﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2011v1.2">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2012-08-14T08:22:37-05:00</Timestamp>
    <TaxPeriodEndDate>2011-12-31</TaxPeriodEndDate>
    <PreparerFirm>
      <PreparerFirmBusinessName>
        <BusinessNameLine1>MARK CYGIELMAN CPA</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>540 CHESTNUT RIDGE RD</AddressLine1>
        <City>CHESTNUT RIDGE</City>
        <State>NY</State>
        <ZIPCode>109775646</ZIPCode>
      </PreparerFirmUSAddress>
    </PreparerFirm>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2011-01-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>133640513</EIN>
      <Name>
        <BusinessNameLine1>ROCKLAND PARAMEDIC SERVICES INC</BusinessNameLine1>
      </Name>
      <NameControl>ROCK</NameControl>
      <Phone>8456278615</Phone>
      <USAddress>
        <AddressLine1>540 CHESTNUT RIDGE ROAD</AddressLine1>
        <City>CHESTNUT RIDGE</City>
        <State>NY</State>
        <ZIPCode>109775646</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>RAYMOND FLORIDA</Name>
      <Title>EXECUTIVE DIRECTOR</Title>
      <Phone>8456278615</Phone>
      <DateSigned>2012-08-13</DateSigned>
      <AuthorizeThirdParty>true</AuthorizeThirdParty>
    </Officer>
    <Preparer>
      <Name>MARK A CYGIELMAN</Name>
      <Phone>8456271192</Phone>
      <DatePrepared>2012-08-13</DatePrepared>
      <SelfEmployed>X</SelfEmployed>
    </Preparer>
    <TaxYear>2011</TaxYear>
    <BuildTS>2016-02-24 21:20:13Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="6">
    <IRS990 documentId="RetDoc4" referenceDocumentId="RetDoc6">
      <NameOfPrincipalOfficerPerson>RAYMOND FLORIDA</NameOfPrincipalOfficerPerson>
      <AddressPrincipalOfficerUS>
        <AddressLine1>540 CHESTNUT RIDGE ROAD</AddressLine1>
        <City>CHESTNUT RIDGE</City>
        <State>NY</State>
        <ZIPCode>109775646</ZIPCode>
      </AddressPrincipalOfficerUS>
      <GrossReceipts>6391103</GrossReceipts>
      <GroupReturnForAffiliates>false</GroupReturnForAffiliates>
      <Organization501c3>X</Organization501c3>
      <WebSite>ROCKLANDPARAMEDICS.ORG</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>1991</YearFormation>
      <StateLegalDomicile>NY</StateLegalDomicile>
      <ActivityOrMissionDescription>TO PROVIDE HIGH QUALITY PARAMEDIC SERVICES IN ROCKLAND COUNTY AND SURROUNDING REGIONS</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>8</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>6</NbrIndependentVotingMembers>
      <TotalNbrEmployees>84</TotalNbrEmployees>
      <TotalGrossUBI>0</TotalGrossUBI>
      <ContributionsGrantsCurrentYear>33960</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>6150538</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>6297431</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>73661</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>51426</InvestmentIncomeCurrentYear>
      <OtherRevenuePriorYear>46574</OtherRevenuePriorYear>
      <OtherRevenueCurrentYear>8286</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>6270773</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>6391103</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsCY>0</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>5057217</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>4980338</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>0</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>1026373</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>1334263</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>6083590</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>6314601</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>187183</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>76502</RevenuesLessExpensesCY>
      <TotalAssetsBOY>5723610</TotalAssetsBOY>
      <TotalAssetsEOY>7048479</TotalAssetsEOY>
      <TotalLiabilitiesBOY>680047</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>1940028</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>5043563</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>5108451</NetAssetsOrFundBalancesEOY>
      <MissionDescription>TO PROVIDE HIGH QUALITY PARAMEDIC SERVICES IN ROCKLAND COUNTY AND SURROUNDING REGIONS</MissionDescription>
      <SignificantNewProgramServices>false</SignificantNewProgramServices>
      <SignificantChange>false</SignificantChange>
      <Expense>5486709</Expense>
      <Revenue>6391103</Revenue>
      <Description>RPS RESPONDED TO 22,249 CALLS FOR EMERGENCY ASSISTANCE IN 2011. THE ORGANIZATION ALSO CONDUCTED PUBLIC EDUCATION FOR CPR, FIRST AID, BLOOD PRESSURE AND CHOLESTEROL SCREENING.</Description>
      <TotalProgramServiceExpense>5486709</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId="RetDoc2">true</DescribedIn501C3>
      <ScheduleBRequired>false</ScheduleBRequired>
      <PoliticalActivities>false</PoliticalActivities>
      <LobbyingActivities>false</LobbyingActivities>
      <SubjectToProxyTax>false</SubjectToProxyTax>
      <DonorAdvisedFunds referenceDocumentId="RetDoc3">false</DonorAdvisedFunds>
      <ConservationEasements referenceDocumentId="RetDoc3">false</ConservationEasements>
      <CollectionsOfArt referenceDocumentId="RetDoc3">false</CollectionsOfArt>
      <CreditCounseling referenceDocumentId="RetDoc3">false</CreditCounseling>
      <TermOrPermanentEndowments referenceDocumentId="RetDoc3">true</TermOrPermanentEndowments>
      <ReportLandBldgEquip referenceDocumentId="RetDoc3">true</ReportLandBldgEquip>
      <ReportInvestOthSecurities referenceDocumentId="RetDoc3">false</ReportInvestOthSecurities>
      <ReportProgRelInvest referenceDocumentId="RetDoc3">false</ReportProgRelInvest>
      <ReportOtherAssets referenceDocumentId="RetDoc3">false</ReportOtherAssets>
      <ReportOtherLiabilities referenceDocumentId="RetDoc3">true</ReportOtherLiabilities>
      <ReportFin48Footnote referenceDocumentId="RetDoc3">true</ReportFin48Footnote>
      <IndependentAuditFinancialStmt referenceDocumentId="RetDoc3">true</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt referenceDocumentId="RetDoc3">true</ConsolidatedAuditFinancialStmt>
      <School>false</School>
      <ForeignOffice>false</ForeignOffice>
      <ForeignActivities>false</ForeignActivities>
      <MoreThan5000KToOrganizations>false</MoreThan5000KToOrganizations>
      <MoreThan5000KToIndividuals>false</MoreThan5000KToIndividuals>
      <ProfessionalFundraising>false</ProfessionalFundraising>
      <FundraisingActivities>false</FundraisingActivities>
      <Gaming>false</Gaming>
      <Hospital>false</Hospital>
      <GrantsToOrganizations>false</GrantsToOrganizations>
      <GrantsToIndividuals>false</GrantsToIndividuals>
      <ScheduleJRequired referenceDocumentId="RetDoc5">true</ScheduleJRequired>
      <TaxExemptBonds>false</TaxExemptBonds>
      <ExcessBenefitTransaction>false</ExcessBenefitTransaction>
      <PriorExcessBenefitTransaction>false</PriorExcessBenefitTransaction>
      <LoanToOfficerOrDQP>false</LoanToOfficerOrDQP>
      <GrantToRelatedPerson>false</GrantToRelatedPerson>
      <BsnssRltnshpWithOrganization>false</BsnssRltnshpWithOrganization>
      <BsnssRltnshpThruFamilyMember>false</BsnssRltnshpThruFamilyMember>
      <OfficerEntityWithBsnssRltnshp>false</OfficerEntityWithBsnssRltnshp>
      <DeductibleNonCashContributions>false</DeductibleNonCashContributions>
      <DeductibleContributionsOfArt>false</DeductibleContributionsOfArt>
      <Terminated>false</Terminated>
      <PartialLiquidation>false</PartialLiquidation>
      <DisregardedEntity referenceDocumentId="RetDoc7">false</DisregardedEntity>
      <RelatedEntity referenceDocumentId="RetDoc7">true</RelatedEntity>
      <RelatedOrgControlledEntity>false</RelatedOrgControlledEntity>
      <TransactionRelatedEntity referenceDocumentId="RetDoc7">false</TransactionRelatedEntity>
      <TransfersToExemptNonChrtblOrg referenceDocumentId="RetDoc7">false</TransfersToExemptNonChrtblOrg>
      <ActivitiesConductedPartnership referenceDocumentId="RetDoc7">false</ActivitiesConductedPartnership>
      <ScheduleORequired>true</ScheduleORequired>
      <NumberFormsTransmittedWith1096>4</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <NumberOfEmployees>84</NumberOfEmployees>
      <EmploymentTaxReturnsFiled>true</EmploymentTaxReturnsFiled>
      <UnrelatedBusinessIncome>false</UnrelatedBusinessIncome>
      <ForeignFinancialAccount>false</ForeignFinancialAccount>
      <ProhibitedTaxShelterTrans>false</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>false</TaxablePartyNotification>
      <NonDeductibleContributions>false</NonDeductibleContributions>
      <QuidProQuoContributions>false</QuidProQuoContributions>
      <Form8282PropertyDisposedOf>false</Form8282PropertyDisposedOf>
      <FundsToPayPremiums>false</FundsToPayPremiums>
      <PremiumsPaid>false</PremiumsPaid>
      <IndoorTanningServices>false</IndoorTanningServices>
      <InfoInScheduleOPartVI>X</InfoInScheduleOPartVI>
      <NbrVotingGoverningBodyMembers>8</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>6</NumberIndependentVotingMembers>
      <FamilyOrBusinessRelationship>false</FamilyOrBusinessRelationship>
      <DelegationOfManagementDuties>false</DelegationOfManagementDuties>
      <ChangesToOrganizingDocs>false</ChangesToOrganizingDocs>
      <MaterialDiversionOrMisuse>false</MaterialDiversionOrMisuse>
      <MembersOrStockholders>false</MembersOrStockholders>
      <ElectionOfBoardMembers>false</ElectionOfBoardMembers>
      <DecisionsSubjectToApproval>false</DecisionsSubjectToApproval>
      <MinutesOfGoverningBody>true</MinutesOfGoverningBody>
      <MinutesOfCommittees>true</MinutesOfCommittees>
      <OfficerMailingAddress>false</OfficerMailingAddress>
      <LocalChapters>false</LocalChapters>
      <Form990ProvidedToGoverningBody>true</Form990ProvidedToGoverningBody>
      <ConflictOfInterestPolicy>true</ConflictOfInterestPolicy>
      <AnnualDisclosureCoveredPersons>true</AnnualDisclosureCoveredPersons>
      <RegularMonitoringEnforcement>true</RegularMonitoringEnforcement>
      <WhistleblowerPolicy>true</WhistleblowerPolicy>
      <DocumentRetentionPolicy>true</DocumentRetentionPolicy>
      <CompensationProcessCEO>true</CompensationProcessCEO>
      <CompensationProcessOther>true</CompensationProcessOther>
      <InvestmentInJointVenture>false</InvestmentInJointVenture>
      <StatesWhereCopyOfReturnIsFiled>NY</StatesWhereCopyOfReturnIsFiled>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NamePerson>RAYMOND FLORDIA</NamePerson>
        <TelephoneNumber>8456278615</TelephoneNumber>
        <AddressUS>
          <AddressLine1>540 CHESTNUT RIDGE ROAD</AddressLine1>
          <City>CHESTNUT RIDGE</City>
          <State>NY</State>
          <ZIPCode>10977</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <InfoInScheduleOPartVII>X</InfoInScheduleOPartVII>
      <Form990PartVIISectionA>
        <NamePerson>JAMES K DWYER MD</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>13750</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>BRIAN BLAUFEUX MD</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>7000</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DAVID FREED</NamePerson>
        <Title>CHAIRMAN</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ERNEST STONICK</NamePerson>
        <Title>SECY/TREAS</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>FRANK BORELLI</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MICHAEL RADER MD</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DREW LERMAN</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>GERARD DURNEY</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>RAYMOND FLORIDA</NamePerson>
        <Title>EXECUTIVE DI</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>174257</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>167750</ReportableCompFromRelatedOrgs>
        <OtherCompensation>35835</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MARK CYGIELMAN</NamePerson>
        <Title>CFO</Title>
        <AverageHoursPerWeek>12.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>41688</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>62531</ReportableCompFromRelatedOrgs>
        <OtherCompensation>20359</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MICHAEL MURPHY</NamePerson>
        <Title>CHIEF OF OPE</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>132346</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>35932</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>TIMOTHY EGAN</NamePerson>
        <Title>DIRECTOR OF</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>118822</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>37379</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CHRISTOPHER WESTBROOK</NamePerson>
        <Title>DIRECTOR OF</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>114514</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>35798</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>FRANK DESCHINO</NamePerson>
        <Title>EDUCATION CO</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>113418</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>39227</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>VINCENT ROMANO</NamePerson>
        <Title>PARAMEDIC</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>112711</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>17462</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>807756</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>251031</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>221992</TotalOtherCompensation>
      <NumberIndividualsGT100K>6</NumberIndividualsGT100K>
      <FormersListed>false</FormersListed>
      <TotalCompGT150K>true</TotalCompGT150K>
      <CompensationFromOtherSources>false</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>EASTERN STATES CONSTRUCTION</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>4 OLD STONE ROAD</AddressLine1>
            <City>VALLEY COTTAGE</City>
            <State>NY</State>
            <ZIPCode>10989</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>CONST OF NEW RP</DescriptionOfServices>
        <Compensation>1397329</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>OXFORD HEALTH PLANS</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 1697</AddressLine1>
            <City>NEWARK</City>
            <State>NJ</State>
            <ZIPCode>07101</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>HLTH INS PROVID</DescriptionOfServices>
        <Compensation>1322601</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>MCNEIL &amp; COMPANY</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 28</AddressLine1>
            <City>ONEIDA</City>
            <State>NY</State>
            <ZIPCode>13421</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>BUS INS AGENT</DescriptionOfServices>
        <Compensation>332407</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>CHARTIS</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>2247 NETWORK PLACE</AddressLine1>
            <City>CHICAGO</City>
            <State>IL</State>
            <ZIPCode>60673</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>WC INSURANCE</DescriptionOfServices>
        <Compensation>149524</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>4</NumberOfContractorsGT100K>
      <GovernmentGrants>33960</GovernmentGrants>
      <TotalContributions>33960</TotalContributions>
      <ProgramServiceRevenue>
        <Description>FUNDING FOR PARAMEDIC SERVICE</Description>
        <TotalRevenueColumn>6078015</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>6078015</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>CONTRACT SERVICES FOR EMS</Description>
        <TotalRevenueColumn>193511</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>193511</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>CONTRACT SERVICES TRAINING</Description>
        <TotalRevenueColumn>21085</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>21085</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>FEMA REIMBURSEMENT</Description>
        <TotalRevenueColumn>4820</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>4820</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>6297431</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>51426</TotalRevenueColumn>
        <ExclusionAmount>51426</ExclusionAmount>
      </InvestmentIncome>
      <OtherRevenueMisc>
        <Description>INSURANCE RECOVERY</Description>
        <TotalRevenueColumn>6267</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>6267</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>OTHER INCOME</Description>
        <TotalRevenueColumn>2019</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>2019</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <TotalOtherRevenue>8286</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>6391103</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>6305717</RelatedOrExemptFunctionIncome>
        <ExclusionAmount>51426</ExclusionAmount>
      </TotalRevenue>
      <CompCurrentOfficersDirectors>
        <Total>176537</Total>
        <ProgramServices>88268</ProgramServices>
        <ManagementAndGeneral>88269</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <OtherSalariesAndWages>
        <Total>3583911</Total>
        <ProgramServices>3129471</ProgramServices>
        <ManagementAndGeneral>454440</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>234037</Total>
        <ProgramServices>181418</ProgramServices>
        <ManagementAndGeneral>52619</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>685834</Total>
        <ProgramServices>591914</ProgramServices>
        <ManagementAndGeneral>93920</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>300019</Total>
        <ProgramServices>261002</ProgramServices>
        <ManagementAndGeneral>39017</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesLegal>
        <Total>32838</Total>
        <ManagementAndGeneral>32838</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>29706</Total>
        <ManagementAndGeneral>29706</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesInvstMgmntFees>
        <Total>13144</Total>
        <ManagementAndGeneral>13144</ManagementAndGeneral>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>22446</Total>
        <ManagementAndGeneral>22446</ManagementAndGeneral>
      </FeesForServicesOther>
      <OfficeExpenses>
        <Total>36368</Total>
        <ProgramServices>18184</ProgramServices>
        <ManagementAndGeneral>18184</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>39261</Total>
        <ProgramServices>25219</ProgramServices>
        <ManagementAndGeneral>14042</ManagementAndGeneral>
      </InformationTechnology>
      <Occupancy>
        <Total>134320</Total>
        <ProgramServices>47165</ProgramServices>
        <ManagementAndGeneral>87155</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>6907</Total>
        <ProgramServices>3453</ProgramServices>
        <ManagementAndGeneral>3454</ManagementAndGeneral>
      </Travel>
      <ConferencesMeetings>
        <Total>4509</Total>
        <ManagementAndGeneral>4509</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>56553</Total>
        <ManagementAndGeneral>56553</ManagementAndGeneral>
      </Interest>
      <DepreciationDepletion>
        <Total>274602</Total>
        <ProgramServices>203013</ProgramServices>
        <ManagementAndGeneral>71589</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>308731</Total>
        <ProgramServices>271861</ProgramServices>
        <ManagementAndGeneral>36870</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>CONTRACTED LABOR</Description>
        <Total>402007</Total>
        <ProgramServices>402007</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MEDICAL SUPPLIES</Description>
        <Total>91472</Total>
        <ProgramServices>91472</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>VEHICLE/EQUIP MAINTENANCE</Description>
        <Total>82619</Total>
        <ProgramServices>4131</ProgramServices>
        <ManagementAndGeneral>78488</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>FUEL</Description>
        <Total>80938</Total>
        <ProgramServices>68585</ProgramServices>
        <ManagementAndGeneral>12353</ManagementAndGeneral>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>-282158</Total>
        <ProgramServices>99546</ProgramServices>
        <ManagementAndGeneral>-381704</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>6314601</Total>
        <ProgramServices>5486709</ProgramServices>
        <ManagementAndGeneral>827892</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>439260</BOY>
        <EOY>593370</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>2653504</BOY>
        <EOY>150419</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>134241</BOY>
        <EOY>50442</EOY>
      </AccountsReceivable>
      <InventoriesForSaleOrUse>
        <BOY>30373</BOY>
        <EOY>38512</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>491780</BOY>
        <EOY>143550</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>5805046</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>1074498</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>672831</BOY>
        <EOY>4730548</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>1291621</BOY>
        <EOY>1328404</EOY>
      </InvestmentsPubTradedSecurities>
      <OtherAssetsTotal>
        <BOY>10000</BOY>
        <EOY>13234</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>5723610</BOY>
        <EOY>7048479</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>675047</BOY>
        <EOY>761036</EOY>
      </AccountsPayableAccruedExpenses>
      <MortNotesPyblSecuredInvestProp>
        <EOY>1170758</EOY>
      </MortNotesPyblSecuredInvestProp>
      <OtherLiabilities>
        <BOY>5000</BOY>
        <EOY>8234</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>680047</BOY>
        <EOY>1940028</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>4996391</BOY>
        <EOY>5064992</EOY>
      </UnrestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>47172</BOY>
        <EOY>43459</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>5043563</BOY>
        <EOY>5108451</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>5723610</BOY>
        <EOY>7048479</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>76502</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>-11614</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>false</FSAudited>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc2">
      <PubliclySupportedOrg509a2>X</PubliclySupportedOrg509a2>
      <GiftsGrantsContribReceived509>
        <CurrentTaxYearMinus4Years>200</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus2Years>128851</CurrentTaxYearMinus2Years>
        <CurrentTaxYear>33960</CurrentTaxYear>
        <Total>163011</Total>
      </GiftsGrantsContribReceived509>
      <GrossReceiptsFromAdmissions>
        <CurrentTaxYearMinus4Years>9663918</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>9760593</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>6105894</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>6197112</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>6305717</CurrentTaxYear>
        <Total>38033234</Total>
      </GrossReceiptsFromAdmissions>
      <ValueOfSvcsFcltsFurnishdByGovt>
        <CurrentTaxYearMinus4Years>22200</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>47450</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>63796</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>64992</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>62060</CurrentTaxYear>
        <Total>260498</Total>
      </ValueOfSvcsFcltsFurnishdByGovt>
      <Total509>
        <CurrentTaxYearMinus4Years>9686318</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>9808043</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>6298541</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>6262104</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>6401737</CurrentTaxYear>
        <Total>38456743</Total>
      </Total509>
      <PublicSupportTotal509>38456743</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>34244</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>375504</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>46205</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>61330</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>51426</CurrentTaxYear>
        <Total>568709</Total>
      </GrossInvestmentIncome509>
      <InvestmentIncomeAndUBTI>
        <CurrentTaxYearMinus4Years>34244</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>375504</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>46205</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>61330</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>51426</CurrentTaxYear>
        <Total>568709</Total>
      </InvestmentIncomeAndUBTI>
      <NetIncomeFromOtherUBI>
        <CurrentTaxYearMinus4Years>15828</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>30901</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>11757</CurrentTaxYearMinus2Years>
        <Total>58486</Total>
      </NetIncomeFromOtherUBI>
      <TotalSupportTotal>
        <CurrentTaxYearMinus4Years>9736390</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>10214448</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>6356503</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>6323434</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>6453163</CurrentTaxYear>
        <Total>39083938</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.98400</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.98500</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.01000</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.01000</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc3">
      <DisclosedOrgsLegalControl>false</DisclosedOrgsLegalControl>
      <DisclosedForCharitablePurposes>false</DisclosedForCharitablePurposes>
      <WrittenPolicyMonitoring>false</WrittenPolicyMonitoring>
      <Sect170hRequirementsSatisfied>false</Sect170hRequirementsSatisfied>
      <SolicitedAssetsForSale>false</SolicitedAssetsForSale>
      <AgentTrusteeEtc>false</AgentTrusteeEtc>
      <IncludedOnFS>false</IncludedOnFS>
      <CurrentYear>
        <BeginningOfYearBalance>47172</BeginningOfYearBalance>
        <Contributions>57170</Contributions>
        <OtherExpenditures>60883</OtherExpenditures>
        <EndOfYearBalance>43459</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>46703</BeginningOfYearBalance>
        <Contributions>26526</Contributions>
        <OtherExpenditures>26057</OtherExpenditures>
        <EndOfYearBalance>47172</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <CurrentYearMinus2Years>
        <BeginningOfYearBalance>38237</BeginningOfYearBalance>
        <Contributions>35333</Contributions>
        <OtherExpenditures>26867</OtherExpenditures>
        <EndOfYearBalance>46703</EndOfYearBalance>
      </CurrentYearMinus2Years>
      <CurrentYearMinus3Years>
        <BeginningOfYearBalance>25515</BeginningOfYearBalance>
        <Contributions>73461</Contributions>
        <OtherExpenditures>60439</OtherExpenditures>
        <EndOfYearBalance>38237</EndOfYearBalance>
      </CurrentYearMinus3Years>
      <PermanentEndowmentEOYBalance>1.00000</PermanentEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>false</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>false</EndowmentsHeldByRelatedOrgs>
      <AreRelatedOrgsListedScheduleR>false</AreRelatedOrgsListedScheduleR>
      <Land>
        <OtherCostOrOtherBasis>675000</OtherCostOrOtherBasis>
        <BookValue>675000</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>3396645</OtherCostOrOtherBasis>
        <Depreciation>35318</Depreciation>
        <BookValue>3361327</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>159884</OtherCostOrOtherBasis>
        <Depreciation>135359</Depreciation>
        <BookValue>24525</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>1544827</OtherCostOrOtherBasis>
        <Depreciation>890136</Depreciation>
        <BookValue>654691</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>28690</OtherCostOrOtherBasis>
        <Depreciation>13685</Depreciation>
        <BookValue>15005</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>4730548</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>IRS SEC 457 NONQUALIFIED PLAN</Description>
        <Amount>8234</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>SUBSCRIPTION PAYABLE</Description>
      </OtherLiabilities>
      <TotalOfAmounts>8234</TotalOfAmounts>
      <TotalRevenue>6391103</TotalRevenue>
      <TotalExpenses>6314601</TotalExpenses>
      <ExcessOrDeficitForYear>76502</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>-7901</NetUnrealizedGLOnInvestments>
      <TotalAdjustments>-7901</TotalAdjustments>
      <ExcessOrDeficitPerFS>68601</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>6445262</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>-7901</NetUnrealizedGainsInvestments>
      <DonatedSrvcAndUseOfFacilities>62060</DonatedSrvcAndUseOfFacilities>
      <RevenueNotRptdF990>54159</RevenueNotRptdF990>
      <RevenueSubtotal>6391103</RevenueSubtotal>
      <TotalRevenuePerForm990>6391103</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>6376661</TotExpensesEtcAuditedFinclStmt>
      <DonatedServicesUseOfFacilities>62060</DonatedServicesUseOfFacilities>
      <ExpensesNotRptdF990>62060</ExpensesNotRptdF990>
      <ExpensesSubtotal>6314601</ExpensesSubtotal>
      <TotalExpensesPerForm990>6314601</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>LIABILITY UNDER FIN 48 FOOTNOTE</Identifier>
        <ReturnReference>SCHEDULE D, PAGE 3, PART X</ReturnReference>
        <Explanation>RPS HAS ADOPTED THE PROVISIONS OF FASB ASC REFERENCE 740 ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES-AN INTERPRETATION OF FASB STATEMENT NO. 109 (FIN 48). UNDER FIN 48, AN ORGANIZATION MUST RECOGNIZE THE TAX BENEFIT ASSOCIATED WITH TAX POSITIONS TAKEN FOR TAX RETURN PURPOSES WHEN IT IS MORE LIKELY THAT NOT THE POSITION WILL BE SUSTAINED UPON EXAMINATION BY A TAXING AUTHORITY. THE IMPLEMENTATION OF FIN 48 HAD NO IMPACT ON RPS. RPS DOES NOT BELIEVE IT HAS TAKEN ANY MATERIAL TAX POSITIONS AND, ACCORDINGLY, IT HAS NOT RECORDED ANY LIABILITY FOR UNRECOGNIZED TAX BENEFITS. RPS HAS FILED FOR AND RECEIVED TAX EXEMPTIONS IN THE JURSIDICTIONS WHERE REQUIRED TO DO SO. IT HAS FILED IRS FORM 990 INFORMATION RETURNS AS REQUIRED, AND ALL OTHER APPLICABLE RETURNS IN JURSIDICTIONS WHERE SO REQUIRED. FOR THE YEARS ENDED DECEMBER 31, 2010 AND 2009, THERE WERE NO INTEREST OR PENALTIES INCLUDED IN THE FINANCIAL STATEMENT OF ACTIVITIES.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc5">
      <Form990OfOtherOrganizations>X</Form990OfOtherOrganizations>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>RAYMOND FLORIDA</NamePerson>
        <BaseCompensationFilingOrg>174257</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>167750</CompBasedOnRelatedOrgs>
        <DeferredCompFilingOrg>33555</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>2280</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>210092</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>167750</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MICHAEL MURPHY</NamePerson>
        <BaseCompensationFilingOrg>132346</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>35542</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>390</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>168278</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>TIMOTHY EGAN</NamePerson>
        <BaseCompensationFilingOrg>118822</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>34389</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>2990</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>156201</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>CHRISTOPHER WESTBROOK</NamePerson>
        <BaseCompensationFilingOrg>114514</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>33908</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>1890</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>150312</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>FRANK DESCHINO</NamePerson>
        <BaseCompensationFilingOrg>113418</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>34417</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>4810</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>152645</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS</Identifier>
        <ReturnReference>SCHEDULE J, PAGE 1, PART I, LINE 4</ReturnReference>
        <Explanation>RAYMOND FLORIDA 0 8,100 0</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc6">
      <GeneralExplanation>
        <Identifier>ORGANIZATION'S PROCESS USED TO REVIEW FORM 990</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 11B</ReturnReference>
        <Explanation>EACH MEMBER OF THE BOARD OF DIRECTORS AND FINANCE COMMITTEE IS PROVIDED A COPY OF FORM 990 FOR REVIEW PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ENFORCEMENT OF CONFLICTS POLICY</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 12C</ReturnReference>
        <Explanation>ANNUAL STATEMENT COMPLETED AND SIGNED BY DESIGNATED PARTIES</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION PROCESS FOR TOP OFFICIAL</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 15A</ReturnReference>
        <Explanation>THE BOARD OF DIRECTORS PERFORMS A REVIEW OF THE COMPENSATION TO BE PAID TO THE EXCEUTIVE DIRECTOR. THE REVIEW PROCESS INCLUDES AVAILABLE COMPARABLE ENTITY DATA, EMPLOYMENT LONGEVITY, RESPONSIBILITIES AND ACCOMPLISHMENTS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION PROCESS FOR OFFICERS</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 15B</ReturnReference>
        <Explanation>THE EXECUTIVE DIRECTOR REVIEWS THE COMPENSATION OF KEY EMPLOYEES ANNUALY TAKING INTO CONSIDERATION AVAILABLE COMPARABLE ENTITY DATA, EMPLOYMENT LONGEVITY, RESPOSIBILITIES AND ACCOMPLISHMENTS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>GOVERNING DOCUMENTS DISCLOSURE EXPLANATION</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 19</ReturnReference>
        <Explanation>GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ADDITIONAL INFORMATION</Identifier>
        <ReturnReference>FORM 990, PART VII</ReturnReference>
        <Explanation>COMPENSATION PAID TO DR. JAMES DWYER AND DR. BRIAN BLAUJEAUX FOR SERVICES AS MEDICAL DIRECTOR OF SUBSIDIARY ROCKLAND MOBILE CARE, INC. THE DEPT OF HEALTH REQUIRES THE STAFFING OF A MEDICAL DIRECTOR. THE AVERAGE NUMBER OF HOURS WORKED WEEKLY IS 4 WHILE SERVING AS MEDICAL DIRECTOR. MARK CYGIELMAN, CFO OF RELATED ENTITY ROCKLAND MOBILE CARE, INC., DEVOTES 40% (WEEKLY AVERAGE OF 12 HOURS) OF HIS TIME TO ROCKLAND PARAMEDIC SERVICES AND 60% (WEEKLY AVERAGE OF 18 HOURS) OF HIS TIME TO ROCKLAND MOBILE CARE</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc7">
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ROCKLAND MOBILE CARE INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>540 CHESTNUT RIDGE ROAD</AddressLine1>
          <City>CHESTNUT RIDGE</City>
          <State>NY</State>
          <ZIPCode>10977</ZIPCode>
        </AddressUS>
        <EIN>134034435</EIN>
        <PrimaryActivity>AMBULANCE</PrimaryActivity>
        <LegalDomicileState>NY</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C CORP</TypeOfEntity>
        <ShareOfTotalIncome>18366</ShareOfTotalIncome>
        <ShareOfEOYAssets>2520477</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>RMC AUTOMOTIVE INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>540 CHESTNUT RIDGE ROAD</AddressLine1>
          <City>CHESTNUT RIDGE</City>
          <State>NY</State>
          <ZIPCode>10977</ZIPCode>
        </AddressUS>
        <EIN>271651799</EIN>
        <PrimaryActivity>VEH REPAIR</PrimaryActivity>
        <LegalDomicileState>NY</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C CORP</TypeOfEntity>
        <ShareOfTotalIncome>-11465</ShareOfTotalIncome>
        <ShareOfEOYAssets>15783</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>true</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>true</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>true</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>true</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ROCKLAND MOBILE CARE INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>F</TransactionType>
        <AmountInvolved>105124</AmountInvolved>
        <MethodOfAmtDetermination>INVOICED COST</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ROCKLAND MOBILE CARE INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>163279</AmountInvolved>
        <MethodOfAmtDetermination>PARAMEDIC SHIFT COVERAGE</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ROCKLAND MOBILE CARE INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>L</TransactionType>
        <AmountInvolved>402007</AmountInvolved>
        <MethodOfAmtDetermination>PARAMEDIC SHIFT COVERAGE</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ROCKLAND MOBILE CARE INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>M</TransactionType>
        <AmountInvolved>43208</AmountInvolved>
        <MethodOfAmtDetermination>SHARED RENTAL SPACE</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ROCKLAND MOBILE CARE INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
        <AmountInvolved>501069</AmountInvolved>
        <MethodOfAmtDetermination>DETAILED REVIEW</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ROCKLAND MOBILE CARE INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>23952</AmountInvolved>
        <MethodOfAmtDetermination>DETAILED REVIEW</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ROCKLAND MOBILE CARE INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>19300</AmountInvolved>
        <MethodOfAmtDetermination>DETAILED REVIEW</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>RMC AUTOMOTIVE INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
        <AmountInvolved>17184</AmountInvolved>
        <MethodOfAmtDetermination>DETAILED REVIEW</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ROCKLAND MOBILE CARE INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>F</TransactionType>
        <AmountInvolved>105124</AmountInvolved>
        <MethodOfAmtDetermination>INVOICED COST</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ROCKLAND MOBILE CARE INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>163279</AmountInvolved>
        <MethodOfAmtDetermination>PARAMEDIC SHIFT COVERAGE</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ROCKLAND MOBILE CARE INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>L</TransactionType>
        <AmountInvolved>402007</AmountInvolved>
        <MethodOfAmtDetermination>PARAMEDIC SHIFT COVERAGE</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ROCKLAND MOBILE CARE INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>M</TransactionType>
        <AmountInvolved>43208</AmountInvolved>
        <MethodOfAmtDetermination>SHARED RENTAL SPACE</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ROCKLAND MOBILE CARE INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
        <AmountInvolved>501069</AmountInvolved>
        <MethodOfAmtDetermination>DETAILED REVIEW</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ROCKLAND MOBILE CARE INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>23952</AmountInvolved>
        <MethodOfAmtDetermination>DETAILED REVIEW</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>ROCKLAND MOBILE CARE INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>19300</AmountInvolved>
        <MethodOfAmtDetermination>DETAILED REVIEW</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>RMC AUTOMOTIVE INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
        <AmountInvolved>17184</AmountInvolved>
        <MethodOfAmtDetermination>DETAILED REVIEW</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>