﻿<?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="2019v5.1">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2020-11-16T15:06:36-06:00</ReturnTs>
    <TaxPeriodEndDt>2019-12-31</TaxPeriodEndDt>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2019-01-01</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>JAYMEE HOLDER</PersonNm>
      <PersonTitleTxt>ADMINISTRATOR</PersonTitleTxt>
      <PhoneNum>9407238420</PhoneNum>
      <SignatureDt>2020-11-15</SignatureDt>
    </BusinessOfficerGrp>
    <FilingSecurityInformation>
      <IPAddress>
        <IPv4AddressTxt>24.153.146.26</IPv4AddressTxt>
      </IPAddress>
      <IPDt>2020-11-15</IPDt>
      <IPTm>16:12:24</IPTm>
      <IPTimezoneCd>CS</IPTimezoneCd>
      <FilingLicenseTypeCd>P</FilingLicenseTypeCd>
      <AtSubmissionCreationDeviceId>6ECFF17B001D952FC9F92949A4B46684545FFE63</AtSubmissionCreationDeviceId>
      <AtSubmissionFilingDeviceId>6ECFF17B001D952FC9F92949A4B46684545FFE63</AtSubmissionFilingDeviceId>
    </FilingSecurityInformation>
    <TaxYr>2019</TaxYr>
    <BuildTS>2021-01-29 14:40:06Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="5">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <PrincipalOfficerNm>JAYMEE HOLDER</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>300 LOOP 11</AddressLine1Txt>
        <CityNm>WICHITA FALLS</CityNm>
        <StateAbbreviationCd>TX</StateAbbreviationCd>
        <ZIPCd>763063798</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>18896790</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>9</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>9</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>370</TotalEmployeeCnt>
      <TotalVolunteersCnt>0</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>0</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>13440</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>3552</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>17162700</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>18736377</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>80024</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>130802</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>73403</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>18622</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>17329567</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>18889353</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>13486</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>114230</CYGrantsAndSimilarPaidAmt>
      <PYBenefitsPaidToMembersAmt>0</PYBenefitsPaidToMembersAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>9091031</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>9540361</CYSalariesCompEmpBnftPaidAmt>
      <PYTotalProfFndrsngExpnsAmt>0</PYTotalProfFndrsngExpnsAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>0</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>7648906</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>8139187</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>16753423</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>17793778</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>576144</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>1095575</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>21818481</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>22931846</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>26725</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>49035</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>21791756</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>22882811</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>16437776</ExpenseAmt>
      <GrantAmt>114230</GrantAmt>
      <RevenueAmt>18891152</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 experienced and compassionate personnel 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 367 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>16437776</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">1</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd referenceDocumentId="RetDoc1041900001">1</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>44</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <EmployeeCnt>370</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>9</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>9</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>Randal L Sullenger</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>Gene Linton</PersonNm>
        <TitleTxt>President</TitleTxt>
        <AverageHoursPerWeekRt>0.40</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Alvin Willson</PersonNm>
        <TitleTxt>Vice President</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>Secretary</TitleTxt>
        <AverageHoursPerWeekRt>0.40</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Harry Patterson</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>0.20</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</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>John Mason</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>Jaymee Holder</PersonNm>
        <TitleTxt>Administrator</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>111839</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31743</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Randal L Sullenger</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>85456</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31653</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Connie Skidmore</PersonNm>
        <TitleTxt>Director of Nursing</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>113603</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>21499</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>310898</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>84895</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>1632748</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>746493</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>125338</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>United Regional Healthcare</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1600 11th Street</AddressLine1Txt>
            <CityNm>Wichita Falls</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>76301</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Medical Services</ServicesDesc>
        <CompensationAmt>119042</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>4</CntrctRcvdGreaterThan100KCnt>
      <AllOtherContributionsAmt>3552</AllOtherContributionsAmt>
      <TotalContributionsAmt>3552</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>OHHD INCENTIVE MANAGEM</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>17025689</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>17025689</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>327593</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>327593</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>INDEPENDENT COTTAGES</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>93095</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>93095</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>18736377</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>121802</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>121802</RelatedOrExemptFuncIncomeAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>2086</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>7437</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>-5351</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>-5351</TotalRevenueColumnAmt>
        <ExclusionAmt>-5351</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <OtherAmt>9000</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>0</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>9000</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>9000</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>9000</RelatedOrExemptFuncIncomeAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>EMPLOYEE/NONRESIDENT M</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>16226</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>16226</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>PHONE SERVICE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>4260</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4260</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>UNIFORMS/VENDING</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>2484</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2484</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>1003</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1003</RelatedOrExemptFuncIncomeAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>23973</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>18889353</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>18891152</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>-5351</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>102711</TotalAmt>
        <ProgramServicesAmt>102711</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>11519</TotalAmt>
        <ProgramServicesAmt>11519</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>354674</TotalAmt>
        <ProgramServicesAmt>123465</ProgramServicesAmt>
        <ManagementAndGeneralAmt>231209</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>7889666</TotalAmt>
        <ProgramServicesAmt>7264160</ProgramServicesAmt>
        <ManagementAndGeneralAmt>625506</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>121944</TotalAmt>
        <ProgramServicesAmt>86926</ProgramServicesAmt>
        <ManagementAndGeneralAmt>35018</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>555802</TotalAmt>
        <ProgramServicesAmt>526076</ProgramServicesAmt>
        <ManagementAndGeneralAmt>29726</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>618275</TotalAmt>
        <ProgramServicesAmt>558097</ProgramServicesAmt>
        <ManagementAndGeneralAmt>60178</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>16062</TotalAmt>
        <ManagementAndGeneralAmt>16062</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>34200</TotalAmt>
        <ProgramServicesAmt>6800</ProgramServicesAmt>
        <ManagementAndGeneralAmt>27400</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>2050994</TotalAmt>
        <ProgramServicesAmt>2050994</ProgramServicesAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>61137</TotalAmt>
        <ProgramServicesAmt>61137</ProgramServicesAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>2161616</TotalAmt>
        <ProgramServicesAmt>2030474</ProgramServicesAmt>
        <ManagementAndGeneralAmt>131142</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>124992</TotalAmt>
        <ProgramServicesAmt>7620</ProgramServicesAmt>
        <ManagementAndGeneralAmt>117372</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>548824</TotalAmt>
        <ProgramServicesAmt>514962</ProgramServicesAmt>
        <ManagementAndGeneralAmt>33862</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>6699</TotalAmt>
        <ProgramServicesAmt>2795</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3904</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>10617</TotalAmt>
        <ProgramServicesAmt>9324</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1293</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>672</TotalAmt>
        <ManagementAndGeneralAmt>672</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>727128</TotalAmt>
        <ProgramServicesAmt>705754</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21374</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>99001</TotalAmt>
        <ProgramServicesAmt>88025</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10976</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>QIPP INCENTIVE</Desc>
        <TotalAmt>1769119</TotalAmt>
        <ProgramServicesAmt>1769119</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>EQUIPMENT RENTAL AND MA</Desc>
        <TotalAmt>174199</TotalAmt>
        <ProgramServicesAmt>174199</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DEPARTMENTAL EQUIPMENT</Desc>
        <TotalAmt>146967</TotalAmt>
        <ProgramServicesAmt>145930</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1037</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
        <TotalAmt>93230</TotalAmt>
        <ProgramServicesAmt>91929</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1301</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>113730</TotalAmt>
        <ProgramServicesAmt>105760</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7970</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>17793778</TotalAmt>
        <ProgramServicesAmt>16437776</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1356002</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>2475496</BOYAmt>
        <EOYAmt>1639885</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>4741376</BOYAmt>
        <EOYAmt>6457287</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>4476694</BOYAmt>
        <EOYAmt>5149590</EOYAmt>
      </AccountsReceivableGrp>
      <OthNotesLoansReceivableNetGrp>
        <EOYAmt>3848</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>8649</BOYAmt>
        <EOYAmt>7592</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>28628599</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>19372104</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>9889460</BOYAmt>
        <EOYAmt>9256495</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsProgramRelatedGrp>
        <BOYAmt>17006</BOYAmt>
        <EOYAmt>17006</EOYAmt>
      </InvestmentsProgramRelatedGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>209800</BOYAmt>
        <EOYAmt>400143</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>21818481</BOYAmt>
        <EOYAmt>22931846</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>17225</BOYAmt>
        <EOYAmt>39035</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>9500</BOYAmt>
        <EOYAmt>10000</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>26725</BOYAmt>
        <EOYAmt>49035</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>21773942</BOYAmt>
        <EOYAmt>22862811</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>17814</BOYAmt>
        <EOYAmt>20000</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>21791756</BOYAmt>
        <EOYAmt>22882811</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>21818481</BOYAmt>
        <EOYAmt>22931846</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>1095575</ReconcilationRevenueExpnssAmt>
      <PriorPeriodAdjustmentsAmt>-4517</PriorPeriodAdjustmentsAmt>
      <OtherChangesInNetAssetsAmt>-3</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>0</FSAuditedInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>6337</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>5575</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1608</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>13440</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3552</CurrentTaxYearAmt>
        <TotalAmt>30512</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>16479035</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>15463008</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>15847572</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>17162700</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>18736377</CurrentTaxYearAmt>
        <TotalAmt>83688692</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>16485372</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>15468583</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>15849180</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>17176140</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>18739929</CurrentTaxYearAmt>
        <TotalAmt>83719204</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <CurrentTaxYearMinus4YearsAmt>750</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1050</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>100</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>13100</CurrentTaxYearMinus1YearAmt>
        <TotalAmt>15000</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <CurrentTaxYearMinus4YearsAmt>750</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1050</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>100</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>13100</CurrentTaxYearMinus1YearAmt>
        <TotalAmt>15000</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>83704204</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>15879</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>19406</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>44515</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>82109</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>132888</CurrentTaxYearAmt>
        <TotalAmt>294797</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>15879</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>19406</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>44515</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>82109</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>132888</CurrentTaxYearAmt>
        <TotalAmt>294797</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>32167</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>31905</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>7965</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>86624</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>23973</CurrentTaxYearAmt>
        <TotalAmt>182634</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>16533418</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>15519894</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>15901660</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>17344873</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>18896790</CurrentTaxYearAmt>
        <TotalAmt>84196635</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.99420</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99420</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00350</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00260</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <AgentTrusteeEtcInd>1</AgentTrusteeEtcInd>
      <BeginningBalanceAmt>25117</BeginningBalanceAmt>
      <AdditionsDuringYearAmt>585807</AdditionsDuringYearAmt>
      <DistributionsDuringYearAmt>575238</DistributionsDuringYearAmt>
      <EndingBalanceAmt>35686</EndingBalanceAmt>
      <InclEscrowCustodialAcctLiabInd>0</InclEscrowCustodialAcctLiabInd>
      <LandGrp>
        <InvestmentCostOrOtherBasisAmt>1330593</InvestmentCostOrOtherBasisAmt>
        <OtherCostOrOtherBasisAmt>283066</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1613659</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>10963340</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>6363846</DepreciationAmt>
        <BookValueAmt>4599494</BookValueAmt>
      </BuildingsGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>16051600</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>13008258</DepreciationAmt>
        <BookValueAmt>3043342</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>9256495</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Refundable Deposits - Cottages</Desc>
        <Amt>10000</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>10000</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, Line 4b - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>OHHD - Management Incentive Revenues</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XII, Line 4b - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>OHHD - Management Incentive Expenses</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>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Wichita Christian School</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4729 Neta Lane</AddressLine1Txt>
          <CityNm>Wichita Falls</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>76302</ZIPCd>
        </USAddress>
        <CashGrantAmt>70000</CashGrantAmt>
        <PurposeOfGrantTxt>Support Program Services Provided by Wichita Christian School.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Tipton Children's Home</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 370</AddressLine1Txt>
          <CityNm>Tipton</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73570</ZIPCd>
        </USAddress>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>Support Program Services Provided by Tipton Children's Home.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Quatz Mountain Christian Camp</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>14696 N 2080 Rd</AddressLine1Txt>
          <CityNm>Lone Wolf</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73655</ZIPCd>
        </USAddress>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>Support Program Services Provided by Quartz Mountain Christian Camp.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Sonshine House</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>912 Broad Street</AddressLine1Txt>
          <CityNm>Wichita Falls</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>76301</ZIPCd>
        </USAddress>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>Support Program Services Provided by the Sonshine House.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Miscellaneous Various</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>300 Loop 11</AddressLine1Txt>
          <CityNm>Wichita Falls</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>76306</ZIPCd>
        </USAddress>
        <CashGrantAmt>2711</CashGrantAmt>
        <PurposeOfGrantTxt>Support Program Services Provided by Various Non-Profit 501(c)(3)Organizations.</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>7</Total501c3OrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>Emergency Assistance - Automobile Insurance and Loan Payments; Funeral Home Expenses; Family Member Deaths</GrantTypeTxt>
        <RecipientCnt>6</RecipientCnt>
        <CashGrantAmt>11519</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>CFO 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 15382. Management and general expenses 0. Fundraising expenses 0. Total expenses 15382. OTHER-THERAPY PT,OT,ST: Program service expenses 1625907. Management and general expenses 0. Fundraising expenses 0. Total expenses 1625907. OTHER-LAB X-RAY; ULTRASOUND: Program service expenses 122736. Management and general expenses 0. Fundraising expenses 0. Total expenses 122736. OTHER-INFUSION: Program service expenses 4678. Management and general expenses 0. Fundraising expenses 0. Total expenses 4678. OTHER-CONSOLIDATED CHARGES SNF: Program service expenses 56940. Management and general expenses 0. Fundraising expenses 0. Total expenses 56940. OTHER-HAZARDOUS WASTE DISPOSAL: Program service expenses 5877. Management and general expenses 0. Fundraising expenses 0. Total expenses 5877. OTHER-CONSULTANT PHARMACIST: Program service expenses 32798. Management and general expenses 0. Fundraising expenses 0. Total expenses 32798. OTHER-MEDICAL DIRECTORS: Program service expenses 136386. Management and general expenses 0. Fundraising expenses 0. Total expenses 136386. OTHER-CHAPLAIN: Program service expenses 2950. Management and general expenses 0. Fundraising expenses 0. Total expenses 2950. OTHER-CONSULTANT ACTIVITIES ENERG: Program service expenses 44500. Management and general expenses 0. Fundraising expenses 0. Total expenses 44500. OTHER-MEDICARE CONSULTANT: Program service expenses 2840. Management and general expenses 0. Fundraising expenses 0. Total expenses 2840.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, line 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>Rounding -3.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>