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      <Desc>FOR 33 YEARS TOMAGWA HAS PROVEN ITSELF TO BE AN EXEMPLARY MODEL OF CHARITABLE CARE. TOMAGWA PROVIDES COMPASSIONATE CHRISTIAN CHARITABLE HEALTHCARE TO COMMUNITY MEMBERS WITH LIMITED RESOURCES BY OFFERING AWARD WINNING PRIMARY CARE, DENTAL, VISION, LAB, PHARMACY, DIAGNOSTICS, AND CASE MANAGEMENT SERVICES, WHILE ALSO EXTENDING OUTREACH SERVICES TO OUR ENTIRE COMMUNITY VIA IMMUNIZATION AND SCHOOL BASED DENTAL CLINICS REGARDLESS OF RACE, ETHNICITY, CREED, RELIGION, OR ABILITY TO PAY. TOMAGWA IS ALSO A TEACHING FACILITY FOR FUTURE HEALTHCARE PROFESSIONALS, A SITE FOR CANCER RESEARCH AND PREVENTION AND AN AWARD WINNING IMMUNIZATION, HYPERTENSION, AND DIABETIC CONTROL CENTER RECOGNIZED BY THE STATE OF TEXAS, AMERICAN HEART ASSOCIATION, AMERICARES AND OMADA. SERVING 18 ZIP CODES ACROSS THREE COUNTIES, ALONGSIDE OUR PARTNERS, TOMAGWA IS ABLE TO TREAT NEEDS RANGING FROM PRIMARY CARE TO SOME OF THE MOST COMPLEX HEALTH DIAGNOSIS REQUIRING AN INTEGRATED MEDICAL HOME.AS A CHARITABLE CLINIC, TOMAGWA DOES NOT BILL INSURANCE COMPANIES AND RELIES PRIMARILY ON INDIVIDUAL DONORS, LOCAL FOUNDATIONS, AND OTHER LOCAL NOT-FOR-PROFIT ORGANIZATIONS TO FULFILL ITS MISSION. BECAUSE TOMAGWA SERVICES PATIENTS AT 200% OR BELOW THE FEDERAL POVERTY LEVEL WHO PAY A NOMINAL FEE FOR SERVICES, THEREFORE ITS FUNDING GAP FOR PATIENT SERVICES IS USUALLY COVERED BY OUR PARTNERS.TOMAGWA BRINGS WITH IT A VAST NETWORK OF VOLUNTEER HEALTHCARE PROVIDERS, EDUCATIONAL INSTITUTIONS, HEALTH SYSTEMS, COMMUNITY-BASED ORGANIZATIONS, AND THE SUPPORT OF LOCAL AND NATIONAL PUBLIC SERVANTS. THIS SETS TOMAGWA APART CONSIDERING ITS LARGE SERVICE AREA WITH LIMITED PRIMARY CARE SERVICES. TOMAGWA TRULY PROVIDES A HEALTH HOME TO ITS PATIENTS: A PATIENT CAN HAVE HIS/HER BLOOD CHECKED, HAVE AN FIT TEST, SCHEDULE A MAMMOGRAM, HAVE LABS DRAWN, FILL PRESCRIPTIONS AND MORE IN ONLY ONE APPOINTMENT. NEARLY HALF OF ALL SERVICES ARE PROVIDED BY VOLUNTEERS.THIS UNIQUE MODEL ALSO ALLOWS TOMAGWA TO PROVIDE HIGH-QUALITY HEALTHCARE FOR A LOW COST. AS A RESULT, AT TOMAGWA, APPROXIMATELY $1,000 PROVIDES A YEAR OF COMPREHENSIVE CARE SERVICES FOR EACH SERVED PATIENT. THIS IS MARKEDLY LESS THAN THE U.S. AVERAGE, AS HEALTHCARE SPENDING AMOUNTED TO APPROXIMATELY $12,000 PER INDIVIDUAL IN THE U.S. IN 2020.</Desc>
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        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RICHARD ERVIN</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JIM NUTT</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TIMIKA SIMMONS</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>99762</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>2737</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JANICE NGUYEN</PersonNm>
        <TitleTxt>DDS</TitleTxt>
        <AverageHoursPerWeekRt>32.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>116958</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>3963</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>216720</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>6700</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>1</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>0</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>130140</FundraisingAmt>
      <GovernmentGrantsAmt>265465</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>2394182</AllOtherContributionsAmt>
      <NoncashContributionsAmt>792530</NoncashContributionsAmt>
      <TotalContributionsAmt>2789787</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT FEES</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>302738</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>302738</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>302738</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>443</TotalRevenueColumnAmt>
        <ExclusionAmt>443</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>23400</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>23400</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>23400</TotalRevenueColumnAmt>
        <ExclusionAmt>23400</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <FundraisingGrossIncomeAmt>0</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>130140</ContriRptFundraisingEventAmt>
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      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-35837</TotalRevenueColumnAmt>
        <ExclusionAmt>-35837</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>OTHER INCOME</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>7005</TotalRevenueColumnAmt>
        <ExclusionAmt>7005</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>7005</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>3087536</TotalRevenueColumnAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>-4989</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>102499</TotalAmt>
        <ProgramServicesAmt>80158</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13405</ManagementAndGeneralAmt>
        <FundraisingAmt>8936</FundraisingAmt>
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      <OtherSalariesAndWagesGrp>
        <TotalAmt>1310633</TotalAmt>
        <ProgramServicesAmt>1026390</ProgramServicesAmt>
        <ManagementAndGeneralAmt>172377</ManagementAndGeneralAmt>
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      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>40005</TotalAmt>
        <ProgramServicesAmt>29691</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4158</ManagementAndGeneralAmt>
        <FundraisingAmt>6156</FundraisingAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>120283</TotalAmt>
        <ProgramServicesAmt>58849</ProgramServicesAmt>
        <ManagementAndGeneralAmt>53102</ManagementAndGeneralAmt>
        <FundraisingAmt>8332</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>57380</TotalAmt>
        <ProgramServicesAmt>32006</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21259</ManagementAndGeneralAmt>
        <FundraisingAmt>4115</FundraisingAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>105957</TotalAmt>
        <ProgramServicesAmt>25328</ProgramServicesAmt>
        <ManagementAndGeneralAmt>60290</ManagementAndGeneralAmt>
        <FundraisingAmt>20339</FundraisingAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>102182</TotalAmt>
        <ProgramServicesAmt>81823</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16562</ManagementAndGeneralAmt>
        <FundraisingAmt>3797</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>2122</TotalAmt>
        <ManagementAndGeneralAmt>809</ManagementAndGeneralAmt>
        <FundraisingAmt>1313</FundraisingAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>200</TotalAmt>
        <ProgramServicesAmt>200</ProgramServicesAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>51559</TotalAmt>
        <ProgramServicesAmt>36092</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10827</ManagementAndGeneralAmt>
        <FundraisingAmt>4640</FundraisingAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>105890</TotalAmt>
        <ProgramServicesAmt>74123</ProgramServicesAmt>
        <ManagementAndGeneralAmt>22237</ManagementAndGeneralAmt>
        <FundraisingAmt>9530</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>26637</TotalAmt>
        <ProgramServicesAmt>12609</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12407</ManagementAndGeneralAmt>
        <FundraisingAmt>1621</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MED. SUPP. &amp; MEDICATION</Desc>
        <TotalAmt>588381</TotalAmt>
        <ProgramServicesAmt>586970</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1384</ManagementAndGeneralAmt>
        <FundraisingAmt>27</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CONTRACT LABOR</Desc>
        <TotalAmt>142124</TotalAmt>
        <ProgramServicesAmt>79397</ProgramServicesAmt>
        <ManagementAndGeneralAmt>59465</ManagementAndGeneralAmt>
        <FundraisingAmt>3262</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS &amp; MAINTENANCE</Desc>
        <TotalAmt>38255</TotalAmt>
        <ProgramServicesAmt>26778</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8034</ManagementAndGeneralAmt>
        <FundraisingAmt>3443</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>TELEPHONE</Desc>
        <TotalAmt>26565</TotalAmt>
        <ProgramServicesAmt>18595</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5579</ManagementAndGeneralAmt>
        <FundraisingAmt>2391</FundraisingAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>2820672</TotalAmt>
        <ProgramServicesAmt>2169009</ProgramServicesAmt>
        <ManagementAndGeneralAmt>461895</ManagementAndGeneralAmt>
        <FundraisingAmt>189768</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>150106</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>36649</BOYAmt>
        <EOYAmt>25885</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>189220</BOYAmt>
        <EOYAmt>138297</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
        <BOYAmt>200948</BOYAmt>
        <EOYAmt>476596</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>7025</BOYAmt>
        <EOYAmt>0</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>3475597</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>1520857</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>2038139</BOYAmt>
        <EOYAmt>1954740</EOYAmt>
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      <OtherAssetsTotalGrp>
        <BOYAmt>20230</BOYAmt>
        <EOYAmt>28911</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>2539650</BOYAmt>
        <EOYAmt>2774535</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>222368</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>756850</BOYAmt>
        <EOYAmt>688929</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>1200</BOYAmt>
        <EOYAmt>2000</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>947821</BOYAmt>
        <EOYAmt>913297</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
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        <EOYAmt>1757676</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>105000</BOYAmt>
        <EOYAmt>103562</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>1591829</BOYAmt>
        <EOYAmt>1861238</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>2539650</BOYAmt>
        <EOYAmt>2774535</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>266864</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>2545</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>3783454</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>3197180</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3113420</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2303755</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2789785</CurrentTaxYearAmt>
        <TotalAmt>15187594</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>3783454</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>3197180</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3113420</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2303755</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2789785</CurrentTaxYearAmt>
        <TotalAmt>15187594</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>3524266</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>11663328</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>2981</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>-1588</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>8249</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>9614</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>23843</CurrentTaxYearAmt>
        <TotalAmt>43099</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>5586</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>13426</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3750</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8388</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>7005</CurrentTaxYearAmt>
        <TotalAmt>38155</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>15268848</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>1567483</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.76390</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.74870</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER INCOME - 2017 AMOUNT: $ 5,586. 2018 AMOUNT: $ 13,426. 2019 AMOUNT: $ 3,750. 2020 AMOUNT: $ 8,388. 2021 AMOUNT: $ 7,005.</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>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>55000</OtherCostOrOtherBasisAmt>
        <BookValueAmt>55000</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>2551035</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>797414</DepreciationAmt>
        <BookValueAmt>1753621</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>163195</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>54152</DepreciationAmt>
        <BookValueAmt>109043</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>559629</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>529246</DepreciationAmt>
        <BookValueAmt>30383</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>146738</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>140045</DepreciationAmt>
        <BookValueAmt>6693</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>1954740</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>SECURITY DEPOSITS</Desc>
        <Amt>2000</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>2000</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>3572402</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>2545</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>482321</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>484866</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>3087536</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>3087536</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>3302993</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>482321</DonatedServicesUseFcltsAmt>
      <ExpensesNotReportedAmt>482321</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>2820672</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>2820672</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION APPLIES THE PROVISIONS OF FASB ASC TOPIC 740, INCOME TAXES, WHICH PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. TOPIC 740 ALSO PROVIDES GUIDANCE ON DE-RECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURES AND TRANSITION. THE ORGANIZATION BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. AS OF DECEMBER 31, 2021 AND 2019, NO UNCERTAIN TAX POSITIONS WERE IDENTIFIED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <FundraisingEventInformationGrp>
        <Event1Nm>SPECIAL EVENTS</Event1Nm>
        <GrossReceiptsEvent1Amt>130140</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>130140</CharitableContriEvent1Amt>
        <OtherDirectExpensesEvent1Amt>35837</OtherDirectExpensesEvent1Amt>
        <GrossReceiptsTotalAmt>130140</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>130140</CharitableContributionsTotAmt>
        <OthDirectExpnssTotalEventsAmt>35837</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>35837</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-35837</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>51</ContributionCnt>
        <NoncashContributionsRptF990Amt>790054</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>OFFICE SUPPLIES</Desc>
        <ContributionCnt>3</ContributionCnt>
        <NoncashContributionsRptF990Amt>2476</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>0</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>0</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, COLUMN (B):</FormAndLineReferenceDesc>
        <ExplanationTxt>TOMAGWA MINISTRIES INC USES A COMBINATION OF THE NUMBER OF CONTRIBUTIONS AND THE NUMBER OF ITEMS RECEIVED IN PRESENTING SCHEDULE M, PART I, COLUMN(B).</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SECTION 1.263(A)-1(F) DE MINIMIS SAFE HARBOR ELECTION</FormAndLineReferenceDesc>
        <ExplanationTxt>TOMAGWA MINISTRIES INC D/B/A TOMAGWA HEALTHCARE MINISTRIES 455 SCHOOL ST. #30 TOMBALL, TX 77375-4595 EMPLOYER IDENTIFICATION NUMBER: 76-0280324 FOR THE YEAR ENDING DECEMBER 31, 2021 TOMAGWA MINISTRIES INC D/B/A TOMAGWA HEALTHCARE MINISTRIES IS MAKING THE DE MINIMIS SAFE HARBOR ELECTION UNDER REG. SEC. 1.263(A)-1(F).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 IS REVIEWED BY THE CHIEF EXECUTIVE OFFICER AND FINANCE MANAGER BEFORE IT IS FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>REVIEWED YEARLY AND SIGNED BY ALL BOARD MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION IS REVIEWED BY THE PERSONNEL COMMITTEE MIDYEAR, IN ANTICIPATION OF THE NEW BUDGET IN JANUARY. THE BOARD PRESIDENT IS THE CHAIR OF THE PERSONNEL COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>NO DOCUMENTS AVAILABLE TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION SELECTS THE INDEPENDENT ACCOUNTANT THROUGH REFERRALS FROM OTHER NON-PROFITS AND THEN COMPARES SERVICES AND COSTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
