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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>21695</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>179441</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KLARK STAFFAN</PersonNm>
        <TitleTxt>FORMER CAO</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>179581</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>11971</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>191552</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES GUBBELS</PersonNm>
        <TitleTxt>FORMER PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>62055</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>141585</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>21220</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>224860</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>FORMER PRESIDENT, JAMES GUBBELS, RECEIVED A SEVERANCE PAYMENT OF $141,585. FORMER CAO, KLARK STAFFAN, RECEIVED A SEVERANCE PAYMENT OF $179,581.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>AS NOTED IN THE PRIOR YEAR FORM 990, REMSA'S HEALTH CARE AND INNOVATION GRANT FROM THE FEDERAL DEPARTMENT OF HEALTH AND HUMAN SERVICES ENDED JUNE 30, 2016.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS REVIEWED BY THE CEO AND CFO PRIOR TO BEING FILED. AT THIS TIME, THE 990 IS NOT REVIEWED BY THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT REGULARLY REVIEWS ANY ISSUES THAT ARISE UNDER THE CONFLICT OF INTEREST POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION FOR THE CEO IS APPROVED BY THE BOARD OF DIRECTORS ANNUALLY. ALL OFFICERS AND KEY EMPLOYEES' SALARIES ARE REVIEWED DURING THEIR ANNUAL PERFORMANCE EVALUATION WITH THEIR DIRECT SUPERVISOR. ALL OTHER SALARIES ARE REVIEWED BY THE BOARD ANNUALLY AS PART OF THE BUDGET APPROVAL PROCESS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 18</FormAndLineReferenceDesc>
        <ExplanationTxt>REMSA'S 990 IS LOCATED ON GUIDESTAR AS WELL AS MADE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>REMSA'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 24E</FormAndLineReferenceDesc>
        <ExplanationTxt>AIRCRAFT &amp; VEHICLE FUEL: PROGRAM SERVICE EXPENSES 860,929. MANAGEMENT AND GENERAL EXPENSES 3,893. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 864,822. EQUIPMENT RENTAL AND MAINTENANCE: PROGRAM SERVICE EXPENSES 143,437. MANAGEMENT AND GENERAL EXPENSES 507,714. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 651,151. INSURANCE: PROGRAM SERVICE EXPENSES 598,404. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 598,404. INFORMATION TECHNOLOGY: PROGRAM SERVICE EXPENSES 219,197. MANAGEMENT AND GENERAL EXPENSES 290,030. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 509,227. TELEPHONE: PROGRAM SERVICE EXPENSES 384,750. MANAGEMENT AND GENERAL EXPENSES 10,570. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 395,320. EDUCATION: PROGRAM SERVICE EXPENSES 331,823. MANAGEMENT AND GENERAL EXPENSES 31,609. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 363,432. COLLECTION: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 243,000. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 243,000. PUBLIC RELATIONS: PROGRAM SERVICE EXPENSES 225,672. MANAGEMENT AND GENERAL EXPENSES 13,981. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 239,653. AIRCRAFT FLIGHT TIME: PROGRAM SERVICE EXPENSES 221,208. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 221,208. EMPLOYEE UNIFORMS: PROGRAM SERVICE EXPENSES 201,668. MANAGEMENT AND GENERAL EXPENSES 75. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 201,743. UTILITIES: PROGRAM SERVICE EXPENSES 193,039. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 193,039. FACILITY MAINT./JANITORIAL: PROGRAM SERVICE EXPENSES 181,732. MANAGEMENT AND GENERAL EXPENSES 1,241. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 182,973. TAXES/LICENSES/FEES: PROGRAM SERVICE EXPENSES 162,048. MANAGEMENT AND GENERAL EXPENSES 4,221. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 166,269. RISK MANAGEMENT - HEALTH &amp; SAFETY: PROGRAM SERVICE EXPENSES 150,981. MANAGEMENT AND GENERAL EXPENSES 1,125. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 152,106. MEDICAL DIRECTORS: PROGRAM SERVICE EXPENSES 115,200. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 115,200. EMPLOYEE WELFARE: PROGRAM SERVICE EXPENSES 53,362. MANAGEMENT AND GENERAL EXPENSES 52,332. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 105,694. CHILD SAFETY SEAT PROGRAM: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 103,870. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 103,870. POSTAGE AND PRINTING: PROGRAM SERVICE EXPENSES 66,674. MANAGEMENT AND GENERAL EXPENSES 7,327. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 74,001. DUES/SUBSCRIPTIONS: PROGRAM SERVICE EXPENSES 7,331. MANAGEMENT AND GENERAL EXPENSES 61,100. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 68,431. MEALS AND ENTERTAINMENT: PROGRAM SERVICE EXPENSES 38,406. MANAGEMENT AND GENERAL EXPENSES 29,320. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 67,726. RECRUITING: PROGRAM SERVICE EXPENSES 41,408. MANAGEMENT AND GENERAL EXPENSES 10,572. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 51,980. PAYROLL SERIVCES: PROGRAM SERVICE EXPENSES 34,789. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 34,789. SILVER SAVER SUBSCRIPTION: PROGRAM SERVICE EXPENSES 23,465. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,465. AIRCRAFT/MISC.: PROGRAM SERVICE EXPENSES 21,542. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,542. HUMAN RESOURCES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 11,918. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,918. SPECIAL OPERATIONS: PROGRAM SERVICE EXPENSES 2,489. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,489.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043500001">
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>REGIONAL AMBULANCE SERVICES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>450 EDISON WAY</AddressLine1Txt>
          <CityNm>RENO</CityNm>
          <StateAbbreviationCd>NV</StateAbbreviationCd>
          <ZIPCd>89502</ZIPCd>
        </USAddress>
        <EIN>880355913</EIN>
        <PrimaryActivitiesTxt>PROVIDES EMPLOYEE SERVICES TO REMSA</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NV</LegalDomicileStateCd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>23502458</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>3444774</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>