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      <FactsAndCircumstancesTestTxt>Part II Section B Line 11 column c is miscellaneous revenue.</FactsAndCircumstancesTestTxt>
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        <FormAndLineReferenceDesc>Part II Section A Line 1 4</FormAndLineReferenceDesc>
        <ExplanationTxt>Amended Return Following the finalization and issuance of the annual audit of the financial statements, the following sections of the return have been amended to report the audited amounts of the fiscal year ending 09-30-2023 Schedule A, Part II, line 1 Gifts, grants, contributions Column d and line 4 Total Column d.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Part II Section B Line 7 10</FormAndLineReferenceDesc>
        <ExplanationTxt>Amended Return Following the finalization and issuance of the annual audit of the financial statements, the following sections of the return have been amended to report the audited amounts of the fiscal year ending 09-30-2023 Schedule A, Part II, Line 7 Amount from line 4 Column d and Line 10 Other income Column d.</ExplanationTxt>
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      <OtherSecuritiesGrp>
        <Desc>Closely-held equity interests</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Federal income taxes</Desc>
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        <ExplanationTxt>Federal Taxes The Organization is a not-for-profit organization exempt from federal income taxes under Section 501c3 of the Internal Revenue Code. In addition, the Organization has been determined by the Internal Revenue Service not to be a private foundation within the meaning of 509a of the Code. Accordingly, no liability or provision for federal income taxes is included in the financial statements. There was no unrelated business income tax for the year ended September 30, 2024. The Organization is required to assess whether it is more likely than not that a tax position will be sustained upon examination on the technical merits of the position, assuming the taxing authority has full knowledge of all information. If the tax position does not meet the more likely than not recognition threshold, the benefit of that position is not recognized in the financial statements. The Organization has determined there are no amounts to record as assets or liabilities related to uncertain tax positions.</ExplanationTxt>
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        <ExplanationTxt>A COPY OF THE FORM 990 IS PROVIDED TO THE CEO AND CFO FOR REVIEW AND APPROVAL PRIOR TO ITS FILING.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <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>
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        <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>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>CACTUS HEALTH SERVICES MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part I, Line 8-22</FormAndLineReferenceDesc>
        <ExplanationTxt>Amended Return Following the finalization and issuance of the annual audit of the financial statements, the following sections of the return have been amended to report the audited amounts of the fiscal year ending 09-30-2023 990 Part 1, Line 8 Contributions and grants Column Prior Year, Line 9 Program Service Revenue Column Prior Year, Line 11 Other Revenue Column Prior Year, Line 12 Total Revenue Column Prior Year, Line 17 Other Expenses Column Prior Year, Line 18 Total Expenses Column Prior Year, Line 19 Revenue Less Expenses Column Prior Year, Line 20 Total Assets Column Prior Year, Line 21 Total Liabilities Column Prior Year, Line 22 Net assets or fund balance Column Prior Year.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part X, Line 1-33</FormAndLineReferenceDesc>
        <ExplanationTxt>Amended Return Following the finalization and issuance of the annual audit of the financial statements, the following sections of the return have been amended to report the audited amounts of the fiscal year ending 09-30-2023 990 Part X, Line 1 Cash Column A, Line 4 Accounts Receivable Column A, Line 9 Prepaid expenses Column A, Line 10 Cost basis Column A, Line 16 Total Assets Column A, Line 17 Accounts Payable and accrued expenses Column A, Line 23 Secured mortgages and notes payable to unrelated third parties Column A, Line 26 Total Liabilities Column A, Line 27 Net assets without donor restrictions Column A, Line 32 Total net assets or fund balances Column A, Line 33 Total liabilities and net assets or fund balances Column A.</ExplanationTxt>
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