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        <CurrentTaxYearMinus1YearAmt>0</CurrentTaxYearMinus1YearAmt>
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      <OtherIncome509Grp>
        <TotalAmt>0</TotalAmt>
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      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>107536535</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>83361074</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>76849873</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>87105568</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>99597811</CurrentTaxYearAmt>
        <TotalAmt>454450861</TotalAmt>
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      <PublicSupportCY509Pct>0.99832</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99851</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00168</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00149</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmountsGrp />
      <HeldWorksArtGrp />
      <CYMinus3YrEndwmtFundGrp />
      <CYMinus4YrEndwmtFundGrp />
      <LandGrp />
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>14723739</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2307995</DepreciationAmt>
        <BookValueAmt>12415744</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp />
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>68136582</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>34592560</DepreciationAmt>
        <BookValueAmt>33544022</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>18641468</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>12621872</DepreciationAmt>
        <BookValueAmt>6019596</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>51979362</TotalBookValueLandBuildingsAmt>
      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>RIGHT OF USE LIABILITY</Desc>
        <Amt>4803688</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>4803688</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>100835748</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>2237935</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>106608</OtherRevenueAmt>
      <RevenueNotReportedAmt>2344543</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>98491205</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>1249104</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>1249104</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>99740309</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>96297934</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>106608</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>106608</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>96191326</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>1249104</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>1249104</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>97440430</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Revenue amount included in the the audited financials but not in RETURN:</FormAndLineReferenceDesc>
        <ExplanationTxt>Schdule D, Part Xi, line 2D: Fundraising event expense $11,880 Cost of goods sold $94,728</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Expense amount included in the audited financials but not in the return</FormAndLineReferenceDesc>
        <ExplanationTxt>Schdule D, part xii, line 2d: Fundraising event expense $11,880 Cost of goods sold $94,728</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Fin 48 footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>Schdule D, Part X, line 2: The Company is exempt from federal income taxes under Section 501(a) of the Internal Revenue Code (IRC) of 1986, as amended, as an organization described in Section 501(c)(3) of the IRC, and as such, contributions to the Company qualify for deduction as charitable contributions. As of September 2, 2014, the Company has been classified as a public charity under IRC Section 509(a) (2). Additionally, any income generated from activities unrelated to the Company's exempt purpose is subject to tax under IRC Section 511. However, the Company did not have any unrelated business income tax liability or expense for the years ended September 30, 2025 and 2024. No tax accrual for uncertain tax positions has been recorded in the accompanying statements of financial position as management believes there are no uncertain tax positions for the Company.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>OTHER AMOUNT INCLUDED IN THE RETURN BUT NOT IN THE AUDITED FINANCIALS</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, SCHEDULE D, PART XI &amp; PART XII LINE 4B INTEREST EXPENSE $705,209 GRANT REFUND $543,895</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="IRS990ScheduleG">
      <FundraisingEventInformationGrp>
        <Event1Nm>GOLF TOURNAMENT</Event1Nm>
        <GrossReceiptsEvent1Amt>23610</GrossReceiptsEvent1Amt>
        <GrossRevenueEvent1Amt>23610</GrossRevenueEvent1Amt>
        <OtherDirectExpensesEvent1Amt>11880</OtherDirectExpensesEvent1Amt>
        <OtherEventsTotalCnt>0</OtherEventsTotalCnt>
        <GrossReceiptsTotalAmt>23610</GrossReceiptsTotalAmt>
        <GrossRevenueTotalEventsAmt>23610</GrossRevenueTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>11880</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>11880</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>11730</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Reynolds Kevin</PersonNm>
        <TitleTxt>COO/VP</TitleTxt>
        <BaseCompensationFilingOrgAmt>324730</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>1750</BonusFilingOrganizationAmount>
        <TotalCompensationFilingOrgAmt>326480</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Lail Lynn K</PersonNm>
        <TitleTxt>Director Strategic Initiatives</TitleTxt>
        <BaseCompensationFilingOrgAmt>188075</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>1250</BonusFilingOrganizationAmount>
        <TotalCompensationFilingOrgAmt>189325</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Schoenhardt Scott E</PersonNm>
        <TitleTxt>Pilot</TitleTxt>
        <BaseCompensationFilingOrgAmt>198200</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>500</BonusFilingOrganizationAmount>
        <TotalCompensationFilingOrgAmt>198700</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CRANE BRYAN</PersonNm>
        <TitleTxt>VP GROUND OPERATIONS</TitleTxt>
        <BaseCompensationFilingOrgAmt>217492</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>1750</BonusFilingOrganizationAmount>
        <TotalCompensationFilingOrgAmt>219242</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVIS WILLIAM</PersonNm>
        <TitleTxt>PILOT</TitleTxt>
        <BaseCompensationFilingOrgAmt>203169</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>500</BonusFilingOrganizationAmount>
        <TotalCompensationFilingOrgAmt>203669</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>McCoy Wrey A</PersonNm>
        <TitleTxt>Air NURSE</TitleTxt>
        <BaseCompensationFilingOrgAmt>213488</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>375</BonusFilingOrganizationAmount>
        <TotalCompensationFilingOrgAmt>213863</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>COBB JEFFERY</PersonNm>
        <TitleTxt>AIR NURSE</TitleTxt>
        <BaseCompensationFilingOrgAmt>200692</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>375</BonusFilingOrganizationAmount>
        <TotalCompensationFilingOrgAmt>201067</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KAHLER DUSTIN</PersonNm>
        <TitleTxt>VP/CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>197498</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>1750</BonusFilingOrganizationAmount>
        <TotalCompensationFilingOrgAmt>199248</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Rarity II Michael</PersonNm>
        <TitleTxt>Pilot</TitleTxt>
        <BaseCompensationFilingOrgAmt>160393</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>500</BonusFilingOrganizationAmount>
        <TotalCompensationFilingOrgAmt>160893</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SCHWEBACH JASON</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>283881</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>75000</BonusFilingOrganizationAmount>
        <TotalCompensationFilingOrgAmt>358881</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>the organization has members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART VI, LINE 6: Texas Health Resources ("THR"), Baylor University Medical Center ("BUMC"), and Methodist Hospitals of Dallas ("MHD"), (collectively, the "Members") have member interests of 50%, 25% and 25%, respectively, in the Company. Dallas County Hospital District d/b/a Parkland Health and Hospital System ("DCHD") and John Peter Smith Hospital ("JPSH") are special affiliates with no membership interest.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>THE MEMBERS STOCKHOLDERS OR OTHER PERSONS WHO MAY ELECT ONE OR MORE MEMBER</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990, Part VI, Line 7A: The Board of Directors (the "Board") consists of twelve voting members. The President of the Company and the Medical Director are nonvoting members of the Board. THR has four voting members, BUMC has two voting members, MHD has two voting members, DCHD has two voting members, and JPSH has two voting members. Out of those 12 voting members, there are three vacant positions.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>DESCRIBE THE PROCESS USED BY MANAGEMENT &amp;/OR GOVERNING BODY TO REVIEW 990</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990, Part VI, Line 11b: The 990 is forwarded to the board prior to being filed. It is also reviewed by the auditor who prepared the audited financial statements.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>DESCRIBE THE PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990, Part VI, Line 12c: The Conflict of Interest statements are required in the annual staff performance review process. Also, annually, board members are required to file conflict of interest statements to the independent auditor as a requirement of the annual audit. Board members are required to recuse themselves from votes where an actual or perceived conflict of interest exists.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>the process for determining compensation</FormAndLineReferenceDesc>
        <ExplanationTxt>PART VI, LINEs 15A &amp; 15B: For the CEO, each year, the Board evaluates the CEO. A summary is given and discussed with the CEO by the Board Chair. Salary comparisons were reviewed utilizing the most recent Nonprofit Salary and Benefits Survey available for Dallas County. PERFORMANCE OBJECTIVES ARE ESTABLISHED AND EVALUATED ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, &amp; FIN STMTS TO GEN PUBLIC</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990, Part VI, Line 19: The governning documents, conflict of interest policy, and financial statements are made available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>