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        <CurrentTaxYearMinus3YearsAmt>1042092</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2208128</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1818622</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1524140</CurrentTaxYearAmt>
        <TotalAmt>7583144</TotalAmt>
      </Total509Grp>
      <PublicSupportTotal509Amt>7583144</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>3763</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1855</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2306</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>95147</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>221536</CurrentTaxYearAmt>
        <TotalAmt>324607</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>3763</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1855</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2306</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>95147</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>221536</CurrentTaxYearAmt>
        <TotalAmt>324607</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>993925</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1043947</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2210434</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1913769</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1745676</CurrentTaxYearAmt>
        <TotalAmt>7907751</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.95900</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99900</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.04000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc3">
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>3025846</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1291931</DepreciationAmt>
        <BookValueAmt>1733915</BookValueAmt>
      </BuildingsGrp>
      <TotalBookValueLandBuildingsAmt>1733915</TotalBookValueLandBuildingsAmt>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc4">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>TO PROVIDE SERVICES WITHIN THE SCOPE OF PRACTICE OF EMERGENCY MEDICAL SERVICES IN ANY JURISDICTION OR TERRITORY THAT MAY BE APPROVED BY THE NEW YORK STATE DEPARTMENT OF HEALTH OR OTHER APPROPRIATE AGENCY TO PROVIDE COMMUNITY PARAMEDICINE OR SIMILAR SERVICES, USE ALTERNATIVE DESTINATIONS, AND TELEMEDICINE TO FACILITATE TREATMENT OF PERSONS IN PLACE TO ADMINISTER VACCINATIONS PURSUANT TO NON-PATIENT SPECIFIC ORDERS AND UNDER THE MEDICAL DIRECTION OF A LICENSED PHYSICIAN</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>NO REVIEW WAS OR WILL BE CONDUCTED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE FINANCIAL REPORT IS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>