<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2021v4.2">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2022-11-15T14:17:36-06:00</ReturnTs>
    <TaxPeriodEndDt>2021-12-31</TaxPeriodEndDt>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2021-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>510193549</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>TEXHOMA CHRISTIAN CARE CENTER INC</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>TEXH</BusinessNameControlTxt>
      <PhoneNum>9407238420</PhoneNum>
      <USAddress>
        <AddressLine1Txt>300 LOOP 11</AddressLine1Txt>
        <CityNm>WICHITA FALLS</CityNm>
        <StateAbbreviationCd>TX</StateAbbreviationCd>
        <ZIPCd>763063798</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>AUSTIN COOPER</PersonNm>
      <PersonTitleTxt>ADMINISTRATOR</PersonTitleTxt>
      <PhoneNum>9407238420</PhoneNum>
      <SignatureDt>2022-11-15</SignatureDt>
    </BusinessOfficerGrp>
    <SigningOfficerGrp>
      <PersonFullName>
        <PersonFirstNm>AUSTIN</PersonFirstNm>
        <PersonLastNm>COOPER</PersonLastNm>
      </PersonFullName>
      <SSN>999009999</SSN>
    </SigningOfficerGrp>
    <AdditionalFilerInformation>
      <TrustedCustomerGrp>
        <TrustedCustomerCd>3</TrustedCustomerCd>
        <AuthenticationAssuranceLevelCd>AAL1</AuthenticationAssuranceLevelCd>
        <IdentityAssuranceLevelCd>IAL1</IdentityAssuranceLevelCd>
      </TrustedCustomerGrp>
    </AdditionalFilerInformation>
    <TaxYr>2021</TaxYr>
    <BuildTS>2022-09-23 18:48:47Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="5">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <PrincipalOfficerNm>AUSTIN COOPER</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>300 LOOP 11</AddressLine1Txt>
        <CityNm>WICHITA FALLS</CityNm>
        <StateAbbreviationCd>TX</StateAbbreviationCd>
        <ZIPCd>763063798</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>17450018</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>0</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>TCCC.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1976</FormationYr>
      <LegalDomicileStateCd>TX</LegalDomicileStateCd>
      <ActivityOrMissionDesc>It is the mission of Texhoma Christian Care Center to manage and provide compassionate, caring, high quality nursing services to all entrusted in our care, and to deliver unparalleled service and quality in all support areas needed to fulfill this mission.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>8</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>8</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>268</TotalEmployeeCnt>
      <TotalVolunteersCnt>0</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>0</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>2216423</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>2958324</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>16002822</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>12431335</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>139772</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>864087</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>11267</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>34820</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>18370284</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>16288566</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>1102</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>1344</CYGrantsAndSimilarPaidAmt>
      <PYBenefitsPaidToMembersAmt>0</PYBenefitsPaidToMembersAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>10404020</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>9144626</CYSalariesCompEmpBnftPaidAmt>
      <PYTotalProfFndrsngExpnsAmt>0</PYTotalProfFndrsngExpnsAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>0</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>6328658</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>5404929</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>16733780</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>14550899</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>1636504</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>1737667</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>26303080</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>26314068</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>1783757</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>57078</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>24519323</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>26256990</NetAssetsOrFundBalancesEOYAmt>
      <MissionDesc>It is the mission of Texhoma Christian Care Center to provide compassionate,caring,high quality nursing services to all entrusted into our care, and to deliver unparalleled service and quality in all support areas needed to fulfill this mission.</MissionDesc>
      <SignificantNewProgramSrvcInd>0</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>0</SignificantChangeInd>
      <ExpenseAmt>13075859</ExpenseAmt>
      <GrantAmt>1344</GrantAmt>
      <RevenueAmt>13336057</RevenueAmt>
      <Desc>Professional rehabilitative and nursing care provided for the elderly whose physical conditions or limitations make it impossible for them to stay at home. Our expreienced and compassionate staff make Texhoma Christian Care Center a caring place for all who stay here during a period of recovery or rehabilitation or who live here permanently. Texhoma Christian Care Center, Inc manages 309 licensed beds within three independent buildings located on an 18 acre campus. Additionally, the campus has six independent cottages for those whose physical condition allows for independent living.</Desc>
      <TotalProgramServiceExpensesAmt>13075859</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc1039100001">1</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd>0</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>0</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>0</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>0</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc1040000001">0</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc1040000001">0</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc1040000001">0</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc1040000001">1</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd>0</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc1040000001">1</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc1040000001">0</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc1040000001">0</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc1040000001">0</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc1040000001">1</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc1040000001">0</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">0</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">0</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>0</SchoolOperatingInd>
      <ForeignOfficeInd>0</ForeignOfficeInd>
      <ForeignActivitiesInd>0</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>0</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>0</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>0</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>0</FundraisingActivitiesInd>
      <GamingActivitiesInd>0</GamingActivitiesInd>
      <OperateHospitalInd>0</OperateHospitalInd>
      <GrantsToOrganizationsInd referenceDocumentId="RetDoc1041900001">0</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd referenceDocumentId="RetDoc1041900001">0</GrantsToIndividualsInd>
      <ScheduleJRequiredInd>0</ScheduleJRequiredInd>
      <TaxExemptBondsInd>0</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>0</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>0</PYExcessBenefitTransInd>
      <LoanOutstandingInd>0</LoanOutstandingInd>
      <GrantToRelatedPersonInd>0</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>0</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>0</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>0</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd>0</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>0</DeductibleArtContributionInd>
      <TerminateOperationsInd>0</TerminateOperationsInd>
      <PartialLiquidationInd>0</PartialLiquidationInd>
      <DisregardedEntityInd>0</DisregardedEntityInd>
      <RelatedEntityInd>0</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>0</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>0</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd>0</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>1</ScheduleORequiredInd>
      <IRPDocumentCnt>21</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <EmployeeCnt>268</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>1</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>0</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>0</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>0</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>0</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>0</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>0</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>0</Form8282PropertyDisposedOfInd>
      <IndoorTanningServicesInd>0</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>0</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>0</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>8</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>8</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>1</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>0</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>0</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>0</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>0</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>0</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>0</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>1</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>0</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>0</OfficerMailingAddressInd>
      <LocalChaptersInd>0</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>0</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>1</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>1</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>1</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>1</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>0</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>1</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>1</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>0</InvestmentInJointVentureInd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <BusinessName>
          <BusinessNameLine1Txt>Eric Smith</BusinessNameLine1Txt>
        </BusinessName>
        <PhoneNum>9407238420</PhoneNum>
        <USAddress>
          <AddressLine1Txt>300 Loop 11</AddressLine1Txt>
          <CityNm>Wichita Falls</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>763063798</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>Alvin Willson</PersonNm>
        <TitleTxt>President/Director</TitleTxt>
        <AverageHoursPerWeekRt>0.40</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Kerry Graham</PersonNm>
        <TitleTxt>Vice President/Director</TitleTxt>
        <AverageHoursPerWeekRt>0.40</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>10000</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Sarah Self</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>0.20</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Richard Ward</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>0.20</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Chris Pipes</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>0.20</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Rickie Skaggs</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>0.20</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Kathy Millsap</PersonNm>
        <TitleTxt>Secretary/Director</TitleTxt>
        <AverageHoursPerWeekRt>0.40</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Perry Curry</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>0.20</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Austin Cooper</PersonNm>
        <TitleTxt>Administrator</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>98780</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Eric Smith</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>96060</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jaymee Holder</PersonNm>
        <TitleTxt>Administrator</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>33851</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Connie Skidmore</PersonNm>
        <TitleTxt>Director of Nursing</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>108238</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Maria R Alaniz</PersonNm>
        <TitleTxt>LVN</TitleTxt>
        <AverageHoursPerWeekRt>66.72</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>110644</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>447573</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>10000</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>0</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>2</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>0</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Aegis Therapies Inc</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 8103</AddressLine1Txt>
            <CityNm>Fort Smith</CityNm>
            <StateAbbreviationCd>AR</StateAbbreviationCd>
            <ZIPCd>72902</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Therapy</ServicesDesc>
        <CompensationAmt>1491709</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Partners Pharmacy of Texas LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>12503 Exchange dr Ste 536</AddressLine1Txt>
            <CityNm>Stafford</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>77477</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Pharmacy</ServicesDesc>
        <CompensationAmt>405282</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Ray Cannedy Security</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1912 Kemp Blvd</AddressLine1Txt>
            <CityNm>Wichita Falls</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>76309</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Security Services</ServicesDesc>
        <CompensationAmt>132960</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Arthur J Szczerba MD PA</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>4909 Johnson Road</AddressLine1Txt>
            <CityNm>Wichita Falls</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>76310</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Medical Director</ServicesDesc>
        <CompensationAmt>125701</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>4</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>2956674</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>1650</AllOtherContributionsAmt>
      <TotalContributionsAmt>2958324</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>OHHD INCENTIVE MANAGEM</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>10795340</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>10795340</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OHHD RENT</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>1290000</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1290000</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OHHD BASE MANAGEMENT F</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>251629</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>251629</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>INDEPENDENT COTTAGES</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>94366</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>94366</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>12431335</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>68839</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>68839</RelatedOrExemptFuncIncomeAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>885</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>6700</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>-5815</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>-5815</TotalRevenueColumnAmt>
        <ExclusionAmt>-5815</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <OtherAmt>1950000</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>1154752</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>795248</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>795248</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>795248</RelatedOrExemptFuncIncomeAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>FFCRA EPSLA</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>22711</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>22711</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>EMPLOYEE/NONRESIDENT M</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>7376</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>7376</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>5293</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>5293</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>5255</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>5255</RelatedOrExemptFuncIncomeAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>40635</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>16288566</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>13336057</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>-5815</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>1344</TotalAmt>
        <ProgramServicesAmt>1344</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>355767</TotalAmt>
        <ProgramServicesAmt>118716</ProgramServicesAmt>
        <ManagementAndGeneralAmt>237051</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>7190140</TotalAmt>
        <ProgramServicesAmt>6539072</ProgramServicesAmt>
        <ManagementAndGeneralAmt>651068</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>135607</TotalAmt>
        <ProgramServicesAmt>100449</ProgramServicesAmt>
        <ManagementAndGeneralAmt>35158</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>901741</TotalAmt>
        <ProgramServicesAmt>809527</ProgramServicesAmt>
        <ManagementAndGeneralAmt>92214</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>561371</TotalAmt>
        <ProgramServicesAmt>497862</ProgramServicesAmt>
        <ManagementAndGeneralAmt>63509</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>2591</TotalAmt>
        <ManagementAndGeneralAmt>2591</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>17960</TotalAmt>
        <ProgramServicesAmt>5141</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12819</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>310</TotalAmt>
        <ManagementAndGeneralAmt>310</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>1725744</TotalAmt>
        <ProgramServicesAmt>1725744</ProgramServicesAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>41455</TotalAmt>
        <ProgramServicesAmt>6205</ProgramServicesAmt>
        <ManagementAndGeneralAmt>35250</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>1579418</TotalAmt>
        <ProgramServicesAmt>1477670</ProgramServicesAmt>
        <ManagementAndGeneralAmt>101748</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>174046</TotalAmt>
        <ProgramServicesAmt>18180</ProgramServicesAmt>
        <ManagementAndGeneralAmt>155866</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>579480</TotalAmt>
        <ProgramServicesAmt>543726</ProgramServicesAmt>
        <ManagementAndGeneralAmt>35754</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>2</TotalAmt>
        <ManagementAndGeneralAmt>2</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>6126</TotalAmt>
        <ProgramServicesAmt>4613</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1513</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>113</TotalAmt>
        <ManagementAndGeneralAmt>113</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>548329</TotalAmt>
        <ProgramServicesAmt>529684</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18645</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>238165</TotalAmt>
        <ProgramServicesAmt>225472</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12693</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>EQUIPMENT RENTAL AND MA</Desc>
        <TotalAmt>153321</TotalAmt>
        <ProgramServicesAmt>148642</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4679</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS COVID-19</Desc>
        <TotalAmt>121477</TotalAmt>
        <ProgramServicesAmt>121014</ProgramServicesAmt>
        <ManagementAndGeneralAmt>463</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
        <TotalAmt>77977</TotalAmt>
        <ProgramServicesAmt>70966</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7011</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>INDEPENDENT RENTAL COTT</Desc>
        <TotalAmt>64354</TotalAmt>
        <ProgramServicesAmt>64354</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>74061</TotalAmt>
        <ProgramServicesAmt>67478</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6583</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>14550899</TotalAmt>
        <ProgramServicesAmt>13075859</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1475040</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>2938258</BOYAmt>
        <EOYAmt>1367882</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>7550455</BOYAmt>
        <EOYAmt>11512938</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>6206184</BOYAmt>
        <EOYAmt>5204847</EOYAmt>
      </AccountsReceivableGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>2344</BOYAmt>
        <EOYAmt>463</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>6065</BOYAmt>
        <EOYAmt>6323</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>27585329</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>20377538</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>8723510</BOYAmt>
        <EOYAmt>7207791</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsProgramRelatedGrp>
        <BOYAmt>17006</BOYAmt>
        <EOYAmt>17006</EOYAmt>
      </InvestmentsProgramRelatedGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>859258</BOYAmt>
        <EOYAmt>996818</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>26303080</BOYAmt>
        <EOYAmt>26314068</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>20146</BOYAmt>
        <EOYAmt>46578</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <UnsecuredNotesLoansPayableGrp>
        <BOYAmt>1754611</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>9000</BOYAmt>
        <EOYAmt>10500</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>1783757</BOYAmt>
        <EOYAmt>57078</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>24499323</BOYAmt>
        <EOYAmt>26236990</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>20000</BOYAmt>
        <EOYAmt>20000</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>24519323</BOYAmt>
        <EOYAmt>26256990</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>26303080</BOYAmt>
        <EOYAmt>26314068</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>1737667</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>1</AccountantCompileOrReviewInd>
      <AcctCompileOrReviewBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </AcctCompileOrReviewBasisGrp>
      <FSAuditedInd>0</FSAuditedInd>
      <AuditCommitteeInd>0</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>1608</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>13440</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3552</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2442</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1650</CurrentTaxYearAmt>
        <TotalAmt>22692</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>15847572</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>17162700</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>18736377</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>16002822</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>12431335</CurrentTaxYearAmt>
        <TotalAmt>80180806</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>15849180</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>17176140</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>18739929</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>16005264</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>12432985</CurrentTaxYearAmt>
        <TotalAmt>80203498</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <CurrentTaxYearMinus4YearsAmt>100</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>13100</CurrentTaxYearMinus3YearsAmt>
        <TotalAmt>13200</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <CurrentTaxYearMinus4YearsAmt>100</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>13100</CurrentTaxYearMinus3YearsAmt>
        <TotalAmt>13200</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>80190298</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>44515</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>82109</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>132888</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>139772</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>864087</CurrentTaxYearAmt>
        <TotalAmt>1263371</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>44515</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>82109</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>132888</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>139772</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>864087</CurrentTaxYearAmt>
        <TotalAmt>1263371</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>7965</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>86624</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>23973</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>17347</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>40635</CurrentTaxYearAmt>
        <TotalAmt>176544</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>15901660</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>17344873</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>18896790</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>16162383</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>13337707</CurrentTaxYearAmt>
        <TotalAmt>81643413</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.98220</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99280</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.01550</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00500</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <AgentTrusteeEtcInd>1</AgentTrusteeEtcInd>
      <BeginningBalanceAmt>183127</BeginningBalanceAmt>
      <AdditionsDuringYearAmt>459020</AdditionsDuringYearAmt>
      <DistributionsDuringYearAmt>589311</DistributionsDuringYearAmt>
      <EndingBalanceAmt>52836</EndingBalanceAmt>
      <InclEscrowCustodialAcctLiabInd>0</InclEscrowCustodialAcctLiabInd>
      <LandGrp>
        <InvestmentCostOrOtherBasisAmt>363203</InvestmentCostOrOtherBasisAmt>
        <OtherCostOrOtherBasisAmt>283066</OtherCostOrOtherBasisAmt>
        <BookValueAmt>646269</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>10963340</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>6791600</DepreciationAmt>
        <BookValueAmt>4171740</BookValueAmt>
      </BuildingsGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>15975720</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>13585938</DepreciationAmt>
        <BookValueAmt>2389782</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>7207791</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Refundable Deposits - Cottages</Desc>
        <Amt>10500</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>10500</TotalLiabilityAmt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part IV, Line 1b:</FormAndLineReferenceDesc>
        <ExplanationTxt>Texhoma Christian Care Center oversees trust funds for various residents residing in the facility.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI</FormAndLineReferenceDesc>
        <ExplanationTxt>Due to Covid-19, Audit will be delivered late.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>0</GrantRecordsMaintainedInd>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>Emergency Assistance - Automobile Insurance and Loan Payments; Funeral Home Expenses; Family Member Deaths</GrantTypeTxt>
        <RecipientCnt>1</RecipientCnt>
        <CashGrantAmt>1344</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>Texhoma Christian Care Center does not provide grant funds in the U.S.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Family Relationship. One board member is married to another board member's sister.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 8b</FormAndLineReferenceDesc>
        <ExplanationTxt>Committees with authority to act on behalf of the governing body do not have official notes of each meeting. These committees do report back to the full governing body for disclosure and recording in the official minutes of the board.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>CPA prepares and reviews with an officer of the Corporation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Transactions with officers or directors are discussed by both the full board and executive committee of the board. Annual review is taken and recorded in the board minutes.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>Compensation of top management officials and key employees is set by the full board of directors of the facility.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The Facility makes its governing documents, conflict of interest policy, and financial information available upon request at the facilities office.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER-TRANSPORTATION-SNF,ICF: Program service expenses 4588. Management and general expenses 0. Fundraising expenses 0. Total expenses 4588. OTHER-THERAPY PT,OT,ST: Program service expenses 1389967. Management and general expenses 0. Fundraising expenses 0. Total expenses 1389967. OTHER-X-RAY; ULTRASOUND: Program service expenses 14769. Management and general expenses 0. Fundraising expenses 0. Total expenses 14769. OTHER-INFUSION: Program service expenses 1075. Management and general expenses 0. Fundraising expenses 0. Total expenses 1075. OTHER-CONSOLIDATED CHARGES SNF: Program service expenses 12076. Management and general expenses 0. Fundraising expenses 0. Total expenses 12076. OTHER-HAZARDOUS WASTE DISPOSAL: Program service expenses 8010. Management and general expenses 0. Fundraising expenses 0. Total expenses 8010. OTHER-CONSULTANT PHARMACIST: Program service expenses 22482. Management and general expenses 0. Fundraising expenses 0. Total expenses 22482. OTHER-MEDICAL DIRECTORS: Program service expenses 155701. Management and general expenses 0. Fundraising expenses 0. Total expenses 155701. OTHER-CHAPLAIN: Program service expenses 300. Management and general expenses 0. Fundraising expenses 0. Total expenses 300. OTHER-CONSULTANT ACTIVITIES ENERG: Program service expenses 63191. Management and general expenses 0. Fundraising expenses 0. Total expenses 63191. OTHER-REFERENCE LAB: Program service expenses 53585. Management and general expenses 0. Fundraising expenses 0. Total expenses 53585.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
