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      <NetUnrlzdGainsLossesInvstAmt>229006</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>0</FSAuditedInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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        <CurrentTaxYearMinus2YearsAmt>554510</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1088953</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1732245</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus3YearsAmt>671782</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>560879</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1102418</CurrentTaxYearMinus1YearAmt>
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      <AmountsRcvdDsqlfyPersonGrp>
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      <GrossInvestmentIncome509Grp>
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        <CurrentTaxYearMinus3YearsAmt>50544</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>57322</CurrentTaxYearMinus2YearsAmt>
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        <CurrentTaxYearMinus2YearsAmt>57322</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>53854</CurrentTaxYearMinus1YearAmt>
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      <PublicSupportPY509Pct>0.92750</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.05410</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.07250</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
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    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <InvestmentCostOrOtherBasisAmt>45532</InvestmentCostOrOtherBasisAmt>
        <BookValueAmt>45532</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <InvestmentCostOrOtherBasisAmt>1054577</InvestmentCostOrOtherBasisAmt>
        <DepreciationAmt>538307</DepreciationAmt>
        <BookValueAmt>516270</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <InvestmentCostOrOtherBasisAmt>368352</InvestmentCostOrOtherBasisAmt>
        <DepreciationAmt>302598</DepreciationAmt>
        <BookValueAmt>65754</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <InvestmentCostOrOtherBasisAmt>1015925</InvestmentCostOrOtherBasisAmt>
        <DepreciationAmt>865937</DepreciationAmt>
        <BookValueAmt>149988</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>777544</TotalBookValueLandBuildingsAmt>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>OFFICERS REVIEW AND ACKNOWLEDGE REVIEW OF TAX RETURN PRIOR TO FILING</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>CONFLICT OF INTEREST POLICY IS REVIEWED AT BOARD MEETING</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>AMONG OTHER INFORMATION, THE BOARD CONSIDERS WAGES PAID BY SIMILAR ORGANIZATIONS IN DETERMINING COMPENSATION</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>AVAILABLE UPON REQUEST AT THE AMBULANCE OFFICE THE TAX DOCUMENTS CAN ALSO BE VIEWED AT GUIDESTAR ORG</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTRACT LABOR: PROGRAM SERVICE EXPENSES 1,049,145. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,049,145.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>