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        <OtherCompensationAmt>22446</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JUSTIN LEMKE</PersonNm>
        <TitleTxt>FIELD EMPLOYEE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>150258</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>11500</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>AARON BARE</PersonNm>
        <TitleTxt>FIELD EMPLOYEE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>145883</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>28828</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRUCE RETHERFORD</PersonNm>
        <TitleTxt>FIELD EMPLOYEE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>164798</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12331</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2553566</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>263646</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>38</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>STAFFDASH GROUP LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>21128 SPRING TOWNE DR</AddressLine1Txt>
            <CityNm>SPRING</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>77388</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT WORKERS</ServicesDesc>
        <CompensationAmt>887329</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CLIFTONLARSONALLEN LLP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>220 S 6TH ST STE 300</AddressLine1Txt>
            <CityNm>MINNEAPOLIS</CityNm>
            <StateAbbreviationCd>MN</StateAbbreviationCd>
            <ZIPCd>55402</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ACCOUNTING SERVICES</ServicesDesc>
        <CompensationAmt>155153</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HEYL ROYSTER VOELKER &amp; ALLEN PC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 6199</AddressLine1Txt>
            <CityNm>PEORIA</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>61601</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LEGAL SERVICES</ServicesDesc>
        <CompensationAmt>146419</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>3</CntrctRcvdGreaterThan100KCnt>
      <ProgramServiceRevenueGrp>
        <Desc>TRANSPORT REVENUE</Desc>
        <BusinessCd>621910</BusinessCd>
        <TotalRevenueColumnAmt>36491446</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>36491446</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>SUBSIDY REVENUE</Desc>
        <BusinessCd>621910</BusinessCd>
        <TotalRevenueColumnAmt>1218970</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1218970</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CONTRACT REVENUE</Desc>
        <BusinessCd>621910</BusinessCd>
        <TotalRevenueColumnAmt>337200</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>337200</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>TUITION REVENUE</Desc>
        <BusinessCd>611600</BusinessCd>
        <TotalRevenueColumnAmt>63747</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>63747</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>38111363</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>1404097</TotalRevenueColumnAmt>
        <ExclusionAmt>1404097</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <OtherAmt>69208</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>0</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>69208</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>69208</TotalRevenueColumnAmt>
        <ExclusionAmt>69208</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>SUBPART F INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>125157</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>125157</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>24395</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>24395</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>149552</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>39734220</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>38260915</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>1473305</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>365886</TotalAmt>
        <ProgramServicesAmt>365886</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1627615</TotalAmt>
        <ProgramServicesAmt>1360824</ProgramServicesAmt>
        <ManagementAndGeneralAmt>266791</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>20186036</TotalAmt>
        <ProgramServicesAmt>16877235</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3308801</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>747329</TotalAmt>
        <ProgramServicesAmt>468417</ProgramServicesAmt>
        <ManagementAndGeneralAmt>278912</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1550900</TotalAmt>
        <ProgramServicesAmt>1230712</ProgramServicesAmt>
        <ManagementAndGeneralAmt>320188</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>1363098</TotalAmt>
        <ProgramServicesAmt>1122333</ProgramServicesAmt>
        <ManagementAndGeneralAmt>240765</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>248015</TotalAmt>
        <ManagementAndGeneralAmt>248015</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>74246</TotalAmt>
        <ManagementAndGeneralAmt>74246</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>168068</TotalAmt>
        <ProgramServicesAmt>94102</ProgramServicesAmt>
        <ManagementAndGeneralAmt>73966</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>8273</TotalAmt>
        <ManagementAndGeneralAmt>8273</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>140033</TotalAmt>
        <ProgramServicesAmt>135346</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4687</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>574329</TotalAmt>
        <ProgramServicesAmt>119040</ProgramServicesAmt>
        <ManagementAndGeneralAmt>455289</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>319473</TotalAmt>
        <ProgramServicesAmt>206792</ProgramServicesAmt>
        <ManagementAndGeneralAmt>112681</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <PaymentsToAffiliatesGrp>
        <TotalAmt>-1799230</TotalAmt>
        <ProgramServicesAmt>-1799230</ProgramServicesAmt>
      </PaymentsToAffiliatesGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>1547264</TotalAmt>
        <ProgramServicesAmt>1231115</ProgramServicesAmt>
        <ManagementAndGeneralAmt>316149</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>1645245</TotalAmt>
        <ProgramServicesAmt>1505629</ProgramServicesAmt>
        <ManagementAndGeneralAmt>139616</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
        <TotalAmt>1258139</TotalAmt>
        <ProgramServicesAmt>1108283</ProgramServicesAmt>
        <ManagementAndGeneralAmt>149856</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>FUEL</Desc>
        <TotalAmt>945249</TotalAmt>
        <ProgramServicesAmt>931115</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14134</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>RECRUITING</Desc>
        <TotalAmt>760439</TotalAmt>
        <ProgramServicesAmt>760439</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS &amp; MAINTENANCE</Desc>
        <TotalAmt>637216</TotalAmt>
        <ProgramServicesAmt>488506</ProgramServicesAmt>
        <ManagementAndGeneralAmt>148710</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>1036511</TotalAmt>
        <ProgramServicesAmt>564685</ProgramServicesAmt>
        <ManagementAndGeneralAmt>471826</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>33404134</TotalAmt>
        <ProgramServicesAmt>26771229</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6632905</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>11285450</BOYAmt>
        <EOYAmt>11821089</EOYAmt>
      </CashNonInterestBearingGrp>
      <AccountsReceivableGrp>
        <BOYAmt>6321895</BOYAmt>
        <EOYAmt>6250314</EOYAmt>
      </AccountsReceivableGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>191359</BOYAmt>
        <EOYAmt>286894</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>1306801</BOYAmt>
        <EOYAmt>1781964</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>29245717</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>18439216</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>10217675</BOYAmt>
        <EOYAmt>10806501</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>8045794</BOYAmt>
        <EOYAmt>13758284</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsProgramRelatedGrp>
        <BOYAmt>36000</BOYAmt>
        <EOYAmt>36000</EOYAmt>
      </InvestmentsProgramRelatedGrp>
      <IntangibleAssetsGrp>
        <BOYAmt>6472</BOYAmt>
        <EOYAmt>644213</EOYAmt>
      </IntangibleAssetsGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>9990869</BOYAmt>
        <EOYAmt>10210495</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>47402315</BOYAmt>
        <EOYAmt>55595754</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>2495351</BOYAmt>
        <EOYAmt>2909742</EOYAmt>
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      <DeferredRevenueGrp>
        <BOYAmt>10500</BOYAmt>
        <EOYAmt>5599</EOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>1445466</BOYAmt>
        <EOYAmt>1825726</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>262456</BOYAmt>
        <EOYAmt>999930</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>4213773</BOYAmt>
        <EOYAmt>5740997</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>43188542</BOYAmt>
        <EOYAmt>49854757</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>43188542</BOYAmt>
        <EOYAmt>49854757</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>47402315</BOYAmt>
        <EOYAmt>55595754</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>6330086</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>336129</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus3YearsAmt>3366703</CurrentTaxYearMinus3YearsAmt>
        <TotalAmt>3366703</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>27373092</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>32037864</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>30918273</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>33533390</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>38111363</CurrentTaxYearAmt>
        <TotalAmt>161973982</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>27373092</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>35404567</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>30918273</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>33533390</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>38111363</CurrentTaxYearAmt>
        <TotalAmt>165340685</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>165340685</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>76126</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>283627</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>241551</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>940262</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1404097</CurrentTaxYearAmt>
        <TotalAmt>2945663</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>76126</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>283627</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>241551</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>940262</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1404097</CurrentTaxYearAmt>
        <TotalAmt>2945663</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>965556</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>-1210535</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>187742</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>137930</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>149552</CurrentTaxYearAmt>
        <TotalAmt>230245</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>28414774</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>34477659</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>31347566</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>34611582</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>39665012</CurrentTaxYearAmt>
        <TotalAmt>168516593</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.98120</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.98740</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.01750</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.01170</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>MISCELLANEOUS - 2020 AMOUNT: $ 849,362. 2021 AMOUNT: $ 15,971. 2022 AMOUNT: $ 187,742. 2023 AMOUNT: $ 137,930. 2024 AMOUNT: $ 149,552. GAIN LOSS ON SALE OF ASSETS - 2020 AMOUNT: $ 116,194. 2021 AMOUNT: $ -1,226,506.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>862943</OtherCostOrOtherBasisAmt>
        <BookValueAmt>862943</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>10979582</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3639197</DepreciationAmt>
        <BookValueAmt>7340385</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>17403192</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>14800019</DepreciationAmt>
        <BookValueAmt>2603173</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>10806501</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>RELATED PARTY RECEIVABLE</Desc>
        <BookValueAmt>10210495</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>10210495</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER LIABILITIES</Desc>
        <Amt>999930</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>999930</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>40070349</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>336129</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>336129</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>39734220</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>39734220</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>33404134</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>33404134</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>33404134</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>BASED ON EMPLOYEE PERFORMANCE</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>ONE MEMBER IS ELECTED BY THE BOARD OF DIRECTORS OF UNITYPOINT HEALTH TRINITY. AMT INC. ELECTS BOD MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION PROVIDES A COPY OF FORM 990 TO THE BOARD FOR REVIEW PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE OF THE CONFLICT OF INTEREST POLICY. EACH BOARD MEMBER ANNUALLY COMPLETES A CONFLICT OF INTEREST STATEMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD REVIEWS COMPARABLE DATA AND THE SPECIFIC PERFORMANCE OF THE EXECUTIVE DIRECTOR IN DETERMINING COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>NO DOCUMENTS AVAILABLE TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 24E</FormAndLineReferenceDesc>
        <ExplanationTxt>BANK SERVICE CHARGES: PROGRAM SERVICE EXPENSES 142,442. MANAGEMENT AND GENERAL EXPENSES 282,962. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 425,404. FRANCHISE FEES: PROGRAM SERVICE EXPENSES 213,263. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 213,263. EDUCATION &amp; TRAINING: PROGRAM SERVICE EXPENSES 123,151. MANAGEMENT AND GENERAL EXPENSES 32,503. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 155,654. UNIFORMS: PROGRAM SERVICE EXPENSES 114,334. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 114,334. ADMINISTRATIVE EXPENSES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 93,877. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 93,877. DUES AND SUBSCRIPTIONS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 31,946. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 31,946. COMMUNITY PARTNERING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 21,790. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,790. CUSTOMER SURVEY: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 8,748. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,748. COMMUNICATIONS: PROGRAM SERVICE EXPENSES -28,505. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES -28,505.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS FOR OVERSEEING THE AUDIT AND SELECTING AN INDEPENDENT AUDITOR HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IV, LINE 12 AND PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS AUDITED FINANCIAL STATEMENTS THAT ARE PREPARED ON A CONSOLIDATED BASIS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 5471, SCHEDULE O, PART I</FormAndLineReferenceDesc>
        <ExplanationTxt>THE OFFICERS AND/OR DIRECTORS OF THE FOREIGN CORPORATION FILE FORM 5471 AS CATEGORY 2 FILERS IN ACCORDANCE WITH TREASURY REGULATION SECTION 1.6046-1(A)(2)(I)(C). THERE WERE NO 10% ACQUISITIONS BY UNITED STATES PERSONS DURING THE CURRENT YEAR. EACH SHAREHOLDER WITH RESPECT TO WHOM THE CATEGORY 2 FORMS ARE FILED IS A UNITED STATES SHAREHOLDER UNDER SECTION 953(C) AND HAS PROVIDED THE INFORMATION REQUIRED BY TREASURY REGULATION SECTION 1.6046-1(A)(2)(II)(A) TO THE IRS ON FORM 5471 ATTACHED TO THEIR RESPECTIVE INCOME TAX RETURN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 5471, SCHEDULE B</FormAndLineReferenceDesc>
        <ExplanationTxt>NO U.S. PERSON OWNED (AT ANY TIME DURING THE ACCOUNTING PERIOD), DIRECTLY OR INDIRECTLY, 10% OR MORE IN VALUE OR VOTE OF ANY CLASS OF THE CORPORATION'S OUTSTANDING STOCK.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 5471, SCHEDULE O, PART II, SECTION C &amp; D</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FILER IS A CATEGORY 3 FILER FOR FORM 5471 PURPOSES BECAUSE IT IS A UNITED STATES SHAREHOLDER OF THE FOREIGN CORPORATION UNDER IRC SECTION 953(C). THEREFORE, THE FILER IS REQUIRED TO COMPLETE SCHEDULE O EVEN IF IT NEITHER ACQUIRED NOR DISPOSED OF STOCK IN THE FOREIGN CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 5471, SCHEDULE O, PART II, SECTION F</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOREIGN CORPORATION FILED FORM 1120-F, U.S. INCOME TAX RETURN OF A FOREIGN CORPORATION, FOR ITS TAX YEARS ENDED MAY 31, 2023, 2022, AND 2021. THE FOREIGN CORPORATION HAD NO TAXABLE INCOME AND NO TAX DUE ON THE RETURN. ADDITIONAL FILING REQUIREMENTS FOR CATEGORY 3 FILERS: 1. THE AMOUNT AND TYPE OF ANY INDEBTEDNESS THE FOREIGN CORPORATION HAS WITH THE RELATED PERSONS DESCRIBED IN REGULATION SEC. 1.6046-1(B)(11). N/A - THERE IS NO INDEBTEDNESS BETWEEN CATALYST INSURANCE, LTD. AND RELATED PARTIES. 2. THE NAME, ADDRESS, INDENTIFYING NUMBER AND NUMBER OF SHARES SUBSCRIBED TO BY EACH SUBSCRIBER TO THE FOREIGN CORPORATION'S STOCK. N/A - THERE ARE CURRENTLY NO SUBSCRIPTIONS FOR ANY OF CATALYST INSURANCE, LTD.'S STOCK.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 5471, SCHEDULE E, PART I THROUGH III; AND SCHEDULE E-1</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONTROLLED FOREIGN CORPORATION FOR WHICH THIS INFORMATIONAL RETURN IS BEING FILED IS A TAX RESIDENT IN THE CAYMAN ISLANDS AND AS A CORPORATION ORGANIZED UNDER THE LAWS OF THE CAYMAN ISLANDS, THE CONTROLLED FOREIGN CORPORATION IS NOT SUBJECT TO TAXATION AS THE CAYMAN ISLANDS DOES NOT IMPOSE ANY FORM OF TAXATION ON RECEIPTS, DIVIDENDS, CAPITAL GAINS, GIFTS OR NET INCOME. SCHEDULE E, WHICH REPORTS FOREIGN TAXES PAID OR ACCRUED AND IS REQUIRED TO BE ATTACHED TO THIS RETURN, IS BEING FILED BUT DOES NOT HAVE ANY AMOUNTS SHOWN BECAUSE NO FOREIGN TAXES WERE PAID OR ACCRUED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 5471, SCHEDULE B PART I</FormAndLineReferenceDesc>
        <ExplanationTxt>THE INSTRUCTIONS FOR FORM 5471 STATE THAT A PERSON THAT IS BOTH A CATEGORY 3 AND CATEGORY 5 FILER BECAUSE IT IS TREATED AS A U.S. SHAREHOLDER UNDER SECTION 953(C)(1)(A) WITH RESPECT TO THE FOREIGN CORPORATION MUST COMPLETE SCHEDULE B, PART I FOR U.S PERSONS THAT OWNED, DIRECTLY OR INDIRECTLY THROUGH FOREIGN ENTITIES, ANY OF THE FOREIGN CORPORATION'S OUTSTANDING STOCK. ACCORDINGLY, SCHEDULE B, PART I HAS BEEN COMPLETED FOR THE APPLICABLE U.S. SHAREHOLDER LISTED ON PAGE 1 OF THIS FORM 5471. THE CONTROLLED FOREIGN CORPORATION FOR WHICH THIS INFORMATIONAL RETURN IS BEING FILED IS ORGANIZED UNDER THE LAWS OF THE CAYMAN ISLANDS AND THUS SUBJECT TO CERTAIN DATA PRIVACY LAWS. ACCORDINGLY, DUE TO DATA PRIVACY AND SECURITY CONCERNS, THE COMPLETE SHAREHOLDER LISTING IS AVAILABLE UPON REQUEST FROM THE REGISTERED OFFICE OF THE CONTROLLED FOREIGN CORPORATION. ADDITIONALLY, TAXPAYER IS A MINORITY SHAREHOLDER IN THE CONTROLLED FOREIGN CORPORATION AND THEREFORE DOES NOT HAVE ACCESS TO ANY OF CONTROLLED FOREIGN CORPORATION'S BOOKS AND RECORDS. SEE REGULATIONS SECTION 1.964-3, WHERE RECORDS ARE TO BE MAINTAINED BY 10% OR MORE SHAREHOLDERS. TAXPAYER OWNS LESS THAN 10% OF THE CONTROLLED FOREIGN CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>ADVANCED MEDICAL TRANSPORT INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1718 N STERLING AVE</AddressLine1Txt>
          <CityNm>PEORIA</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>61604</ZIPCd>
        </USAddress>
        <EIN>260312211</EIN>
        <PrimaryActivitiesTxt>CHARITABLE, SCIENTIFIC, &amp; EDUCATION TO PHMMS, AMT IA, AMT EAST, &amp; AMT SPRFLD</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ADVANCED MEDICAL TRANSPORT OF IOWA</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1718 N STERLING AVE</AddressLine1Txt>
          <CityNm>PEORIA</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>61604</ZIPCd>
        </USAddress>
        <EIN>274133957</EIN>
        <PrimaryActivitiesTxt>PROVIDES AMBULANCE AND PARAMEDIC SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>ADVANCED MEDICAL TRANSPORT INC</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ADVANCED MEDICAL TRANSPORT OF SPRINGFIELD</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1718 N STERLING AVE</AddressLine1Txt>
          <CityNm>PEORIA</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>61604</ZIPCd>
        </USAddress>
        <EIN>320596837</EIN>
        <PrimaryActivitiesTxt>PROVIDES AMBULANCE AND PARAMEDIC SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ADVANCED MEDICAL TRANSPORT INC</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ADVANCED MEDICAL TRANSPORT EAST INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1718 N STERLING AVE</AddressLine1Txt>
          <CityNm>PEORIA</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>61604</ZIPCd>
        </USAddress>
        <EIN>862146583</EIN>
        <PrimaryActivitiesTxt>PROVIDES AMBULANCE AND PARAMEDIC SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ADVANCED MEDICAL TRANSPORT INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MIDWEST EMERGENCY MEDICAL SERVICES</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1718 N STERLING AVE</AddressLine1Txt>
          <CityNm>PEORIA</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>61604</ZIPCd>
        </USAddress>
        <EIN>263021862</EIN>
        <PrimaryActivitiesTxt>BILLING AND MANAGEMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ADVANCED MEDICAL TRANSPORT INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>1</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>1</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>1</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>1</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ADVANCED MEDICAL TRANSPORT OF IOWA</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>9239</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>AMTI CONTRACTED SERVICES PAID TO</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ADVANCED MEDICAL TRANSPORT OF IOWA</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>3166</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>AMTI EXPENSES PAID BY PHMMS</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MIDWEST EMERGENCY MEDICAL SERVICES</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>2800</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>MEMSI EXPENSES PAID BY PHMMS</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MIDWEST EMERGENCY MEDICAL SERVICES</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>18479</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>MEMSI CONTRACTED SERVICES PAID TO</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ADVANCED MEDICAL TRANSPORT EAST INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>A</TransactionTypeTxt>
        <InvolvedAmt>76844</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>AMTE INTEREST PAID TO PHMMS</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ADVANCED MEDICAL TRANSPORT EAST INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>D</TransactionTypeTxt>
        <InvolvedAmt>1463685</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>NOTE PAYABLE FROM AMTE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ADVANCED MEDICAL TRANSPORT EAST INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
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        <MethodOfAmountDeterminationTxt>AMTE CONTRACTED SERVICES PAID TO</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ADVANCED MEDICAL TRANSPORT EAST INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
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        <MethodOfAmountDeterminationTxt>AMTE EXPENSES PAID BY PHMMS</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ADVANCED MEDICAL TRANSPORT OF SPRINGFIELD INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>E</TransactionTypeTxt>
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        <MethodOfAmountDeterminationTxt>NOTE PAYABLE FROM AMTSI</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ADVANCED MEDICAL TRANSPORT OF SPRINGFIELD INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>A</TransactionTypeTxt>
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        <MethodOfAmountDeterminationTxt>AMTSI INTEREST PAID TO PHMMS</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ADVANCED MEDICAL TRANSPORT OF SPRINGFIELD INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>1062720</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>AMTSI CONTRACTED SERVICES PAID TO</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ADVANCED MEDICAL TRANSPORT OF SPRINGFIELD INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>296628</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>PHMMS SERVICES PAID TO AMTSI</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ADVANCED MEDICAL TRANSPORT OF SPRINGFIELD INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>608318</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>AMTSI EXPENSES PAID BY PHMMS</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ADVANCED MEDICAL TRANSPORT OF SPRINGFIELD INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
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      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ADVANCED MEDICAL TRANSPORT OF SPRINGFIELD INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>B</TransactionTypeTxt>
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        <MethodOfAmountDeterminationTxt>DONATION TO AMTSI</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ADVANCED MEDICAL TRANSPORT INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>2100</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>AMT INC EXPENSES PAID BY PHMMS</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>