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        <TotalAmt>50146</TotalAmt>
        <ProgramServicesAmt>33515</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15123</ManagementAndGeneralAmt>
        <FundraisingAmt>1508</FundraisingAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>9309</TotalAmt>
        <ProgramServicesAmt>8311</ProgramServicesAmt>
        <ManagementAndGeneralAmt>998</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>17098</TotalAmt>
        <ProgramServicesAmt>11057</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6041</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>8787</TotalAmt>
        <ProgramServicesAmt>471</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7887</ManagementAndGeneralAmt>
        <FundraisingAmt>429</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
        <TotalAmt>10016</TotalAmt>
        <ManagementAndGeneralAmt>10016</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BANKING AND CREDIT CARDS</Desc>
        <TotalAmt>6595</TotalAmt>
        <ProgramServicesAmt>2436</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4159</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>OFFICE AND MEDICAL SUPPLIES</Desc>
        <TotalAmt>36235</TotalAmt>
        <ProgramServicesAmt>34187</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2048</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUES AND SUBSCRIPTIONS</Desc>
        <TotalAmt>23945</TotalAmt>
        <ProgramServicesAmt>15937</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7708</ManagementAndGeneralAmt>
        <FundraisingAmt>300</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>172304</TotalAmt>
        <ProgramServicesAmt>15723</ProgramServicesAmt>
        <ManagementAndGeneralAmt>153653</ManagementAndGeneralAmt>
        <FundraisingAmt>2928</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>1903470</TotalAmt>
        <ProgramServicesAmt>936661</ProgramServicesAmt>
        <ManagementAndGeneralAmt>940858</ManagementAndGeneralAmt>
        <FundraisingAmt>25951</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <InfoInScheduleOPartXInd>X</InfoInScheduleOPartXInd>
      <CashNonInterestBearingGrp>
        <BOYAmt>46115</BOYAmt>
        <EOYAmt>91333</EOYAmt>
      </CashNonInterestBearingGrp>
      <AccountsReceivableGrp>
        <BOYAmt>47655</BOYAmt>
        <EOYAmt>88978</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>6951</BOYAmt>
        <EOYAmt>41808</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>531655</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>426520</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>146958</BOYAmt>
        <EOYAmt>105135</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <TotalAssetsGrp>
        <BOYAmt>247679</BOYAmt>
        <EOYAmt>327254</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>303282</BOYAmt>
        <EOYAmt>243456</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <EOYAmt>176997</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <UnsecuredNotesLoansPayableGrp>
        <BOYAmt>25000</BOYAmt>
        <EOYAmt>167757</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <OtherLiabilitiesGrp>
        <EOYAmt>40490</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>328282</BOYAmt>
        <EOYAmt>628700</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>-80603</BOYAmt>
        <EOYAmt>-301446</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>-80603</BOYAmt>
        <EOYAmt>-301446</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>247679</BOYAmt>
        <EOYAmt>327254</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-185302</ReconcilationRevenueExpnssAmt>
      <PriorPeriodAdjustmentsAmt>-21409</PriorPeriodAdjustmentsAmt>
      <OtherChangesInNetAssetsAmt>-14132</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="990A">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="990B">
      <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>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="990D">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>61656</OtherCostOrOtherBasisAmt>
        <BookValueAmt>61656</BookValueAmt>
      </LandGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>7613</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>5088</DepreciationAmt>
        <BookValueAmt>2525</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>350416</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>324043</DepreciationAmt>
        <BookValueAmt>26373</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>111970</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>97389</DepreciationAmt>
        <BookValueAmt>14581</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>105135</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>PATIENT CREDIT BALANCES</Desc>
        <Amt>21449</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>CREDIT CARD</Desc>
        <Amt>19041</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>40490</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>1718168</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>1718168</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>1718168</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>1917205</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>13735</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>13735</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>1903470</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>1903470</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other expenses not included on Form 990 (Part XII, line 2d)</FormAndLineReferenceDesc>
        <ExplanationTxt>BOOK VS TAX CURRENT YEAR DEPRECIATION DIFFERENCE $13,735</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="990G" />
    <IRS990ScheduleO documentId="990O">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL PRIOR TO ITS FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy compliance Part VI 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 DIRECTORS MEETINGS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CEO executive director top management comp Part VI line 15a</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 THE EMPLOYEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other officer or key employee compensation Part VI line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>CACTUS HEALTH SERVICES UTILIZES THE BOARD OF DIRECTORS TO DETERMINE COMPENSATION OF OTHER OFFICERS BY COMPARING COMPENSATION AMOUNTS TO OTHER COMPARABLE HEALTH CENTERS AND EVALUATING THE PERFORMANCE OF THE EMPLOYEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI 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>Explanation of other changes in net assets or fund balances Part XI line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER CHANGES IN NET ASSETS:BOOK VS TAX DIFFERENCE IN DEPRECIATION OF $14,132</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Balance Sheet Part X</FormAndLineReferenceDesc>
        <ExplanationTxt>BOOK VS TAX DEPRECIATION $14,129</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>