<?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>2023-01-30T11:21:00-06:00</ReturnTs>
    <TaxPeriodEndDt>2021-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>363990892</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>Capin Crouse LLP</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>345 Massachusetts Avenue Suite 300</AddressLine1Txt>
        <CityNm>Indianapolis</CityNm>
        <StateAbbreviationCd>IN</StateAbbreviationCd>
        <ZIPCd>46204</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2021-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>208635797</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>The Luke Commission</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>LUKE</BusinessNameControlTxt>
      <PhoneNum>2082639311</PhoneNum>
      <USAddress>
        <AddressLine1Txt>PO Box 1335</AddressLine1Txt>
        <CityNm>Sagle</CityNm>
        <StateAbbreviationCd>ID</StateAbbreviationCd>
        <ZIPCd>83860</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>Echo Vanderwal</PersonNm>
      <PersonTitleTxt>Executive Director</PersonTitleTxt>
      <PhoneNum>2082639311</PhoneNum>
      <SignatureDt>2023-01-30</SignatureDt>
      <DiscussWithPaidPreparerInd>1</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <SigningOfficerGrp>
      <PersonFullName>
        <PersonFirstNm>Echo</PersonFirstNm>
        <PersonLastNm>Vanderwal</PersonLastNm>
      </PersonFullName>
      <SSN>999009999</SSN>
    </SigningOfficerGrp>
    <PreparerPersonGrp>
      <PreparerPersonNm>Sara Tibbott</PreparerPersonNm>
      <PTIN>P01486965</PTIN>
      <PhoneNum>5055022746</PhoneNum>
    </PreparerPersonGrp>
    <AdditionalFilerInformation>
      <TrustedCustomerGrp>
        <TrustedCustomerCd>3</TrustedCustomerCd>
        <AuthenticationAssuranceLevelCd>AAL1</AuthenticationAssuranceLevelCd>
        <IdentityAssuranceLevelCd>IAL1</IdentityAssuranceLevelCd>
      </TrustedCustomerGrp>
    </AdditionalFilerInformation>
    <TaxYr>2021</TaxYr>
    <BuildTS>2023-03-07 01:45:13Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="9">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <PrincipalOfficerNm>Echo Vanderwal</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>PO Box 1335</AddressLine1Txt>
        <CityNm>Sagle</CityNm>
        <StateAbbreviationCd>ID</StateAbbreviationCd>
        <ZIPCd>83860</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>20774076</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>0</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>www.lukecommission.org</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>2007</FormationYr>
      <LegalDomicileStateCd>ID</LegalDomicileStateCd>
      <ActivityOrMissionDesc>Delivering healthcare to rural communities in southern Africa through mobile hospital outreaches.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>7</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>4</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>21</TotalEmployeeCnt>
      <TotalVolunteersCnt>50</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>0</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>8370068</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>20643916</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>0</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>0</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>27066</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>-7001</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>131228</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>108451</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>8528362</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>20745366</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>0</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <PYBenefitsPaidToMembersAmt>0</PYBenefitsPaidToMembersAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>1929459</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>2971553</CYSalariesCompEmpBnftPaidAmt>
      <PYTotalProfFndrsngExpnsAmt>0</PYTotalProfFndrsngExpnsAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>242826</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>6027777</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>13176004</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>7957236</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>16147557</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>571126</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>4597809</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>10893191</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>15926571</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>2749928</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>2995317</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>8143263</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>12931254</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>See Schedule O</MissionDesc>
      <SignificantNewProgramSrvcInd>0</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>0</SignificantChangeInd>
      <ExpenseAmt>15243486</ExpenseAmt>
      <RevenueAmt>108451</RevenueAmt>
      <Desc>MEDICAL CARE &amp; TREATMENT129,495 Medical Patients Treated650,814 Medication Packets Dispensed61,305 Blood Pressure &amp; Sugar Tested38 Surgeries Sponsored14,330 X-rays Obtained100 Voluntary Medical Male Circumcisions Performed111 Other Surgeries/Procedures Completed1,298 Immunizations Given (non-COVID)3,772 Cervical Cancer Screenings181 Procedures to remove pre-/cancerous cervical cells467 Snakebite Inpatient NightsHIV/AIDS/TB CARE &amp; SERVICES19,739 Patients Tested &amp; Counseled for HIV267,200 Laboratory Services Rendered129,495 TB Screenings Completed134,712 VMMC/HIV Community Education &amp; Counseling16,375 HIV ARV Adherence Counseling Sessions Delivered1,112,225 Condoms (Male and Female) Distributed211 Long Acting Removable Contraceptives (LARCs) Placed1,136 Initiated on Anti-Retroviral Treatment (ART)215 TB+ Cases Started on TB Treatment872 GeneXpert Tests Performed605 HIV+ youth support club participants20,489 Inpatient Nights at Miracle CampusDISABILITY, OPTICAL, &amp; SPIRITUAL CARE &amp; SERVICES6,398 Eye Glasses Fitted610 Wheelchairs/Adaptive Equipment Fitted493 Cataracts Found10,205 Youth Vision Screening249 3-month life skills training participantsCOVID-19 RESPONSE11,209 COVID-19 Tests Completed9,949 COVID-19 Inpatient Nights8,321 COVID-19 ICU Nights89,927 Number of COVID-19 Vaccine Doses Given</Desc>
      <TotalProgramServiceExpensesAmt>15243486</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc1039100001">1</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1234500001">1</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">0</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">0</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc1040000001">0</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">0</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">1</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>0</SchoolOperatingInd>
      <ForeignOfficeInd>1</ForeignOfficeInd>
      <ForeignActivitiesInd referenceDocumentId="RetDoc1040500001">1</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd referenceDocumentId="RetDoc1040500001">0</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd referenceDocumentId="RetDoc1040500001">0</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>0</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>0</FundraisingActivitiesInd>
      <GamingActivitiesInd>0</GamingActivitiesInd>
      <OperateHospitalInd>0</OperateHospitalInd>
      <GrantsToOrganizationsInd>0</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>0</GrantsToIndividualsInd>
      <ScheduleJRequiredInd>0</ScheduleJRequiredInd>
      <TaxExemptBondsInd>0</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd referenceDocumentId="RetDoc1042800001">0</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd referenceDocumentId="RetDoc1042800001">0</PYExcessBenefitTransInd>
      <LoanOutstandingInd referenceDocumentId="RetDoc1042800001">1</LoanOutstandingInd>
      <GrantToRelatedPersonInd referenceDocumentId="RetDoc1042800001">0</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd referenceDocumentId="RetDoc1042800001">0</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd referenceDocumentId="RetDoc1042800001">1</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>0</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd referenceDocumentId="RetDoc1042900001">1</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd referenceDocumentId="RetDoc1042900001">0</DeductibleArtContributionInd>
      <TerminateOperationsInd>0</TerminateOperationsInd>
      <PartialLiquidationInd>0</PartialLiquidationInd>
      <DisregardedEntityInd referenceDocumentId="RetDoc1043400001">0</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="RetDoc1043400001">1</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>0</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd referenceDocumentId="RetDoc1043400001">0</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd referenceDocumentId="RetDoc1043400001">0</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>1</ScheduleORequiredInd>
      <IRPDocumentCnt>5</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>1</BackupWthldComplianceInd>
      <EmployeeCnt>21</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>1</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>0</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>1</ForeignFinancialAccountInd>
      <ForeignCountryCd>WZ</ForeignCountryCd>
      <ProhibitedTaxShelterTransInd>0</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>0</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>0</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>0</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>0</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>0</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>0</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>0</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>0</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>0</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>7</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>4</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>1</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>0</OfficerMailingAddressInd>
      <LocalChaptersInd>0</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>1</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>1</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>1</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>1</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>1</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>1</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>1</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>0</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>0</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>CO</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>ID</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>NC</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>OH</StatesWhereCopyOfReturnIsFldCd>
      <StatesWhereCopyOfReturnIsFldCd>OK</StatesWhereCopyOfReturnIsFldCd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <BusinessName>
          <BusinessNameLine1Txt>Echo Vanderwal</BusinessNameLine1Txt>
        </BusinessName>
        <PhoneNum>2082639311</PhoneNum>
        <USAddress>
          <AddressLine1Txt>PO Box 1335</AddressLine1Txt>
          <CityNm>Sagle</CityNm>
          <StateAbbreviationCd>ID</StateAbbreviationCd>
          <ZIPCd>83860</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>Harry VanderWal MD</PersonNm>
        <TitleTxt>Exec Dir/Chief Medical Officer</TitleTxt>
        <AverageHoursPerWeekRt>70.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>84000</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Echo VanderWal PC</PersonNm>
        <TitleTxt>Exec Dir/Chief Clinical Officer</TitleTxt>
        <AverageHoursPerWeekRt>70.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>84000</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Brian Schmelzenbach</PersonNm>
        <TitleTxt>Board Member/Dir of Staff Develop.</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>40000</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jim McKee</PersonNm>
        <TitleTxt>Board Chair/President</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Trudy Leen</PersonNm>
        <TitleTxt>Treasurer</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Kenton Hill</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Craig Minor</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>208000</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>0</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>0</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>0</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>6700816</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>13943100</AllOtherContributionsAmt>
      <NoncashContributionsAmt>11568674</NoncashContributionsAmt>
      <TotalContributionsAmt>20643916</TotalContributionsAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>537</TotalRevenueColumnAmt>
        <ExclusionAmt>537</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <OtherAmt>21172</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>28710</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>-7538</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-7538</TotalRevenueColumnAmt>
        <ExclusionAmt>-7538</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>108451</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>108451</RelatedOrExemptFuncIncomeAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>108451</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>20745366</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>108451</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>-7001</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>208000</TotalAmt>
        <ProgramServicesAmt>176800</ProgramServicesAmt>
        <ManagementAndGeneralAmt>20800</ManagementAndGeneralAmt>
        <FundraisingAmt>10400</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>2352037</TotalAmt>
        <ProgramServicesAmt>1999231</ProgramServicesAmt>
        <ManagementAndGeneralAmt>235204</ManagementAndGeneralAmt>
        <FundraisingAmt>117602</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>370463</TotalAmt>
        <ProgramServicesAmt>314894</ProgramServicesAmt>
        <ManagementAndGeneralAmt>37046</ManagementAndGeneralAmt>
        <FundraisingAmt>18523</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>41053</TotalAmt>
        <ProgramServicesAmt>34895</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4105</ManagementAndGeneralAmt>
        <FundraisingAmt>2053</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>511</TotalAmt>
        <ProgramServicesAmt>102</ProgramServicesAmt>
        <ManagementAndGeneralAmt>409</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>72592</TotalAmt>
        <ProgramServicesAmt>7709</ProgramServicesAmt>
        <ManagementAndGeneralAmt>64883</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>66100</TotalAmt>
        <ProgramServicesAmt>38009</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9859</ManagementAndGeneralAmt>
        <FundraisingAmt>18232</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <OfficeExpensesGrp>
        <TotalAmt>416655</TotalAmt>
        <ProgramServicesAmt>288098</ProgramServicesAmt>
        <ManagementAndGeneralAmt>100590</ManagementAndGeneralAmt>
        <FundraisingAmt>27967</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>732286</TotalAmt>
        <ProgramServicesAmt>658978</ProgramServicesAmt>
        <ManagementAndGeneralAmt>58615</ManagementAndGeneralAmt>
        <FundraisingAmt>14693</FundraisingAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>191507</TotalAmt>
        <ProgramServicesAmt>172356</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15320</ManagementAndGeneralAmt>
        <FundraisingAmt>3831</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>269811</TotalAmt>
        <ProgramServicesAmt>263369</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6176</ManagementAndGeneralAmt>
        <FundraisingAmt>266</FundraisingAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>59643</TotalAmt>
        <ProgramServicesAmt>55014</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3086</ManagementAndGeneralAmt>
        <FundraisingAmt>1543</FundraisingAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>687632</TotalAmt>
        <ProgramServicesAmt>632621</ProgramServicesAmt>
        <ManagementAndGeneralAmt>41258</ManagementAndGeneralAmt>
        <FundraisingAmt>13753</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>58542</TotalAmt>
        <ProgramServicesAmt>54942</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2941</ManagementAndGeneralAmt>
        <FundraisingAmt>659</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Medical Ministry</Desc>
        <TotalAmt>9746807</TotalAmt>
        <ProgramServicesAmt>9746452</ProgramServicesAmt>
        <ManagementAndGeneralAmt>355</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Maintenance</Desc>
        <TotalAmt>365744</TotalAmt>
        <ProgramServicesAmt>345333</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17137</ManagementAndGeneralAmt>
        <FundraisingAmt>3274</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Equipment</Desc>
        <TotalAmt>298814</TotalAmt>
        <ProgramServicesAmt>266361</ProgramServicesAmt>
        <ManagementAndGeneralAmt>26476</ManagementAndGeneralAmt>
        <FundraisingAmt>5977</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Food</Desc>
        <TotalAmt>171070</TotalAmt>
        <ProgramServicesAmt>153956</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13686</ManagementAndGeneralAmt>
        <FundraisingAmt>3428</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>38290</TotalAmt>
        <ProgramServicesAmt>34366</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3299</ManagementAndGeneralAmt>
        <FundraisingAmt>625</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>16147557</TotalAmt>
        <ProgramServicesAmt>15243486</ProgramServicesAmt>
        <ManagementAndGeneralAmt>661245</ManagementAndGeneralAmt>
        <FundraisingAmt>242826</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>159339</BOYAmt>
        <EOYAmt>352998</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>9497</BOYAmt>
        <EOYAmt>8638</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>136217</BOYAmt>
        <EOYAmt>74927</EOYAmt>
      </AccountsReceivableGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>56139</BOYAmt>
        <EOYAmt>112424</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>3696997</BOYAmt>
        <EOYAmt>6264713</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>14315</BOYAmt>
        <EOYAmt>13073</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>11723184</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>2623386</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>6820687</BOYAmt>
        <EOYAmt>9099798</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <TotalAssetsGrp>
        <BOYAmt>10893191</BOYAmt>
        <EOYAmt>15926571</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>2403902</BOYAmt>
        <EOYAmt>1604747</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <LoansFromOfficersDirectorsGrp>
        <BOYAmt>83342</BOYAmt>
        <EOYAmt>10406</EOYAmt>
      </LoansFromOfficersDirectorsGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>104867</BOYAmt>
        <EOYAmt>1269769</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <UnsecuredNotesLoansPayableGrp>
        <BOYAmt>157817</BOYAmt>
        <EOYAmt>110395</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>2749928</BOYAmt>
        <EOYAmt>2995317</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>8143263</BOYAmt>
        <EOYAmt>12570728</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <EOYAmt>360526</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>8143263</BOYAmt>
        <EOYAmt>12931254</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>10893191</BOYAmt>
        <EOYAmt>15926571</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>4597809</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>190182</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>6206119</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>6516275</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>7913433</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8370068</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>20643916</CurrentTaxYearAmt>
        <TotalAmt>49649811</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>6206119</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>6516275</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>7913433</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8370068</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>20643916</CurrentTaxYearAmt>
        <TotalAmt>49649811</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>10753838</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>38895973</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus3YearsAmt>65</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>13183</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>20466</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>537</CurrentTaxYearAmt>
        <TotalAmt>34251</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>175194</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>151380</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>102494</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>131228</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>108451</CurrentTaxYearAmt>
        <TotalAmt>668747</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>50352809</TotalSupportAmt>
      <PublicSupportCY170Pct>0.77250</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.80240</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Schedule A, Part II, Line 10, Explanation of Other Income:</FormAndLineReferenceDesc>
        <ExplanationTxt>Miscellaneous Revenue - 2017 Amount: $ 175,194. 2018 Amount: $ 151,380. 2019 Amount: $ 102,494. 2020 Amount: $ 131,228. 2021 Amount: $ 108,451.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>533356</OtherCostOrOtherBasisAmt>
        <BookValueAmt>533356</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>5450500</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>479249</DepreciationAmt>
        <BookValueAmt>4971251</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>2001975</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>827656</DepreciationAmt>
        <BookValueAmt>1174319</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>3737353</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1316481</DepreciationAmt>
        <BookValueAmt>2420872</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>9099798</TotalBookValueLandBuildingsAmt>
    </IRS990ScheduleD>
    <IRS990ScheduleF documentId="RetDoc1040500001">
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <OfficesCnt>1</OfficesCnt>
        <EmployeeCnt>575</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Program services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>Provide medical care to those in need</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>15243486</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <SubtotalOfficesCnt>1</SubtotalOfficesCnt>
      <SubtotalEmployeesCnt>575</SubtotalEmployeesCnt>
      <ContinuationTotalOfficeCnt>0</ContinuationTotalOfficeCnt>
      <ContinuationTotalEmployeeCnt>0</ContinuationTotalEmployeeCnt>
      <TotalOfficeCnt>1</TotalOfficeCnt>
      <TotalEmployeeCnt>575</TotalEmployeeCnt>
      <SubtotalSpentAmt>15243486</SubtotalSpentAmt>
      <ContinuationSpentAmt>0</ContinuationSpentAmt>
      <TotalSpentAmt>15243486</TotalSpentAmt>
      <TransferToForeignCorpInd>0</TransferToForeignCorpInd>
      <InterestInForeignTrustInd>0</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>0</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>0</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>0</ForeignPartnershipInd>
      <BoycottCountriesInd>0</BoycottCountriesInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, line 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>Foreign expenditures are accounted for according to the accrual basis of accounting using expense reports and other appropriate documentation. Accounts are done through the accounting system that has multi currency functionality and is combined in the accounting system, Netsuite.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Accounting Method:</FormAndLineReferenceDesc>
      </SupplementalInformationDetail>
    </IRS990ScheduleF>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>Harry Echo VanderWal</PersonNm>
        <RelationshipWithOrgTxt>Harry and Echo are both Executive Directors of The Luke Commission</RelationshipWithOrgTxt>
        <LoanPurposeTxt>Operating Funds</LoanPurposeTxt>
        <LoanToOrganizationInd>X</LoanToOrganizationInd>
        <OriginalPrincipalAmt>506904</OriginalPrincipalAmt>
        <BalanceDueAmt>10406</BalanceDueAmt>
        <DefaultInd>0</DefaultInd>
        <BoardOrCommitteeApprovalInd>1</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>1</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <TotalBalanceDueAmt>10406</TotalBalanceDueAmt>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Harry VanderWal</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Family member of Echo Vanderwal, Executive Director/Chief Clinical Officer</RelationshipDescriptionTxt>
        <TransactionAmt>84000</TransactionAmt>
        <TransactionDesc>Wages</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Echo VanderWal</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Family member of Harry VanderWal, Executive Director/Chief Medical Officer</RelationshipDescriptionTxt>
        <TransactionAmt>84000</TransactionAmt>
        <TransactionDesc>Wages</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <ClothingAndHouseholdGoodsGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <NoncashContributionsRptF990Amt>341252</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Similar Asset Sales</MethodOfDeterminingRevenuesTxt>
      </ClothingAndHouseholdGoodsGrp>
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>4164</ContributionCnt>
        <NoncashContributionsRptF990Amt>11096266</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Similar Asset Sales</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Equipment</Desc>
        <ContributionCnt>22</ContributionCnt>
        <NoncashContributionsRptF990Amt>131156</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Similar Asset Sales</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <Form8283ReceivedCnt>0</Form8283ReceivedCnt>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>1</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>0</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Column (b):</FormAndLineReferenceDesc>
        <ExplanationTxt>The number of contributions represent the number of contributions received, not the number of items donated.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 1, Description of Organization Mission:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Luke Commission (TLC) uses a Comprehensive Compassionate Care model to deliver medical services to underserved populations in Kingdom of Eswatini (formerly Swaziland), a small, landlocked country in southern Africa. A growing team of Swazi nationals has been trained to lead and implement all aspects of the model. Eswatini is a country of 1.2 million people with the highest HIV/AIDS rate worldwide-women of childbearing age have an HIV+ rate of over 45%. Although the HIV/AIDS epidemic has plateaued, the work of caring for those who live with HIV in the underserved areas of Eswatini and the continued need for HIV prevention, care and treatment necessitates the work of TLC. TLC delivers comprehensive medical services through thousands of mobile medical hospital outreaches and at fixed inpatient and outpatient facilities at its centrally-located base of operations (Miracle Campus). The TLC Miracle Campus Hospital offers all outreach services plus inpatient services for all diseases including emergency medical care, surgical care, mental health, critical care, and palliative care. Lack of transportation is a critical barrier to underserved populations receiving healthcare. TLC's mobile hospital outreach model overcomes this barrier by delivering health services directly to patients in remote communities. TLC provides outpatient, inpatient, surgical, emergency, and critical care at the ever-expanding fixed-site Miracle Campus in central Eswatini. TLC offers testing for chronic diseases such as diabetes, hypertension, TB, and HIV/AIDS in an integrated healthcare context. In 2021, approximately 1,600,000 medical services were delivered.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Harry and Echo Vanderwal have a family relationship.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Form 990 is prepared by an independent CPA firm. The Form 990 is then reviewed in detail and approved by the Executive Director and board before it is filed with the IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Officers and board members sign annual conflict of interest statements. The board and Executive Director monitor all transactions for potential conflicts of interest. If a potential conflict is identified, the person with a conflict recuses his or herself from the decision making process and the independent board members vote whether or not to proceed with the transaction if it is in the best interest of the organization.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>The Executive Directors' compensation was approved by the independent members of the board. Comparability data was used during the process. The approval process was documented in the board minutes.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization makes its governing documents, conflict of interest policy, and financial statements available upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>The Luke Commission Swaziland</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <ForeignAddress>
          <AddressLine1Txt>Farm 523</AddressLine1Txt>
          <CityNm>Sidvokodvo</CityNm>
          <CountryCd>WZ</CountryCd>
          <ForeignPostalCd>M216</ForeignPostalCd>
        </ForeignAddress>
        <EIN>981265973</EIN>
        <PrimaryActivitiesTxt>Health Care</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>WZ</LegalDomicileForeignCountryCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
