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        <SupportedOrgNotOrganizedUSInd>0</SupportedOrgNotOrganizedUSInd>
        <OrganizationChangeSuprtOrgInd>0</OrganizationChangeSuprtOrgInd>
        <SupportNonSupportedOrgInd>1</SupportNonSupportedOrgInd>
        <PaymentSubstantialContribtrInd>0</PaymentSubstantialContribtrInd>
        <LoanDisqualifiedPersonInd>0</LoanDisqualifiedPersonInd>
        <ControlledDisqualifiedPrsnInd>0</ControlledDisqualifiedPrsnInd>
        <DisqualifiedPrsnControllIntInd>0</DisqualifiedPrsnControllIntInd>
        <DisqualifiedPrsnOwnrIntInd>0</DisqualifiedPrsnOwnrIntInd>
        <ExcessBusinessHoldingsRulesInd>0</ExcessBusinessHoldingsRulesInd>
        <ContributionControllerInd>0</ContributionControllerInd>
        <ContributionFamilyInd>0</ContributionFamilyInd>
        <Contribution35ControlledInd>0</Contribution35ControlledInd>
      </Form990SchASupportingOrgGrp>
      <Form990SchAType1SuprtOrgGrp>
        <PowerAppointMajorityDirTrstInd>1</PowerAppointMajorityDirTrstInd>
        <OperateBenefitNonSuprtOrgInd>0</OperateBenefitNonSuprtOrgInd>
      </Form990SchAType1SuprtOrgGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION A, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>BOSTON MEDFLIGHT OCCASIONALLY TRANSPORTS PATIENTS TO NON-CONSORTIUM HOSPITALS WHEN IT IS DEEMED NECESSARY.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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      <VolunteersInd>0</VolunteersInd>
      <PaidStaffOrManagementInd>1</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>0</MediaAdvertisementsInd>
      <MailingsMembersInd>0</MailingsMembersInd>
      <PublicationsOrBroadcastInd>0</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>0</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>1</DirectContactLegislatorsInd>
      <DirectContactLegislatorsAmt>30000</DirectContactLegislatorsAmt>
      <RalliesDemonstrationsInd>0</RalliesDemonstrationsInd>
      <OtherActivitiesInd>0</OtherActivitiesInd>
      <TotalLobbyingExpendituresAmt>30000</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>0</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II-B, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>KEARNEY, DONOVAN &amp; MCGEE, LLC. (KDM) IS ENGAGED TO PROVIDE STRATEGIC CONSULTING, LOBBYING AND ADVOCACY SERVICES TO BOSTON MEDFLIGHT REGARDING ISSUES PERTAINING TO CRITCAL CARE TRANSPORT BY AIR AND GROUND BEFORE THE COMMONWEALTH OF MASSACHUSETTS. KDM ASSISTED BOSTON MEDFLIGHT IN EDUCATING LEGISLATORS ABOUT THE MISSION OF THE ORGANIZATION AND THE SERVICES THAT IT PROVIDES TO THE MEMBERS OF THE COMMUNITY. BOSTON MEDFLIGHT PAID KDM THE SUM OF $30,000 FOR THESE SERVICES FROM OCTOBER 2024 TO SEPTEMBER 2025. THESE EXPENSES ARE INCLUDED IN PROFESSIONAL FEES IN THE GENERAL LEDGER.</ExplanationTxt>
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    </IRS990ScheduleC>
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        <DepreciationAmt>4938118</DepreciationAmt>
        <BookValueAmt>16165060</BookValueAmt>
      </BuildingsGrp>
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        <DepreciationAmt>307488</DepreciationAmt>
        <BookValueAmt>90652</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
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        <DepreciationAmt>6481788</DepreciationAmt>
        <BookValueAmt>3421673</BookValueAmt>
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      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>80703024</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>27659831</DepreciationAmt>
        <BookValueAmt>53043193</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>72720578</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>AIRCRAFT IN PROGRESS</Desc>
        <BookValueAmt>1500000</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>RIGHT-OF-USE ASSETS - OPERATING</Desc>
        <BookValueAmt>7518009</BookValueAmt>
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      <TotalBookValueOtherAssetsAmt>9018009</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITIES</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>FINANCE LEASE LIABILITIES</Desc>
        <Amt>43154450</Amt>
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      <TotalLiabilityAmt>51103233</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
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      <NetUnrealizedGainsInvstAmt>246387</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>252469</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>498856</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>63001053</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>-96977</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>-96977</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>62904076</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>61110391</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>252469</DonatedServicesUseFcltsAmt>
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      <ExpensesSubtotalAmt>60760945</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
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        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AGENCY ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES IN ACCORDANCE WITH ASC TOPIC, INCOME TAXES. THIS STANDARD CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN TAX POSITIONS AND PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENTS REGARDING A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE AGENCY HAS DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS WHICH QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS AT SEPTEMBER 30, 2025. THE AGENCY'S TAX RETURNS ARE SUBJECT TO EXAMINATION BY THE FEDERAL AND STATE JURISDICTIONS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>COST OF GOODS SOLD NETTED AGAINST RELATED REVENUE -30,410. FUNDRAISING EVENT EXPENSES NETTED AGAINST REVENUE -66,567.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
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        <FoodAndBeverageEvent1Amt>8864</FoodAndBeverageEvent1Amt>
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        <Event2Nm>NANTUCKET DINNER</Event2Nm>
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        <CharitableContriEvent2Amt>84578</CharitableContriEvent2Amt>
        <OtherDirectExpensesEvent2Amt>11490</OtherDirectExpensesEvent2Amt>
        <OtherEventsTotalCnt>1</OtherEventsTotalCnt>
        <GrossReceiptsOtherEventsAmt>86183</GrossReceiptsOtherEventsAmt>
        <CharitableContriOtherEventsAmt>86183</CharitableContriOtherEventsAmt>
        <RentFcltyCostsOtherEventsAmt>725</RentFcltyCostsOtherEventsAmt>
        <FoodAndBeverageOtherEventsAmt>13746</FoodAndBeverageOtherEventsAmt>
        <OthDirectExpnssOtherEventsAmt>5806</OthDirectExpnssOtherEventsAmt>
        <GrossReceiptsTotalAmt>294941</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>271421</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>23520</GrossRevenueTotalEventsAmt>
        <NonCashPrizesTotalEventsAmt>1440</NonCashPrizesTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>14407</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>22610</FoodAndBeverageTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>28110</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>66567</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-43047</NetIncomeSummaryAmt>
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      <DiscretionarySpendingAcctInd>X</DiscretionarySpendingAcctInd>
      <WrittenPolicyRefTAndEExpnssInd>1</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>1</SubstantiationRequiredInd>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JASON COHEN MD</PersonNm>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>10000</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>449851</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MAURA HUGHES CPA</PersonNm>
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        <TotalCompensationFilingOrgAmt>385541</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>328465</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NORMA MENDILIAN CPA</PersonNm>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
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        <TotalCompensationFilingOrgAmt>289052</TotalCompensationFilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FINANCE COMMITTEE REVIEWS THE FORM 990 BEFORE IT IS FILED.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ANNUAL CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY BY ALL BOARD MEMBERS AND KEY EMPLOYEES AND CONFLICT OF INTEREST STATEMENTS ARE SIGNED BY EACH STATING CONFLICTS IF THEY EXIST. OPERATIONAL CHANGES ARE MADE IF NECESSARY WHERE CONFLICTS ARE IDENTIFIED.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO'S SALARY IS REVIEWED ANNUALLY AND DETERMINED BY THE EXECUTIVE COMMITTEE BASED ON A COMPARABLE ANALYSIS OF CEO'S SALARIES OF SIMILAR ORGANIZATIONS AND FUNCTIONS DONE BY BOSTON MEDFLIGHT CHIEF HUMAN RESOURCES OFFICER. THE CHIEF HUMAN RESOURCE OFFICER GATHERS AND ANALYZES DATA FROM SIMILAR SIZED LOCAL AND NATIONAL NONPROFITS WITHIN THE SAME INDUSTRY, AS WELL AS HOSPITALS AND INDUSTRY SURVEYS, TO DETERMINE APPROPRIATE COMPENSATION FOR OFFICERS AND KEY EMPLOYEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS ARE AVAILABLE ON THE STATE'S PUBLIC WEBSITE. THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST. FINANCIAL STATEMENTS ARE ALSO AVAILABLE TO THE PUBLIC AND POSTED ON GUIDESTAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE WAS NO CHANGE TO THE ORGANIZATION'S PROCESS FOR OVERSIGHT OR SELECTION OF THE AUDIT OF ITS FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>