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        <RelatedOrExemptFuncIncomeAmt>2777586</RelatedOrExemptFuncIncomeAmt>
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        <Desc>SUBSCRIPTIONS</Desc>
        <BusinessCd>621910</BusinessCd>
        <TotalRevenueColumnAmt>197089</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>197089</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>EMERGENCY MANAGER</Desc>
        <BusinessCd>621910</BusinessCd>
        <TotalRevenueColumnAmt>28000</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>28000</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>16758887</TotalProgramServiceRevenueAmt>
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        <TotalRevenueColumnAmt>145055</TotalRevenueColumnAmt>
        <ExclusionAmt>145055</ExclusionAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-39394</TotalRevenueColumnAmt>
        <ExclusionAmt>-39394</ExclusionAmt>
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        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>1930</RelatedOrExemptFuncIncomeAmt>
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        <ProgramServicesAmt>7879409</ProgramServicesAmt>
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        <ProgramServicesAmt>281017</ProgramServicesAmt>
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        <ProgramServicesAmt>1450240</ProgramServicesAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>588677</TotalAmt>
        <ProgramServicesAmt>588677</ProgramServicesAmt>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>21400</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>122335</ProgramServicesAmt>
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        <ProgramServicesAmt>961161</ProgramServicesAmt>
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        <ProgramServicesAmt>304283</ProgramServicesAmt>
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        <Desc>ALLOCATION EXPENSE</Desc>
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        <Desc>FUEL</Desc>
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      <OtherExpensesGrp>
        <Desc>REPAIRS &amp; MAINTENANCE</Desc>
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      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
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        <ProgramServicesAmt>321333</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>14936607</ProgramServicesAmt>
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        <CurrentTaxYearMinus3YearsAmt>153627</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>75492</CurrentTaxYearMinus2YearsAmt>
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        <CurrentTaxYearAmt>127783</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus1YearAmt>15033379</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearMinus3YearsAmt>12616827</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>13786549</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>15064949</CurrentTaxYearMinus1YearAmt>
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      <AmountsRcvdDsqlfyPersonGrp>
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      <SubstantialContributorsAmtGrp>
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      <SubstAndDsqlfyPrsnsTotGrp>
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        <CurrentTaxYearMinus2YearsAmt>52744</CurrentTaxYearMinus2YearsAmt>
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      <InvestmentIncomeAndUBTIGrp>
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        <CurrentTaxYearMinus2YearsAmt>52744</CurrentTaxYearMinus2YearsAmt>
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        <CurrentTaxYearMinus2YearsAmt>2807</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>7227</CurrentTaxYearMinus1YearAmt>
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      <InvestmentIncomePYPct>0.00230</InvestmentIncomePYPct>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER INCOME - 2020 AMOUNT: $ 8,886. 2021 AMOUNT: $ 5,842. 2022 AMOUNT: $ 2,807. 2023 AMOUNT: $ 7,227. 2024 AMOUNT: $ 1,930.</ExplanationTxt>
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        <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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        <BookValueAmt>204885</BookValueAmt>
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      <BuildingsGrp>
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        <DepreciationAmt>12563</DepreciationAmt>
        <BookValueAmt>0</BookValueAmt>
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      <LeaseholdImprovementsGrp>
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        <BookValueAmt>49676</BookValueAmt>
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      <EquipmentGrp>
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      <OtherLandBuildingsGrp>
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      <TotalBookValueLandBuildingsAmt>3699689</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>LONG-TERM INVESTMENT - COMMUNITY FO</Desc>
        <BookValueAmt>64663</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>L-T INVESTMENT-BCCF FELLOWSHIP</Desc>
        <BookValueAmt>78678</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>BRD DESIGNATED</Desc>
        <BookValueAmt>1983397</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
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      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO EHP</Desc>
        <Amt>1262981</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO HVA</Desc>
        <Amt>155470</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO JCA</Desc>
        <Amt>2065</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1420516</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>IN PREPARATION OF TAX RETURNS, TAX POSITIONS ARE TAKEN BASED ON INTERPRETATION OF FEDERAL, STATE AND LOCAL INCOME TAX LAWS. MANAGEMENT PERIODICALLY REVIEWS AND EVALUATES THE STATUS OF UNCERTAIN TAX POSITIONS AND MAKES ESTIMATES OF AMOUNTS, INCLUDING INTEREST AND PENALTIES, ULTIMATELY DUE OR OWED. NO AMOUNTS HAVE BEEN IDENTIFIED, OR RECORDED, AS UNCERTAIN TAX POSITIONS. FEDERAL, STATE AND LOCAL TAX RETURNS GENERALLY REMAIN OPEN FOR EXAMINATION BY THE VARIOUS TAXING AUTHORITIES FOR A PERIOD OF THREE TO FOUR YEARS.</ExplanationTxt>
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      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
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      <InitialContractExceptionInd>0</InitialContractExceptionInd>
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        <TitleTxt>CEO</TitleTxt>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>26578</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>467437</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>LEADERSHIP PERSONNEL ARE ELIGIBLE FOR PERFORMANCE-BASED INCENTIVE COMPENSATION TIED TO THE ACHIEVEMENT OF PRE-ESTABLISHED, OBJECTIVE MILESTONES. THESE INCLUDE CLINICAL QUALITY OUTCOMES, OPERATIONAL EFFICIENCY, AND THE AGENCY'SOVERALL FINANCIAL HEALTH. ALL BONUSES ARE CALCULATED USING DEFINED FORMULAS AND REQUIRE FORMAL REVIEW AND APPROVAL BYTHE BOARD OF DIRECTORS TO ENSURE ALIGNMENT WITH THE ORGANIZATION'S NON-PROFIT MISSION.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>IT IS THE RESPONSIBILITY OF THE EHP FINANCE COMMITTEE TO REVIEW THE 990 IN DETAIL BEFORE IT IS FILED. ALL BOARD MEMBERS ARE PROVIDED WITH A COPY OF THE 990 TO REVIEW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH YEAR BOARD MEMBERS ARE ASKED TO COMPLETE A CONFLICT-OF-INTEREST QUESTIONNAIRE THAT IS THEN REVIEWED BY THE PRESIDENT AND CEO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION OF THE PRESIDENT AND CEO IS REVIEWED ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES OF THE AFFILIATED ORGANIZATION WHO PAYS THE COMPENSATION. THE COMMITTEE REVIEWS THE FORM 990 OF OTHER AMBULANCE COMPANIES ALONG WITH VARIOUS PUBLIC COMPENSATION SURVEY INFORMATION THAT IS AVAILABLE. PERIODICALLY THE EXECUTIVE COMMITTEE HAS A FORMAL SURVEY DONE BY AN INDEPENDENT THIRD PARTY TO ENSURE THAT THE COMPENSATION OF THE PRESIDENT AND CEO IS REASONABLE. THE CONCLUSIONS ARE APPROVED BY THE EXECUTIVE COMMITTEE AND DOCUMENTED VIA A WRITTEN EMPLOYMENT CONTRACT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS ARE PUBLIC RECORDS AND ARE MADE AVAILABLE UPON REQUEST. CONFLICT OF INTEREST POLICY IS ALSO MADE AVAILABLE TO THE PUBLIC WHEN REQUESTED.</ExplanationTxt>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>EMERGENT HEALTH PARTNERS</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1200 STATE CIRCLE</AddressLine1Txt>
          <CityNm>ANN ARBOR</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48108</ZIPCd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>MONROE COMMUNITY AMBULANCE</BusinessNameLine1Txt>
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        <USAddress>
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        </USAddress>
        <EIN>020753921</EIN>
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        <LegalDomicileStateCd>MI</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
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      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>EMERGENT HEALTH PARTNERS</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>O</TransactionTypeTxt>
        <InvolvedAmt>10199343</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>EMERGENT HEALTH PARTNERS</BusinessNameLine1Txt>
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        <TransactionTypeTxt>P</TransactionTypeTxt>
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        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>EMERGENT HEALTH PARTNERS</BusinessNameLine1Txt>
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        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>336066</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>