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        <CurrentTaxYearMinus2YearsAmt>104516</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>200007</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>189577</CurrentTaxYearAmt>
        <TotalAmt>846403</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>927349</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1042814</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1069138</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>851517</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>802262</CurrentTaxYearAmt>
        <TotalAmt>4693080</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>1177538</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1144928</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1173654</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1051524</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>991839</CurrentTaxYearAmt>
        <TotalAmt>5539483</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <CurrentTaxYearMinus3YearsAmt>5000</CurrentTaxYearMinus3YearsAmt>
        <TotalAmt>5000</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <CurrentTaxYearMinus3YearsAmt>5000</CurrentTaxYearMinus3YearsAmt>
        <TotalAmt>5000</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>5534483</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>23963</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>24053</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>36851</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>13510</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>12888</CurrentTaxYearAmt>
        <TotalAmt>111265</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>23963</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>24053</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>36851</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>13510</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>12888</CurrentTaxYearAmt>
        <TotalAmt>111265</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <NetIncomeFromOtherUBIGrp>
        <CurrentTaxYearMinus3YearsAmt>4499</CurrentTaxYearMinus3YearsAmt>
        <TotalAmt>4499</TotalAmt>
      </NetIncomeFromOtherUBIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>1315</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus1YearAmt>48792</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>126022</CurrentTaxYearAmt>
        <TotalAmt>176129</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>1202816</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1173480</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1210505</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1113826</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1130749</CurrentTaxYearAmt>
        <TotalAmt>5831376</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.94910</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.96910</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.02000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.02000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART III, LINE 12</FormAndLineReferenceDesc>
        <ExplanationTxt>MISCELLANEOUS INCOME 176,129</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </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">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>45000</OtherCostOrOtherBasisAmt>
        <BookValueAmt>45000</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>294699</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>263293</DepreciationAmt>
        <BookValueAmt>31406</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>25369</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>23027</DepreciationAmt>
        <BookValueAmt>2342</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>1061048</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>744565</DepreciationAmt>
        <BookValueAmt>316483</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>71351</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>71351</DepreciationAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>395231</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>PAYROLL LIABILITIES</Desc>
        <Amt>153</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>153</TotalLiabilityAmt>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc5">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERSHIPS ARE SIGNED AGREEMENTS BETWEEN THE ORGANIZATION AND MEMBERS WHICH FORGIVE OUT-OF-POCKET CO-PAYMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE RETURN IS MADE AVAILABLE TO ALL BOARD MEMBERS AT MEETINGS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE RETURN IS AVAILABLE ON REQUEST AT THE AMBULANCE OFFICE - THE ONLY LOCATION FOR THIS ORGANIZATION. THIS IS A SMALL LOCAL ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>