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        <ProgramServicesAmt>35740</ProgramServicesAmt>
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        <ProgramServicesAmt>280532</ProgramServicesAmt>
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      <FeesForServicesOtherGrp>
        <TotalAmt>69130</TotalAmt>
        <ProgramServicesAmt>55304</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13826</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
        <TotalAmt>78734</TotalAmt>
        <ProgramServicesAmt>62987</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15747</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>180935</ProgramServicesAmt>
        <ManagementAndGeneralAmt>43401</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>43988</TotalAmt>
        <ProgramServicesAmt>35190</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8798</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>2778</TotalAmt>
        <ProgramServicesAmt>2223</ProgramServicesAmt>
        <ManagementAndGeneralAmt>555</ManagementAndGeneralAmt>
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      <InterestGrp>
        <TotalAmt>16976</TotalAmt>
        <ProgramServicesAmt>16976</ProgramServicesAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>372303</TotalAmt>
        <ProgramServicesAmt>360381</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11922</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>871645</TotalAmt>
        <ProgramServicesAmt>815582</ProgramServicesAmt>
        <ManagementAndGeneralAmt>56063</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>CONTRACTUAL ALLOWANCE</Desc>
        <TotalAmt>7606070</TotalAmt>
        <ProgramServicesAmt>7606070</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>AMBULANCE COSTS</Desc>
        <TotalAmt>506256</TotalAmt>
        <ProgramServicesAmt>499535</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6721</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>OTHER</Desc>
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        <ProgramServicesAmt>65474</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16367</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>UNIFORMS</Desc>
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        <ProgramServicesAmt>33261</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3433</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>18381</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>15042866</TotalAmt>
        <ProgramServicesAmt>14496774</ProgramServicesAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>1606562</EOYAmt>
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        <EOYAmt>1760820</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>9158448</EOYAmt>
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        <EOYAmt>261438</EOYAmt>
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        <EOYAmt>4399816</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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        <EOYAmt>4758632</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>4758632</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>9158448</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>-99307</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
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        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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      <GiftsGrantsContriRcvd170Grp>
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        <CurrentTaxYearMinus3YearsAmt>887588</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>876144</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1007256</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1234717</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus3YearsAmt>887588</CurrentTaxYearMinus3YearsAmt>
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        <CurrentTaxYearMinus1YearAmt>1007256</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1234717</CurrentTaxYearAmt>
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      <PublicSupportTotal170Amt>4871670</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>2017</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2572</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>306</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1959</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>72041</CurrentTaxYearAmt>
        <TotalAmt>78895</TotalAmt>
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      <GrossReceiptsRltdActivitiesAmt>56606262</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.98410</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.99700</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
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    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <BookValueAmt>66068</BookValueAmt>
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      <BuildingsGrp>
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        <BookValueAmt>4134690</BookValueAmt>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>7337489</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>7606070</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>7606070</RevenueNotReportedFinclStmtAmt>
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      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>7436796</ExpensesSubtotalAmt>
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      <ExpensesNotRptFinclStmtAmt>7606070</ExpensesNotRptFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SERVICE IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C) (3) OF THE INTERNAL REVENUE CODE, AND THEREFORE; HAS MADE NO PROVISION FOR FEDERAL INCOME TAXES IN THE ACCOMPANYING FINANCIAL STATEMENTS. IN ADDITION, THE SERVICE HAS BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE NOT TO BE A "PRIVATE FOUNDATION" WITHIN THE MEANING OF SECTION 509(A) OF THE INTERNAL REVENUE CODE. THERE WAS NO UNRELATED BUSINESS INCOME FOR THE CURRENT FISCAL YEARS. THE SERVICE IS NO LONGER SUBJECT TO U.S. FEDERAL INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR THE THREE YEARS BEFORE THE CURRENT YEAR ENDED. MANAGEMENT HAS ELECTED TO APPLY THE PROVISIONS OF FASB ASC INCOME TAXES. UNDER FASB ASC INCOME TAXES AN ENTITY MUST DETERMINE WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING RESOLUTION OF ANY APPEALS OR LITIGATION PROCESSES, BASED ON TECHNICAL MERITS OF THE POSITION. AS OF THE FISCAL YEAR ENDED, THE SERVICE HAD NO KNOWN LIABILITY DUE TO THE UNCERTAINTY OF INCOME TAXES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTRACTUAL ALLOWANCES NETTED AGAINST REVENUE 7,606,070.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTRACTUAL ALLOWANCES NETTED AGAINST REVENUE 7,606,070.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SERVICE WAS ORGANIZED FOR THE PURPOSE OF PROVIDING EMERGENCY AMBULANCE SERVICE TO MEMBER COMMUNITIES. CURRENTLY, TWENTY-FOUR GOVERNMENTAL COMMUNITIES ARE MEMBER/OWNERS OF THE SERVICE AND PAY A MONTHLY SUBSIDY FOR THEIR OWNERSHIP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE LOCAL GOVERNMENTAL UNIT MEMBERS APPOINT A REPRESENTATIVE TO THE SERVICE'S GOVERNING BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS PROVIDED IN BOTH PAPER AND "PDF" FORMAT TO THE GOVERNING BOARDS FINANCE COMMITTEE AND EXECUTIVE DIRECTOR FOR REVIEW. THIS COMMITTEE GIVES THE FINAL APPROVAL AND RELEASE TO THE EXECUTIVE DIRECTOR FOR FILING IN EITHER ELECTRONIC OR PAPER FORMAT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUALLY THE EXECUTIVE DIRECTOR PROVIDES ALL GOVERNING BOARD MEMBERS AND EMPLOYEES THE SERVICE'S CODE OF CONDUCT, WHICH INCLUDES THE CONFLICT OF INTEREST POLICY AND REQUIRED TO BE SIGNED BY ALL. EXECUTIVE DIRECTOR REVIEWS AND NOTES ANY POTENTIAL CONFLICTS WITH THE FINANCE COMMITTEE WHICH MAY NEED FURTHER FOLLOW-UP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SERVICE'S GOVERNING BOARD EXECUTIVE COMMITTEE USES VARIOUS RESOURCES AND COMPARABLE DATA IN REVIEWING AND DETERMING COMPENSATION FOR ITS EXECUTIVE DIRECTOR AND OTHER KEY EMPLOYEES. THIS IS DOCUMENTED WITHIN ITS COMMITTEES MINUTES AND BROUGHT BEFORE THE GOVERNING BOARD FOR FINAL APPROVAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SERVICE MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAIABLE UPON REQUEST. THE 990 IS ALSO AVAILABLE FOR REVIEW AT A THIRD-PARTY WEBSITE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>NO CHANGES FROM PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>