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        <ProgramServicesAmt>139169</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24559</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>30679</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5414</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>32276</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5696</ManagementAndGeneralAmt>
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      <PymtTravelEntrtnmntPubOfclGrp>
        <TotalAmt>0</TotalAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>28080</TotalAmt>
        <ProgramServicesAmt>28080</ProgramServicesAmt>
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      <InterestGrp>
        <TotalAmt>36403</TotalAmt>
        <ProgramServicesAmt>36403</ProgramServicesAmt>
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      <PaymentsToAffiliatesGrp>
        <TotalAmt>0</TotalAmt>
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      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>18406</ProgramServicesAmt>
        <ManagementAndGeneralAmt>85358</ManagementAndGeneralAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>24681</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4355</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL STAFF</Desc>
        <TotalAmt>219706</TotalAmt>
        <ProgramServicesAmt>219706</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>CONTRACT STAFF</Desc>
        <TotalAmt>220998</TotalAmt>
        <ProgramServicesAmt>187848</ProgramServicesAmt>
        <ManagementAndGeneralAmt>33150</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>PRINTING PUBLICATIONS</Desc>
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        <ProgramServicesAmt>55939</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9872</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>DUES SUBSCRIPTIONS</Desc>
        <TotalAmt>60471</TotalAmt>
        <ProgramServicesAmt>51400</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9071</ManagementAndGeneralAmt>
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        <FundraisingAmt>18000</FundraisingAmt>
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      <SavingsAndTempCashInvstGrp>
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      <MortgNotesPyblScrdInvstPropGrp>
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      <OtherLiabilitiesGrp>
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        <EOYAmt>7965</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>1342108</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
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      <TotalNetAssetsFundBalanceGrp>
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      <TotLiabNetAssetsFundBalanceGrp>
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      <ReconcilationRevenueExpnssAmt>1616208</ReconcilationRevenueExpnssAmt>
      <PriorPeriodAdjustmentsAmt>89290</PriorPeriodAdjustmentsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>false</FSAuditedInd>
      <FSAuditedBasisGrp>
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      <AuditCommitteeInd>false</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>false</FederalGrantAuditPerformedInd>
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      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
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        <CurrentTaxYearMinus3YearsAmt>1685299</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1892321</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2183843</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4240591</CurrentTaxYearAmt>
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      <TotalCalendarYear170Grp>
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        <CurrentTaxYearMinus1YearAmt>2183843</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4240591</CurrentTaxYearAmt>
        <TotalAmt>11583543</TotalAmt>
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      <PublicSupportTotal170Amt>11583543</PublicSupportTotal170Amt>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus1YearAmt>14783</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3885</CurrentTaxYearAmt>
        <TotalAmt>18668</TotalAmt>
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      <TotalSupportAmt>11602211</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>845667</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.99840</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.99830</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <FactsAndCircumstancesTestTxt>Part II Section B Line 11 column d is miscellaneous revenue.</FactsAndCircumstancesTestTxt>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Part II Section B Line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>column e is miscellaneous revenue.</ExplanationTxt>
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      <LeaseholdImprovementsGrp>
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      <EquipmentGrp>
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        <BookValueAmt>438424</BookValueAmt>
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      <OtherLandBuildingsGrp>
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        <BookValueAmt>190517</BookValueAmt>
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      <OtherSecuritiesGrp>
        <Desc>Financial derivatives and other financial products</Desc>
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      <OtherSecuritiesGrp>
        <Desc>Closely-held equity interests</Desc>
      </OtherSecuritiesGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Federal income taxes</Desc>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Credit Cards Payable</Desc>
        <Amt>7965</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>7965</TotalLiabilityAmt>
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      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
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      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
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      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
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        <TitleTxt>NURSE PRACTITIONER</TitleTxt>
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    <IRS990ScheduleO documentId="990O" softwareId="22015461" softwareVersionNum="22.0.1.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE FORM 990 IS PROVIDED TO THE CEO AND CFO FOR REVIEW AND APPROVAL PRIOR TO ITS FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>CACTUS HEALTH SERVICES UTILIZES THE BOARD OF DIRECTORS TO MONITOR AND ENFORCE COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY BY REVIEWING OFFICER, DIRECTOR AND EMPLOYEE COMPLIANCE WITH THE POLICY DURING ITS BOARD OF DIRECTOR MEETINGS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>CACTUS HEALTH SERVICES UTILIZES THE BOARD OF DIRECTORS TO DETERMINE COMPENSATION OF TOP MANAGEMENT BY COMPARING COMPENSATION AMOUNTS TO OTHER COMPARABLE HEALTH CENTERS AND EVALUATING THE PERFORMANCE OF EMPLOYEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>CACTUS HEALTH SERVICES MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 3B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AGENCY HAS NOT BEEN AUDITED FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2023. THEY HAVE CONTRACTED AN INDEPENDENT CPA TO PERFORM THE ANNUAL SINGLE AUDIT IN ACCORDANCE WITH THE UNIFORM GUIDANCE AND THE STATE OF TEXAS SINGLE AUDIT CIRCULAR. THE AUDIT SHOULD BE COMPLETED BY AUGUST 31, 2024.</ExplanationTxt>
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</Return>