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        <ProgramServicesAmt>2505647</ProgramServicesAmt>
        <ManagementAndGeneralAmt>188597</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>13292</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1001</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>214450</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16141</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>222050</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16713</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>5009</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>6590</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
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        <ManagementAndGeneralAmt>29470</ManagementAndGeneralAmt>
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        <FundraisingAmt>530</FundraisingAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>56848</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18371</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
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        <ProgramServicesAmt>4823</ProgramServicesAmt>
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      <OccupancyGrp>
        <TotalAmt>46200</TotalAmt>
        <ProgramServicesAmt>46200</ProgramServicesAmt>
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      <TravelGrp>
        <TotalAmt>193506</TotalAmt>
        <ProgramServicesAmt>193506</ProgramServicesAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>2491</TotalAmt>
        <ManagementAndGeneralAmt>2491</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>2756</TotalAmt>
        <ProgramServicesAmt>2756</ProgramServicesAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>257821</TotalAmt>
        <ProgramServicesAmt>257821</ProgramServicesAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>53988</TotalAmt>
        <ProgramServicesAmt>53988</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>EMS SUPPLIES</Desc>
        <TotalAmt>200241</TotalAmt>
        <ProgramServicesAmt>198542</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1699</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>EMS CLUB EXPENSE</Desc>
        <TotalAmt>16019</TotalAmt>
        <ProgramServicesAmt>16019</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>AMBULANCE EXPENSE</Desc>
        <TotalAmt>13341</TotalAmt>
        <ProgramServicesAmt>13341</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>4761398</TotalAmt>
        <ProgramServicesAmt>4455559</ProgramServicesAmt>
        <ManagementAndGeneralAmt>305309</ManagementAndGeneralAmt>
        <FundraisingAmt>530</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>161303</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>493</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <LandBldgEquipCostOrOtherBssAmt>2522668</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>1118742</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>1403926</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>2111967</EOYAmt>
      </InvestmentsPubTradedSecGrp>
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        <EOYAmt>3677689</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>11206</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <GrantsPayableGrp>
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        <EOYAmt>0</EOYAmt>
      </GrantsPayableGrp>
      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>101499</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>180998</BOYAmt>
        <EOYAmt>112705</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>3069885</BOYAmt>
        <EOYAmt>3564984</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>3564984</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>3250883</BOYAmt>
        <EOYAmt>3677689</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>555771</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-60672</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingOtherInd methodOfAccountingOtherDesc="modified cash">X</MethodOfAccountingOtherInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>0</FSAuditedInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
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        <CurrentTaxYearMinus3YearsAmt>108304</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>234889</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>110092</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>400697</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus4YearsAmt>545245</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>108304</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>234889</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>110092</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>400697</CurrentTaxYearAmt>
        <TotalAmt>1399227</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>42815</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>1356412</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>11679</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>25141</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>39954</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>51785</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>81321</CurrentTaxYearAmt>
        <TotalAmt>209880</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
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        <CurrentTaxYearMinus3YearsAmt>3</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearAmt>120</CurrentTaxYearAmt>
        <TotalAmt>142</TotalAmt>
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      <GrossReceiptsRltdActivitiesAmt>19347674</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.84290</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.85790</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
      <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>
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        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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        <DepreciationAmt>563243</DepreciationAmt>
        <BookValueAmt>287456</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>1671969</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>555499</DepreciationAmt>
        <BookValueAmt>1116470</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>1403926</TotalBookValueLandBuildingsAmt>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART V, LINE 1C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DID NOT HAVE ANY INSTANCES WHERE BACKUP WITHHOLDING WAS REQUIRED; HOWEVER, IF THE SITUATION WOULD ARISE, THE ORGANIZATION IS AWARE OF THE REPORTING REQUIREMENTS AND WOULD HANDLE THAT ACCORDINGLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>KEVIN MOUL, CHAIRMAN, AND STEVE RABINE, BOARD MEMBER, BOTH WORK FOR THE SAME EMS EQUIPMENT SUPPLIER - BUSINESS RELATIONSHIP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING BOARD IS MADE UP OF SEVERAL APPOINTMENTS. THE FIRE DEPARTMENT BOARD OF OFFICERS APPOINT THE BOARD MEMBERS. EACH COUNCIL OF GOVERNMENT (MUNCIPIALITY REPRESENTATIVE) APPOINTS THEIR REPRESENTATIVE AND EACH COMMISSIONER APPOINT THEIR REPRESENTATIVE. ALL APPOINTMENTS FORM ONE WORKING BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 WILL BE REVIEWED BY THE TREASURER AND THEN PRESENTED AT THE BOARD OF OFFICERS' MONTHLY MEETING WHERE EACH OFFICER WILL RECEIVE A COPY FOR REVIEW AND COMMENTS. THE FORM 990 WILL THEN BE READY FOR ITS FILING WITH THE INTERNAL REVENUE SERVICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12</FormAndLineReferenceDesc>
        <ExplanationTxt>AREMS DOES NOT HAVE AN OFFICIAL POLICY BECAUSE THEY MAKE SURE A SITUATION DOES NOT ARISE CAUSING A CONFLICT. FOR EXAMPLE, IF AREMS IS MAKING A DECISION ON BUYING NEW EQUIPMENT; KEVIN MOUL AND STEVE RABINE (EMPLOYEES OF THE FIRE STORE) WOULD REMOVE THEMSELVES FROM THE VOTING PROCESS. THIS WOULD THEN BE DOCUMENTED IN THE BOARD MINUTES THAT "SAID MEMBERS" ABSTAINED FROM VOTING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE FOR PUBLIC INSPECTION AS THIS IS NOT REQUIRED BY FEDERAL OR STATE LAW. THE ORGANIZATION INCLUDES A COPY OF ITS FINANCIAL STATEMENT WITH THE STATE REGISTRATION FILED WITH THE PENNSYLVANIA DEPARTMENT OF STATE, BUREAU OF CHARITABLE ORGANIZATIONS. THESE DOCUMENTS ARE A MATTER OF PUBLIC RECORD AND CAN BE VIEWED AT THE BUREAU OFFICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>ADAMS REGIONAL EMERGENCY MEDICAL SERVICE'S FINANCAL STATEMENTS ARE PREPARED IN CONFORMITY WITH THE MODIFIED CASH BASIS OF ACCOUNTING.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>