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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
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        <CurrentTaxYearMinus3YearsAmt>108572</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>83278</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>17467</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>851320</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus1YearAmt>19948874</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>20595998</CurrentTaxYearAmt>
        <TotalAmt>85330954</TotalAmt>
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        <CurrentTaxYearMinus3YearsAmt>15098443</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>16608174</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>19966341</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>21447318</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus3YearsAmt>445617</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>434201</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>411820</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>426812</CurrentTaxYearAmt>
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        <CurrentTaxYearAmt>426812</CurrentTaxYearAmt>
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      <GrossInvestmentIncome509Grp>
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        <CurrentTaxYearMinus2YearsAmt>178639</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>85017</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>132979</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus2YearsAmt>16786813</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>20051358</CurrentTaxYearMinus1YearAmt>
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      <PublicSupportPY509Pct>0.96450</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.01000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.01000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
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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>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
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        <BookValueAmt>269664</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
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        <DepreciationAmt>1075748</DepreciationAmt>
        <BookValueAmt>5971488</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
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        <BookValueAmt>844326</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
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        <BookValueAmt>713924</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
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        <BookValueAmt>2553359</BookValueAmt>
      </OtherLandBuildingsGrp>
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      <TotalRevenuePerForm990Amt>21475647</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>20094660</TotExpnsEtcAuditedFinclStmtAmt>
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      <ExpensesNotReportedAmt>132065</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>19962595</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>19962595</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 2d-Other revenue included on Sch D but not on 990</FormAndLineReferenceDesc>
        <ExplanationTxt>COST OF GOODS SOLD ON AEDS, AED ACCESSORIES, AND MEDICAL SUPPLIES $132,065</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XII, Line 2d-Other expenses included on Sch D but not on 990</FormAndLineReferenceDesc>
        <ExplanationTxt>COST OF GOODS SOLD ON AEDS, AED ACCESSORIES, AND MEDICAL SUPPLIES $132,065</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <ClubDuesOrFeesInd>X</ClubDuesOrFeesInd>
      <WrittenPolicyRefTAndEExpnssInd>true</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>true</SubstantiationRequiredInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>true</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NICK ROMENESKO</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>162882</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>46992</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>10861</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>220735</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>HEATHER STENBROTEN</PersonNm>
        <TitleTxt>ADMINISTRATIVE DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>130135</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>38030</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>5345</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>173510</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Compensation contingent on net earnings (Part I, line 6)</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BONUS PROGRAM FOR ALL EMPLOYEES IS PARTIALLY BASED ON NET OPERATING INCOME.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Benefit information (Part I, line 1a)</FormAndLineReferenceDesc>
        <ExplanationTxt>BUSINESS USE OF A COUNTRY CLUB BY THE EXECUTIVE DIRECTOR PAID BY GOLD CROSS AND TAXED ON W-2.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Members or stockholder classes and rights Part VI line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE IS ONE CLASS WITH THE MEMBERS HAVING THE RIGHT TO ELECT THE MEMBERS OF THE GOVERNING BODY (THE BOARD OF DIRECTORS).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Member election for additional members Part VI line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERS OF THE CORPORATION MAY EACH NOMINATE FOUR CANDIDATES FOR ELECTION TO THE BOARD OF DIRECTORS, BUT ALL MEMBERS ARE REQUIRED TO VOTE FOR APPROVAL OR DISAPPROVAL OF THE CANDIDATES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 IS MADE AVAILABLE TO ANY MEMBERS OF THE BOARD OF DIRECTORS WHO WISH TO REVIEW IT PRIOR TO FILING THE FORM WITH THE INTERNAL REVENUE SERVICE. FORM 990 IS REVIEWED BY THE EXECUTIVE DIRECTOR PRIOR TO FILING THE FORM WITH THE INTERNAL REVENUE SERVICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy compliance Part VI line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS AND PRINCIPAL OFFICERS HAVE ALL SIGNED A CONFLICT OF INTEREST POLICY. THEY REVIEW AND SIGN A SIMILAR DOCUMENT ANNUALLY. DIRECTORS, OFFICERS, MANAGEMENT PERSONNEL, OR COMMITTEE MEMBERS DISCLOSE TO THE BOARD OF DIRECTORS ANY FINANCIAL INTEREST OR OTHER MATERIAL FACTS THAT SUCH PERSON MAY HAVE WITH RESPECT TO A PROPOSED TRANSACTION OR ARRANGEMENT. ANY POTENTIAL CONFLICTS ARE REVIEWED BY THE BOARD WITHOUT THE PERSON IN QUESTION. THE PERSON IN QUESTION WOULD BE REMOVED FROM ANY DISCUSSION ON THE TOPIC OR VOTING ON THE ISSUE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CEO executive director top management comp Part VI line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS ANNUALLY DETERMINES AND APPROVES COMPENSATION FOR THE EXECUTIVE DIRECTOR BASED ON COMPARABLE DATA FOR SIMILAR POSITIONS AND AN ANNUAL PERFORMANCE REVIEW FOR THE EXECUTIVE DIRECTOR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other officer or key employee compensation Part VI line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS IN CONSULTATION WITH THE EXECUTIVE DIRECTOR ANNUALLY DETERMINES AND APPROVES COMPENSATION FOR THE OPERATIONS DIRECTOR AND THE ADMINISTRATIVE DIRECTOR BASED ON COMPARABLE DATA FOR SIMILAR POSITIONS, AND PERFORMANCE REVIEWS OF THE OPERATIONS DIRECTOR AND ADMINISTRATIVE DIRECTOR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATIONS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND TAX RETURN FORM 990 ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>General explanation attachment</FormAndLineReferenceDesc>
        <ExplanationTxt>PART I, LINE 1: THE ORGANIZATION PROVIDES AMBULANCE SERVICES TO THE GREATER FOX VALLEY AND WAUPACA AREAS IN NORTHEASTERN WISCONSIN.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>