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        <ProgramServicesAmt>10073</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>EDUCATION CENTER</Desc>
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        <ProgramServicesAmt>113857</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>6920</ProgramServicesAmt>
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        <ProgramServicesAmt>1550924</ProgramServicesAmt>
        <ManagementAndGeneralAmt>20914</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>1156</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>418370</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <LandBldgEquipCostOrOtherBssAmt>2951125</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>642774</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>2116258</BOYAmt>
        <EOYAmt>2308351</EOYAmt>
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        <BOYAmt>2793185</BOYAmt>
        <EOYAmt>2727877</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>954</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>386215</BOYAmt>
        <EOYAmt>352302</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>386682</BOYAmt>
        <EOYAmt>353256</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>2406503</BOYAmt>
        <EOYAmt>2374621</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>2406503</BOYAmt>
        <EOYAmt>2374621</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>2793185</BOYAmt>
        <EOYAmt>2727877</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>-31882</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingCashInd>X</MethodOfAccountingCashInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>false</FSAuditedInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
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        <CurrentTaxYearMinus3YearsAmt>320899</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>26920</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>372282</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>100275</CurrentTaxYearAmt>
        <TotalAmt>973450</TotalAmt>
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      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>556662</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>458225</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>700549</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>542651</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>686454</CurrentTaxYearAmt>
        <TotalAmt>2944541</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <TaxRevLeviedOrgnztnlBnft509Grp>
        <CurrentTaxYearMinus4YearsAmt>410512</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>426836</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>626692</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>686667</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>704830</CurrentTaxYearAmt>
        <TotalAmt>2855537</TotalAmt>
      </TaxRevLeviedOrgnztnlBnft509Grp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>1120248</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1205960</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1354161</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1601600</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1491559</CurrentTaxYearAmt>
        <TotalAmt>6773528</TotalAmt>
      </Total509Grp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <CurrentTaxYearMinus4YearsAmt>0</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>0</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>0</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>0</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>0</CurrentTaxYearAmt>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>6773528</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
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        <CurrentTaxYearMinus3YearsAmt>249</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1321</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2193</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>15098</CurrentTaxYearAmt>
        <TotalAmt>19266</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
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        <CurrentTaxYearMinus3YearsAmt>249</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1321</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2193</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>15098</CurrentTaxYearAmt>
        <TotalAmt>19266</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>1120653</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1206209</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1355482</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1603793</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1506657</CurrentTaxYearAmt>
        <TotalAmt>6792794</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.99720</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99880</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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        <OtherCostOrOtherBasisAmt>42450</OtherCostOrOtherBasisAmt>
        <BookValueAmt>42450</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>1278534</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>102634</DepreciationAmt>
        <BookValueAmt>1175900</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>1515976</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>425975</DepreciationAmt>
        <BookValueAmt>1090001</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>114165</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>114165</DepreciationAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>2308351</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>