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        <BOYAmt>37172</BOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>421036</BOYAmt>
        <EOYAmt>386215</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>421036</BOYAmt>
        <EOYAmt>386682</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>2030130</BOYAmt>
        <EOYAmt>2406503</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>2030130</BOYAmt>
        <EOYAmt>2406503</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>2451166</BOYAmt>
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      <ReconcilationRevenueExpnssAmt>376373</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingCashInd>X</MethodOfAccountingCashInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>false</FSAuditedInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
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        <CurrentTaxYearMinus3YearsAmt>153074</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>320899</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>26920</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>372282</CurrentTaxYearAmt>
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      <GrossReceiptsAdmissionsGrp>
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        <CurrentTaxYearMinus3YearsAmt>556662</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>458225</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>700549</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>542651</CurrentTaxYearAmt>
        <TotalAmt>2819363</TotalAmt>
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        <CurrentTaxYearMinus4YearsAmt>140743</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>410512</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>426836</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>626692</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>686667</CurrentTaxYearAmt>
        <TotalAmt>2291450</TotalAmt>
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      <Total509Grp>
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        <CurrentTaxYearMinus3YearsAmt>1120248</CurrentTaxYearMinus3YearsAmt>
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        <CurrentTaxYearMinus1YearAmt>1354161</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1601600</CurrentTaxYearAmt>
        <TotalAmt>6155215</TotalAmt>
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      <SubstAndDsqlfyPrsnsTotGrp>
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        <CurrentTaxYearAmt>0</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus1YearAmt>1321</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2193</CurrentTaxYearAmt>
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      <InvestmentIncomeAndUBTIGrp>
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        <CurrentTaxYearMinus3YearsAmt>405</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>249</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1321</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2193</CurrentTaxYearAmt>
        <TotalAmt>7126</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <TotalSupportCalendarYearGrp>
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        <CurrentTaxYearMinus3YearsAmt>1120653</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1206209</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1355482</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1603793</CurrentTaxYearAmt>
        <TotalAmt>6162341</TotalAmt>
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      <PublicSupportCY509Pct>0.99880</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99830</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <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="IRS990ScheduleD">
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        <BookValueAmt>42450</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>1278534</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>71802</DepreciationAmt>
        <BookValueAmt>1206732</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
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        <DepreciationAmt>284146</DepreciationAmt>
        <BookValueAmt>867076</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
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        <DepreciationAmt>114165</DepreciationAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>2116258</TotalBookValueLandBuildingsAmt>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS REVIEW THE TAX RETURN BEFORE IT IS FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III response or note to any other line in Part III</FormAndLineReferenceDesc>
        <ExplanationTxt>TO PROVIDE PROFESSIONAL, COMPASSIONATE, AND QUALITY HEALTH CARE TO THE COMMUNITIES WE SERVICE IN A SAFE AND EFFICIENT MANNER. TO MEET AND EXCEED CURRENT LOCAL, STATE, AND NATIONAL STANDARDS TO PROVIDE THE HIGHEST POSSIBLE STANDARD OF EXCELLENCE IN EMERGENCY MEDICAL CARE. TO HEIGHTEN THE QUALITY OF LIFE OF THOSE WHO LIVE, WORK, PLAY, AND VISIT WITHIN THE BOUNDARIES OF OUR AMBULANCE DISTRICT BY PROVIDING THE HIGHEST QUALITY AND MOST TIMELY EMERGENCY MEDICAL CARE POSSIBLE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>