenueAmt>0</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>2320450</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>2286122</CYTotalRevenueAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>1546109</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>1638793</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>0</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>665669</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>628652</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>2211778</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>2267445</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>108672</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>18677</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>2509269</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>1974215</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>43131</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>42872</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>2466138</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>1931343</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>TO PROVIDE EMERGENCY MEDICAL CARE AND TRANSPORTATION</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>1983602</ExpenseAmt>
      <RevenueAmt>2160537</RevenueAmt>
      <Desc>TO PROVIDE EMERGENCY MEDICAL CARE AND TRANSPORTATION FOR THE SURROUNDING COMMUNITY. ADDITIONALLY, PROVIDE EMERGENCY MEDICAL TRAINING TO THE COMMUNITY AND WATER RESCUE</Desc>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>51392</ExpenseAmt>
        <Desc>TO PROVIDE EMERGENCY MEDICAL CARE AND TRANSPORTATION FOR THE SURROUNDING COMMUNITY. ADDITIONALLY, PROVIDE EMERGENCY MEDICAL TRAINING TO THE COMMUNITY AND WATER RESCUE</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <TotalOtherProgSrvcExpenseAmt>51392</TotalOtherProgSrvcExpenseAmt>
      <TotalProgramServiceExpensesAmt>2034994</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc6">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>false</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc4">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc4">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc4">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc4">false</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd referenceDocumentId="RetDoc4">true</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc4">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc4">false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc4">false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc4">false</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc4">true</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc4">false</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc4">false</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc4">false</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>false</FundraisingActivitiesInd>
      <GamingActivitiesInd>false</GamingActivitiesInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <GrantsToOrganizationsInd>false</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd>false</ScheduleJRequiredInd>
      <TaxExemptBondsInd>false</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>false</PYExcessBenefitTransInd>
      <LoanOutstandingInd>false</LoanOutstandingInd>
      <GrantToRelatedPersonInd>false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>false</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>false</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd>false</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd>false</DisregardedEntityInd>
      <RelatedEntityInd>false</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd>false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>0</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <EmployeeCnt>70</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>false</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>false</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>false</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>6</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>6</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>false</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>false</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>false</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>true</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>false</ConflictOfInterestPolicyInd>
      <WhistleblowerPolicyInd>false</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>false</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>false</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>false</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>ERIC WESCOE</PersonNm>
        <PhoneNum>6102627679</PhoneNum>
        <USAddress>
          <AddressLine1Txt>313 EAST TENTH STREET</AddressLine1Txt>
          <CityNm>NORTHAMPTON</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>18067</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <NoListedPersonsCompensatedInd>X</NoListedPersonsCompensatedInd>
      <Form990PartVIISectionAGrp>
        <PersonNm>RYAN CARSON</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN DEMCZYSZYN</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRYAN FRITZ</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JACOB SCHOCK</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>THOMAS UNGER</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>false</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <GovernmentGrantsAmt>68287</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>28604</AllOtherContributionsAmt>
      <TotalContributionsAmt>96891</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>OUTSOURCED BILLING REVENUES</Desc>
        <TotalRevenueColumnAmt>1849936</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1849936</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>SUBSCRIPTION REVENUES</Desc>
        <TotalRevenueColumnAmt>244556</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>244556</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>ALS ASSISTS</Desc>
        <TotalRevenueColumnAmt>45150</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>45150</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>STAND-BY REVENUES</Desc>
        <TotalRevenueColumnAmt>17326</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>17326</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>SERVICE REVENUE OTHER</Desc>
        <TotalRevenueColumnAmt>16321</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>16321</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>-12752</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>-12752</RelatedOrExemptFuncIncomeAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>2160537</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>28694</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>28694</RelatedOrExemptFuncIncomeAmt>
      </InvestmentIncomeGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>2286122</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2189231</RelatedOrExemptFuncIncomeAmt>
      </TotalRevenueGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>1374934</TotalAmt>
        <ProgramServicesAmt>1255686</ProgramServicesAmt>
        <ManagementAndGeneralAmt>119248</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>13141</TotalAmt>
        <ProgramServicesAmt>12002</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1139</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>142200</TotalAmt>
        <ProgramServicesAmt>129872</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12328</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>108518</TotalAmt>
        <ProgramServicesAmt>99106</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9412</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>1184</TotalAmt>
        <ManagementAndGeneralAmt>1184</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>28398</TotalAmt>
        <ProgramServicesAmt>100</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28298</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>10161</TotalAmt>
        <ProgramServicesAmt>3271</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6890</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <OfficeExpensesGrp>
        <TotalAmt>48030</TotalAmt>
        <ProgramServicesAmt>10828</ProgramServicesAmt>
        <ManagementAndGeneralAmt>37202</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>11022</TotalAmt>
        <ProgramServicesAmt>10066</ProgramServicesAmt>
        <ManagementAndGeneralAmt>956</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <InterestGrp>
        <TotalAmt>1376</TotalAmt>
        <ManagementAndGeneralAmt>1376</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>160186</TotalAmt>
        <ProgramServicesAmt>159959</ProgramServicesAmt>
        <ManagementAndGeneralAmt>227</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>162176</TotalAmt>
        <ProgramServicesAmt>162176</ProgramServicesAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MAINTENANCE AND REPAIRS</Desc>
        <TotalAmt>104490</TotalAmt>
        <ProgramServicesAmt>104490</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
        <TotalAmt>32592</TotalAmt>
        <ProgramServicesAmt>32592</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>FUEL</Desc>
        <TotalAmt>26821</TotalAmt>
        <ProgramServicesAmt>26821</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>UNIFORMS</Desc>
        <TotalAmt>13118</TotalAmt>
        <ProgramServicesAmt>13118</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>29098</TotalAmt>
        <ProgramServicesAmt>14907</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14191</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>2267445</TotalAmt>
        <ProgramServicesAmt>2034994</ProgramServicesAmt>
        <ManagementAndGeneralAmt>232451</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>1105708</BOYAmt>
        <EOYAmt>223126</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>16774</BOYAmt>
        <EOYAmt>990671</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>553472</BOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <EOYAmt>10000</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>2505557</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>1925004</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>684179</BOYAmt>
        <EOYAmt>580553</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>149136</BOYAmt>
        <EOYAmt>169865</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <TotalAssetsGrp>
        <BOYAmt>2509269</BOYAmt>
        <EOYAmt>1974215</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <EOYAmt>28080</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>43131</BOYAmt>
        <EOYAmt>14792</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>43131</BOYAmt>
        <EOYAmt>42872</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>2246073</BOYAmt>
        <EOYAmt>1701410</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>220065</BOYAmt>
        <EOYAmt>229933</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>2466138</BOYAmt>
        <EOYAmt>1931343</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>2509269</BOYAmt>
        <EOYAmt>1974215</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>18677</ReconcilationRevenueExpnssAmt>
      <PriorPeriodAdjustmentsAmt>-553472</PriorPeriodAdjustmentsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingOtherInd methodOfAccountingOtherDesc="MODIFIED CASH">X</MethodOfAccountingOtherInd>
      <AccountantCompileOrReviewInd>true</AccountantCompileOrReviewInd>
      <FSAuditedInd>false</FSAuditedInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc6">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>38911</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>47074</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>312805</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>322384</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>96891</CurrentTaxYearAmt>
        <TotalAmt>818065</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>1622803</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1610092</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1994759</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1998066</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2189231</CurrentTaxYearAmt>
        <TotalAmt>9414951</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>1661714</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1657166</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2307564</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2320450</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2286122</CurrentTaxYearAmt>
        <TotalAmt>10233016</TotalAmt>
      </Total509Grp>
      <PublicSupportTotal509Amt>10233016</PublicSupportTotal509Amt>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>1661714</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1657166</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2307564</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2320450</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2286122</CurrentTaxYearAmt>
        <TotalAmt>10233016</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>1.00000</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>1.00000</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </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>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc4">
      <EndowmentsHeldUnrelatedOrgInd>false</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>false</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>30000</OtherCostOrOtherBasisAmt>
        <BookValueAmt>30000</BookValueAmt>
      </LandGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>2475557</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1925004</DepreciationAmt>
        <BookValueAmt>550553</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>580553</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>2553 ELAN CREDIT CARD</Desc>
        <Amt>14792</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>14792</TotalLiabilityAmt>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc5">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>TO PROVIDE EMERGENCY MEDICAL CARE AND TRANSPORTATION FOR THE SURROUNDING COMMUNITY. ADDITIONALLY, PROVIDE EMERGENCY MEDICAL TRAINING TO THE COMMUNITY AND WATER RESCUE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS REVIEWED BY THE BOARD BEFORE IT IS SENT TO THE IRS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS AVAILABLE TO BE VIEWED ON A THIRD PARTY WEBSITE: WWW.GUIDESTAR.ORG THAT RECEIVED THE FILED COPY OF THE FORM 990 FROM THE IRS. THE ORGANIZATION ALSO MAKES PUBLIC ALL DOCUMENTS THAT ARE ALLOWED BY LAW TO BE AVAILABLE TO THE PUBLIC UPON REQUEST DURING NORMAL BUSINESS HOURS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 12, PART XII, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS ELECTED TO CHANGE ITS ACCOUNTING METHOD FROM FULL ACCRUAL TO MODIFIED CASH BASIS TO BETTER ALIGN ITS FINANCIAL REPORTING WITH THE OPERATIONAL NEEDS OF THE BOARD AND MANAGEMENT. UNDER THE FULL ACCRUAL BASIS, THE RECOGNITION OF RECEIVABLES AND OTHER ACCRUED REVENUES HAS CREATED SIGNIFICANT FLUCTUATIONS IN FINANCIAL REPORTING, LARGELY DUE TO THE VARIABILITY IN THE TIMING OF PAYMENTS FROM INSURANCE PROVIDERS AND OTHER FUNDING SOURCES. THIS VARIABILITY HAS MADE IT CHALLENGING FOR THE BOARD TO EFFECTIVELY MANAGE AND MONITOR THE ORGANIZATIONS FINANCIAL POSITION AND OPERATIONAL PERFORMANCE.BY ADOPTING THE MODIFIED CASH BASIS OF ACCOUNTING, THE ORGANIZATION AIMS TO PROVIDE A MORE RELIABLE AND STRAIGHTFORWARD PRESENTATION OF ITS FINANCIAL STATEMENTS. THIS METHOD WILL ENHANCE THE BOARDS ABILITY TO ASSESS CASH FLOWS AND FINANCIAL HEALTH BASED ON ACTUAL CASH RECEIVED AND DISBURSED, LEADING TO IMPROVED DECISION-MAKING AND FINANCIAL OVERSIGHT.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>