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        <RelatedOrExemptFuncIncomeAmt>5629090</RelatedOrExemptFuncIncomeAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>0</TotalAmt>
      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>277652</TotalAmt>
        <ManagementAndGeneralAmt>277652</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
        <TotalAmt>0</TotalAmt>
      </CompDisqualPersonsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>3677991</TotalAmt>
        <ProgramServicesAmt>3599049</ProgramServicesAmt>
        <ManagementAndGeneralAmt>78942</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>68830</TotalAmt>
        <ProgramServicesAmt>62625</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6205</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
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      <PayrollTaxesGrp>
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        <ManagementAndGeneralAmt>28770</ManagementAndGeneralAmt>
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      <FeesForServicesManagementGrp>
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      <FeesForServicesLegalGrp>
        <TotalAmt>23431</TotalAmt>
        <ManagementAndGeneralAmt>23431</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>2750</TotalAmt>
        <ManagementAndGeneralAmt>2750</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
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      <FeesForServicesProfFundraising>
        <TotalAmt>0</TotalAmt>
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      <FeesForSrvcInvstMgmntFeesGrp>
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      <FeesForServicesOtherGrp>
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        <ProgramServicesAmt>311488</ProgramServicesAmt>
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      <AdvertisingGrp>
        <TotalAmt>13092</TotalAmt>
        <ProgramServicesAmt>2595</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10497</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>39672</TotalAmt>
        <ManagementAndGeneralAmt>39672</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>0</TotalAmt>
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      <RoyaltiesGrp>
        <TotalAmt>0</TotalAmt>
      </RoyaltiesGrp>
      <OccupancyGrp>
        <TotalAmt>82337</TotalAmt>
        <ProgramServicesAmt>63244</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19093</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>0</TotalAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
        <TotalAmt>0</TotalAmt>
      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>0</TotalAmt>
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      <InterestGrp>
        <TotalAmt>1073</TotalAmt>
        <ProgramServicesAmt>1073</ProgramServicesAmt>
      </InterestGrp>
      <PaymentsToAffiliatesGrp>
        <TotalAmt>0</TotalAmt>
      </PaymentsToAffiliatesGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>242314</TotalAmt>
        <ProgramServicesAmt>230927</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11387</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>261690</TotalAmt>
        <ProgramServicesAmt>223565</ProgramServicesAmt>
        <ManagementAndGeneralAmt>38125</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Vehicle Repair/Maintenance</Desc>
        <TotalAmt>207979</TotalAmt>
        <ProgramServicesAmt>207979</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Disposable Medical Supplies</Desc>
        <TotalAmt>134122</TotalAmt>
        <ProgramServicesAmt>134122</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Fuel</Desc>
        <TotalAmt>97488</TotalAmt>
        <ProgramServicesAmt>97488</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Medical Equipment Purchases</Desc>
        <TotalAmt>46387</TotalAmt>
        <ProgramServicesAmt>46387</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>180108</TotalAmt>
        <ProgramServicesAmt>153111</ProgramServicesAmt>
        <ManagementAndGeneralAmt>26997</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>6405514</TotalAmt>
        <ProgramServicesAmt>5804649</ProgramServicesAmt>
        <ManagementAndGeneralAmt>600865</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>238423</BOYAmt>
        <EOYAmt>138752</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
        <BOYAmt>150047</BOYAmt>
        <EOYAmt>12352</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <EOYAmt>0</EOYAmt>
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      <AccountsReceivableGrp>
        <EOYAmt>0</EOYAmt>
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      <ReceivablesFromOfficersEtcGrp>
        <EOYAmt>0</EOYAmt>
      </ReceivablesFromOfficersEtcGrp>
      <RcvblFromDisqualifiedPrsnGrp>
        <EOYAmt>0</EOYAmt>
      </RcvblFromDisqualifiedPrsnGrp>
      <OthNotesLoansReceivableNetGrp>
        <EOYAmt>0</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
        <EOYAmt>0</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <EOYAmt>0</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>5000721</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>2772592</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>246805</BOYAmt>
        <EOYAmt>2228129</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <EOYAmt>0</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
        <EOYAmt>0</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <InvestmentsProgramRelatedGrp>
        <EOYAmt>0</EOYAmt>
      </InvestmentsProgramRelatedGrp>
      <IntangibleAssetsGrp>
        <EOYAmt>0</EOYAmt>
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      <OtherAssetsTotalGrp>
        <EOYAmt>0</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>635275</BOYAmt>
        <EOYAmt>2379233</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>68867</BOYAmt>
        <EOYAmt>70916</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <UnsecuredNotesLoansPayableGrp>
        <EOYAmt>500000</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>39228</BOYAmt>
        <EOYAmt>68882</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>108095</BOYAmt>
        <EOYAmt>639798</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>377133</BOYAmt>
        <EOYAmt>1739435</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>150047</BOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>527180</BOYAmt>
        <EOYAmt>1739435</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>635275</BOYAmt>
        <EOYAmt>2379233</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-333172</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>1545427</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingCashInd>X</MethodOfAccountingCashInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>false</FSAuditedInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA" softwareId="23017517" softwareVersionNum="2023v5.1">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus3YearsAmt>112333</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>231097</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>276571</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>443252</CurrentTaxYearAmt>
        <TotalAmt>1063253</TotalAmt>
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      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus3YearsAmt>870767</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1114152</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2058571</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>5546154</CurrentTaxYearAmt>
        <TotalAmt>9589644</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <GrossReceiptsNonUnrltBusGrp>
        <TotalAmt>0</TotalAmt>
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      <TaxRevLeviedOrgnztnlBnft509Grp>
        <TotalAmt>0</TotalAmt>
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      <GovtFurnSrvcFcltsVl509Grp>
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      <Total509Grp>
        <CurrentTaxYearMinus3YearsAmt>983100</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1345249</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2335142</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>5989406</CurrentTaxYearAmt>
        <TotalAmt>10652897</TotalAmt>
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      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
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      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <PublicSupportTotal509Amt>10652897</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus3YearsAmt>2</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>169</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>104</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>82936</CurrentTaxYearAmt>
        <TotalAmt>83211</TotalAmt>
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        <CurrentTaxYearMinus1YearAmt>104</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>82936</CurrentTaxYearAmt>
        <TotalAmt>83211</TotalAmt>
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      <OtherIncome509Grp>
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      <TotalSupportCalendarYearGrp>
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        <CurrentTaxYearMinus2YearsAmt>1345418</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2335246</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>6072342</CurrentTaxYearAmt>
        <TotalAmt>10736108</TotalAmt>
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      <First5Years509Ind>X</First5Years509Ind>
      <PublicSupportCY509Pct>0.00000</PublicSupportCY509Pct>
      <InvestmentIncomeCYPct>0.00000</InvestmentIncomeCYPct>
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      <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="IRS990ScheduleD" softwareId="23017517" softwareVersionNum="2023v5.1">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>103339</OtherCostOrOtherBasisAmt>
        <BookValueAmt>103339</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>1751197</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>588255</DepreciationAmt>
        <BookValueAmt>1162942</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>2558236</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1707615</DepreciationAmt>
        <BookValueAmt>850621</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>587949</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>476722</DepreciationAmt>
        <BookValueAmt>111227</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>2228129</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>PEMA Loan</Desc>
        <Amt>68882</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>68882</TotalLiabilityAmt>
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    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="23017517" softwareVersionNum="2023v5.1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>No review was or will be conducted.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>All compensation is determined by the Board of Directors who are unpaid. Compensation is compared to regional salary reports from competitors. the executive director, managers and other key employees are excused from compensation approval meetings or are not in attendance.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>All compensation is determined by Board of Directors who are unpaid. Compensation is compared to regional salary reports from competitors. When the other key employeess compensation and performance is reviewed, they are excused from the meeting.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 18</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization makes its Form 1023 available upon request. It also makes its Form 990 available on the website and Guidstar.org. The public is welcome to inspect it upon request as well.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Governing documents, conflict of interest policy, and financial statements are made available to the public upon request. Municipalities covered by the Organization's territory are provided internally prepared financial statements when released. The annual report and the Form 990 Tax Return are also made available on the Organization's website.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Cash Transfers from WY Ambulance per Merger Agreement = $374089</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Cash Transfers from YREMS per Merger Agreement = $283050</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Fixed Asset Transfers from WY Ambulance per Merger Agreement = $346564</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Fixed Asset Transfers from YREMS per Merger Agreement = $541724</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>