<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2022v5.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2024-01-18T16:32:54-05:00</ReturnTs>
    <TaxPeriodEndDt>2023-06-30</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>464454415</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>ELMER AND ASSOCIATES PLLC</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>833 S KELLY AVE SUITE 160</AddressLine1Txt>
        <CityNm>EDMOND</CityNm>
        <StateAbbreviationCd>OK</StateAbbreviationCd>
        <ZIPCd>73003</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2022-07-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>237296826</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>ASSOCIATION OF AMERICAN INDIAN</BusinessNameLine1Txt>
        <BusinessNameLine2Txt>PHYSICIANS INC</BusinessNameLine2Txt>
      </BusinessName>
      <BusinessNameControlTxt>ASSO</BusinessNameControlTxt>
      <PhoneNum>4059467072</PhoneNum>
      <USAddress>
        <AddressLine1Txt>1225 SOVEREIGN ROW SUITE 103</AddressLine1Txt>
        <CityNm>OKLAHOMA CITY</CityNm>
        <StateAbbreviationCd>OK</StateAbbreviationCd>
        <ZIPCd>73108</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>TOM ANDERSON</PersonNm>
      <PersonTitleTxt>EXECUTIVE DIRECTOR</PersonTitleTxt>
      <PhoneNum>4059467072</PhoneNum>
      <SignatureDt>2024-01-18</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <SigningOfficerGrp>
      <PersonFullName>
        <PersonFirstNm>TOM</PersonFirstNm>
        <PersonLastNm>ANDERSON</PersonLastNm>
      </PersonFullName>
      <SSN>XXX-XX-XXXX</SSN>
    </SigningOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>true</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>MICHAEL L ELMER</PreparerPersonNm>
      <PTIN>P01215529</PTIN>
      <PhoneNum>4053405974</PhoneNum>
      <PreparationDt>2024-01-18</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2022</TaxYr>
    <BuildTS>2023-04-26 12:10:37Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="4">
    <IRS990 documentId="RetDoc2" referenceDocumentId="RetDoc4">
      <PrincipalOfficerNm>TOM ANDERSON</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>1225 SOVERIGN ROW</AddressLine1Txt>
        <AddressLine2Txt>SUITE 103</AddressLine2Txt>
        <CityNm>OKLAHOMA CITY</CityNm>
        <StateAbbreviationCd>OK</StateAbbreviationCd>
        <ZIPCd>73108</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>2554552</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>HTTPS://WWW.AAIP.ORG/</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1971</FormationYr>
      <LegalDomicileStateCd>OK</LegalDomicileStateCd>
      <ActivityOrMissionDesc>OUR MISSION IS TO PURSUE EXCELLENCE IN NATIVE AMERICAN HEALTH CARE BY PROMOTING EDUCATION IN THE MEDICAL DISCIPLINES, HONORING TRADITIONAL HEALING PRINCIPLES AND RESTORING THE BALANCE OF MIND, BODY AND SPIRIT.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>9</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>8</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>5</TotalEmployeeCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <PYContributionsGrantsAmt>2484718</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>2545523</CYContributionsGrantsAmt>
      <CYProgramServiceRevenueAmt>8330</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>455</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>699</CYInvestmentIncomeAmt>
      <CYOtherRevenueAmt>0</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>2485173</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>2554552</CYTotalRevenueAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>397066</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>468331</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>432873</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>1946277</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>2080849</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>2343343</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>2549180</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>141830</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>5372</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>589914</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>613759</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>150833</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>169305</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>439081</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>444454</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>OUR MISSION IS TO PURSUE EXCELLENCE IN NATIVE AMERICAN HEALTH CARE BY PROMOTING EDUCATION IN THE MEDICAL DISCIPLINES, HONORING TRADITIONAL HEALING PRINCIPLES AND RESTORING THE BALANCE OF MIND, BODY AND SPIRIT</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>3500</ExpenseAmt>
      <RevenueAmt>8330</RevenueAmt>
      <Desc>OSTLTS PARTNERSHIP PROGRAMS WORK TOWARD SUSTAINING AND IMPROVING THE PERFORMANCE OF THE TRIBAL PUBLIC HEALTH SYSTEMS BY IMPARTING KNOWLEDGE, DEVELOPING SKILLS AND CREATING INSTITUTIONAL SYSTEMS AND CAPACITY.</Desc>
      <ProgSrvcAccomActy2Grp>
        <Desc>IHS MEDICAL PROFESSION PROGRAMS ADDRESS HEALTH DISPARITIES BY IMPROVING HEALTH CARE WORKFORCE DEVELOPMENT AND CULTURAL AND LINGUISTIC COMPETENCY IN AMERICAN INDIAN/ALASKA NATIVE HEALTHCARE AND WILL INCREASE THE DIVERSITY OF THE HEALTH PROFESSIONS WORKFORCE THROUGH RECRUITMENT AND TRAINING FOR AI/AN STUDENTS.</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <ExpenseAmt>629757</ExpenseAmt>
        <Desc>OSAGE PARTNERSHIPS FOR PREVENTION (OPP) IS A JOINT SUBSTANCE ABUSE PREVENTION INITIATIVE BETWEEN THE ASSOCIATION OF AMERICAN INDIAN PHYSICIANS (AAIP) AND THE OSAGE NATION. THE INITIATIVE CONNECTS THE LONG-STANDING EXPERTISE OF AAIP AND THE RESILIENCY OF THE OSAGE NATION TO REDUCE UNDERAGE DRINKING AND NON-MEDICAL USE OF PRESCRIPTION DRUGS AMONG 1,500 TO 2,000 NATIVE YOUTH IN THE OSAGE TRIABL JURISDICTION.</Desc>
      </ProgSrvcAccomActy3Grp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>1300875</ExpenseAmt>
        <Desc>ACCORDING TO INDIAN HEALTH SERVICE, THE SEASONAL FLU DISPROPORTIONATELY AFFECTS AMERICAN INDIANS AND ALASKAN NATIVES, WHO ARE AT HIGHER RISK FOR COMPLICATIONS FROM THE FLU. THE ORGANIZATION PROVIDES PROGRAMS THAT DIRECTLY ADDRESS THESE WIDESPREAD AND DETRIMENTAL DISPARITIES IN AMERICAN INDIAN AND ALASKAN NATIVE HEALTH AND WORKS TO COLLABORATE WITH CLINICS, PHYSICIANS AND MEDICAL PROFESSIONALS ACROSS THE NATION.</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <TotalOtherProgSrvcExpenseAmt>1300875</TotalOtherProgSrvcExpenseAmt>
      <TotalProgramServiceExpensesAmt>1934132</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc5">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd>false</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>false</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc3">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc3">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc3">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc3">false</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd referenceDocumentId="RetDoc3">false</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc3">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc3">false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc3">false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc3">false</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc3">true</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc3">false</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc3">true</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc3">false</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>false</FundraisingActivitiesInd>
      <GamingActivitiesInd>false</GamingActivitiesInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <GrantsToOrganizationsInd>false</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd>false</ScheduleJRequiredInd>
      <TaxExemptBondsInd>false</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>false</PYExcessBenefitTransInd>
      <LoanOutstandingInd>false</LoanOutstandingInd>
      <GrantToRelatedPersonInd>false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>false</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>false</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd>false</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd>false</DisregardedEntityInd>
      <RelatedEntityInd>false</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd>false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>17</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>true</BackupWthldComplianceInd>
      <EmployeeCnt>5</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>false</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>false</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>false</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>false</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
      <Form8899Filedind>false</Form8899Filedind>
      <Form1098CFiledInd>false</Form1098CFiledInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>false</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>false</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>9</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>8</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>true</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>true</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>false</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>true</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>true</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>true</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>true</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>OK</StatesWhereCopyOfReturnIsFldCd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>TOM ANDERSON</PersonNm>
        <PhoneNum>4059467072</PhoneNum>
        <USAddress>
          <AddressLine1Txt>1225 SOVERIGN ROW</AddressLine1Txt>
          <AddressLine2Txt>SUITE 103</AddressLine2Txt>
          <CityNm>OKLAHOMA CITY</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73108</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>LUKEJOHN DAY MD</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>THOMAS 'BLAIR' MATHESON MD</PersonNm>
        <TitleTxt>PRESIDENT EL</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MELISSA BEGAY MD</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ALLISON KELLIHER MD</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LYNNAE LAWRENCE MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANTOINETTE MARTINEZ MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANNIE RUSK MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NIZHONI DENIPAH MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>5.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TOM ANDERSON</PersonNm>
        <TitleTxt>EXECUTIVE DI</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>131230</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>131230</TotalReportableCompFromOrgAmt>
      <IndivRcvdGreaterThan100KCnt>1</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>false</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <MembershipDuesAmt>23750</MembershipDuesAmt>
      <GovernmentGrantsAmt>2073258</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>448515</AllOtherContributionsAmt>
      <TotalContributionsAmt>2545523</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PROGRAM REVENUE</Desc>
        <TotalRevenueColumnAmt>8330</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>8330</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>8330</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>699</TotalRevenueColumnAmt>
        <ExclusionAmt>699</ExclusionAmt>
      </InvestmentIncomeGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>2554552</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>8330</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>699</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>131230</TotalAmt>
        <ProgramServicesAmt>86294</ProgramServicesAmt>
        <ManagementAndGeneralAmt>44936</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>258790</TotalAmt>
        <ProgramServicesAmt>170175</ProgramServicesAmt>
        <ManagementAndGeneralAmt>88615</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>8364</TotalAmt>
        <ProgramServicesAmt>6217</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2147</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>40861</TotalAmt>
        <ProgramServicesAmt>30372</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10489</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>29086</TotalAmt>
        <ProgramServicesAmt>21620</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7466</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>379</TotalAmt>
        <ProgramServicesAmt>280</ProgramServicesAmt>
        <ManagementAndGeneralAmt>44</ManagementAndGeneralAmt>
        <FundraisingAmt>55</FundraisingAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>20359</TotalAmt>
        <ProgramServicesAmt>15033</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2360</ManagementAndGeneralAmt>
        <FundraisingAmt>2966</FundraisingAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>218366</TotalAmt>
        <ProgramServicesAmt>161249</ProgramServicesAmt>
        <ManagementAndGeneralAmt>25564</ManagementAndGeneralAmt>
        <FundraisingAmt>31553</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>1280450</TotalAmt>
        <ProgramServicesAmt>1274435</ProgramServicesAmt>
        <FundraisingAmt>6015</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>20609</TotalAmt>
        <ProgramServicesAmt>9739</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7573</ManagementAndGeneralAmt>
        <FundraisingAmt>3297</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>13813</TotalAmt>
        <ProgramServicesAmt>6529</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5075</ManagementAndGeneralAmt>
        <FundraisingAmt>2209</FundraisingAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>276176</TotalAmt>
        <ProgramServicesAmt>9818</ProgramServicesAmt>
        <ManagementAndGeneralAmt>34805</ManagementAndGeneralAmt>
        <FundraisingAmt>231553</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>129211</TotalAmt>
        <ProgramServicesAmt>2977</ProgramServicesAmt>
        <FundraisingAmt>126234</FundraisingAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>10440</TotalAmt>
        <ProgramServicesAmt>241</ProgramServicesAmt>
        <FundraisingAmt>10199</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>7492</TotalAmt>
        <ManagementAndGeneralAmt>7492</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>683</TotalAmt>
        <ProgramServicesAmt>323</ProgramServicesAmt>
        <ManagementAndGeneralAmt>251</ManagementAndGeneralAmt>
        <FundraisingAmt>109</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>4877</TotalAmt>
        <ProgramServicesAmt>3218</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1419</ManagementAndGeneralAmt>
        <FundraisingAmt>240</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
        <TotalAmt>38040</TotalAmt>
        <ProgramServicesAmt>11129</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15357</ManagementAndGeneralAmt>
        <FundraisingAmt>11554</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>HONORARIA</Desc>
        <TotalAmt>18498</TotalAmt>
        <ProgramServicesAmt>13658</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2145</ManagementAndGeneralAmt>
        <FundraisingAmt>2695</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUES AND SUBSCRIPTIONS</Desc>
        <TotalAmt>12942</TotalAmt>
        <ProgramServicesAmt>6117</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4755</ManagementAndGeneralAmt>
        <FundraisingAmt>2070</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>COMMUNICATIONS</Desc>
        <TotalAmt>9665</TotalAmt>
        <ProgramServicesAmt>1071</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8548</ManagementAndGeneralAmt>
        <FundraisingAmt>46</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>18849</TotalAmt>
        <ProgramServicesAmt>103637</ProgramServicesAmt>
        <ManagementAndGeneralAmt>-86866</ManagementAndGeneralAmt>
        <FundraisingAmt>2078</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>2549180</TotalAmt>
        <ProgramServicesAmt>1934132</ProgramServicesAmt>
        <ManagementAndGeneralAmt>182175</ManagementAndGeneralAmt>
        <FundraisingAmt>432873</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>529069</BOYAmt>
        <EOYAmt>344651</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>1012</BOYAmt>
        <EOYAmt>84147</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>42499</BOYAmt>
        <EOYAmt>100406</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>1612</BOYAmt>
        <EOYAmt>362</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>14355</BOYAmt>
        <EOYAmt>83509</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>9168</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>8484</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>1367</BOYAmt>
        <EOYAmt>684</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <TotalAssetsGrp>
        <BOYAmt>589914</BOYAmt>
        <EOYAmt>613759</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>35211</BOYAmt>
        <EOYAmt>45426</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>3500</BOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>88500</BOYAmt>
        <EOYAmt>88500</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>23622</BOYAmt>
        <EOYAmt>35379</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>150833</BOYAmt>
        <EOYAmt>169305</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>359081</BOYAmt>
        <EOYAmt>364454</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>80000</BOYAmt>
        <EOYAmt>80000</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>439081</BOYAmt>
        <EOYAmt>444454</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>589914</BOYAmt>
        <EOYAmt>613759</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>5372</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>1</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc5">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>535358</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>838966</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>810527</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2484718</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2545523</CurrentTaxYearAmt>
        <TotalAmt>7215092</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>535358</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>838966</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>810527</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2484718</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2545523</CurrentTaxYearAmt>
        <TotalAmt>7215092</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>7215092</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>387</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>387</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>388</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>455</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>699</CurrentTaxYearAmt>
        <TotalAmt>2316</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <TotalSupportAmt>7217408</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>63801</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.99970</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.99970</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc3">
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>9168</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>8484</DepreciationAmt>
        <BookValueAmt>684</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>684</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED EXPENSES</Desc>
        <Amt>35379</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>35379</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>2554552</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>2554552</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>2554552</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>2549179</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>-1</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>-1</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>2549180</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>2549180</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XII, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>ROUNDING -1</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc4">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>ACCORDING TO INDIAN HEALTH SERVICE, THE SEASONAL FLU DISPROPORTIONATELY AFFECTS AMERICAN INDIANS AND ALASKAN NATIVES, WHO ARE AT HIGHER RISK FOR COMPLICATIONS FROM THE FLU. THE ORGANIZATION PROVIDES PROGRAMS THAT DIRECTLY ADDRESS THESE WIDESPREAD AND DETRIMENTAL DISPARITIES IN AMERICAN INDIAN AND ALASKAN NATIVE HEALTH AND WORKS TO COLLABORATE WITH CLINICS, PHYSICIANS AND MEDICAL PROFESSIONALS ACROSS THE NATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERSHIP IN AAIP OFFERS A VAST POOL OF OPPORTUNITIES FOR CAREER GROWTH THROUGH NETWORKING WITH OTHER NATIVE PHYSICIANS ACROSS THE COUNTRY AS WELL AS OPPORTUNITIES TO SUPPORT FUTURE GENERATIONS OF NATIVE HEALTH CARE PROVIDERS BY SERVING AS ROLE MODELS FOR A VARIETY OF AAIP STUDENT PROGRAMS. HERE ARE THE DIFFERENT MEMBERSHIP OPTIONS FOR PHYSICIANS: A PROSPECTIVE MEMBER NEED ONLY TO PROVIDE SUFFICIENT VERIFICATION OR PROOF OF AMERICAN INDIAN OR ALASKA NATIVE DESCENT TO BE ELIGIBLE FOR FULL VOTING MEMBERSHIP. AAIP LEADERSHIP ACKNOWLEDGES THE MANY COMMITTED NATIVE PHYSICIANS WHO ARE LESS THAN A 1/8TH BLOOD QUANTUM AND WE VALUE THEIR CONTRIBUTIONS TO AI/AN HEALTH AND TO OUR ASSOCIATION. MEMBERSHIP CATEGORIES ELIGIBILITY &amp; QUALIFICATIONS THERE SHALL BE THE FOLLOWING CATEGORIES OF MEMBERSHIP WITH STATED QUALIFICATIONS, PRIVILEGES, AND RESTRICTIONS: VOTING MEMBERSHIP. THERE SHALL BE ONLY ONE (1) CLASS OF VOTING MEMBERS WITHIN THE ASSOCIATION. THOSE INDIVIDUALS DESIRING TO BE A VOTING MEMBER SHALL COMPLETE THE APPROPRIATE APPLICATION PROCESS. TO BE ELIGIBLE AS A VOTING MEMBER, AN INDIVIDUAL MUST MEET ONE OF THE FOLLOWING CRITERIA: 1. ANY INDIVIDUAL WHO IS AN ALLOPATHIC OR OSTEOPATHIC PHYSICIAN AND WHO IS ABLE TO PROVIDE ACCEPTABLE VERIFICATION OR PROOF OF AMERICAN INDIAN/ALASKA NATIVE HERITAGE OR ANCESTRY IS ELIGIBLE TO BECOME A VOTING MEMBER. 2. ACCEPTABLE VERIFICATION OR PROOF MAY INCLUDE BUT IS NOT LIMITED TO: CERTIFICATE DEGREE OF INDIAN BLOOD, TRIBAL ENROLLMENT CARE OR LETTER OF DESCENDENCY. 3. ALL CURRENT-VOTING MEMBERS OF THE ASSOCIATION SHALL BE GRANDFATHERED INTO THE VOTING MEMBERSHIP CATEGORY AS SET FORTH IN THE CURRENT BYLAWS. NON-VOTING MEMBERS. ANY INDIVIDUAL DESIRING TO BE A NON-VOTING MEMBERS SHALL COMPLETE THE APPROPRIATE APPLICATION PROCESS. NON-VOTING MEMBER CLASSES ARE AS FOLLOWS: ASSSOCIATE MEMBERSHIP: ANY INDIVIDUAL WHO IS AN ALLOPATHIC OR OSTEOPATHIC PHYSICIAN WHO IS UNABLE TO PROVIDE ACCEPTABLE VERIFICATION OR PROOF OF AMERICAN INDIAN/ALASKA NATIVE HERITAGE OR ANCESTRY OR NOT OF AMERICAN INDIAN/ALASKA NATIVE HERITAGE OR ANCESTRY IS ELIGIBLE TO BECOME AN ASSOCIATE MEMBER. HONORARY MEMBERSHIP: ANY PERSON WHO SUPPORTS THE MISSION OF THE ASSOCIATION WHO HAS DISTINGUISHED HIMSELF OR HERSELF IN AN AMERICAN INDIAN OR ALASKA NATIVE HEALTH FIELD OR RELATED HEALTH PROFESSION IS ELIGIBLE TO BE AN HONORARY MEMBER. SUPPORTING MEMBERSHIP: ANY PERSON OR ENTITY THAT SUPPORTS THE MISSION AND PURPOSES OF THE ASSOCIATION, AND WHO PROVIDES SIGNIFICANT FINANCIAL SUPPORT TO THE ASSOCIATION IS ELIGIBLE TO BE A SUPPORTING MEMBER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERSHIP MAJORITY REQUIRED TO RATIFY NOMINATIONS FOR BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>LUKEJOHN DAY, MD 559 JERSEY STREET SAN FRANCISCO, CA 94114 THOMAS 'BLAIR' MATHESON, MD P.O. BOX 1174 MANDAN, ND 58554 MELISSA BEGAY, MD 2109 HIGHWAY 314 NW LOS LUNAS, NM 87031 ALLISON KELLIHER, MD 1805 STANTON AVENUE ANCHORAGE, AK 99508 LYNNAE LAWRENCE, MD 1134 KUKULU STREET, 606 KAPOLEI, HI 96707 ANTOINETTE MARTINEZ, MD 977 BIRCH AVENUE MCKINLEYVILLE, CA 95519 ANNIE RUSK, MD 665 36TH AVENUE NW ROCHESTER, MN 55901 NIZHONI DENIPAH, MD 2748 HERRADURA ROAD SANTA FE, NM 87505</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 WAS DISSEMINATED TO THE GOVERNING BODY VIA EMAIL BY THE EXECUTIVE DIRECTOR PRIOR TO SUBMISSION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>AT THE BEGINNING OF EVERY YEAR, BOARD MEMBERS ANSWER SURVEYS REGARDING POTENTIAL CONFLICTS OF INTEREST AND ARE ASKED TO SELF-REPORT THROUGHOUT THE YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>MARKET ANALYSIS IS PERFORMED SURVEYING THE COMPENSATION OF COMPARABLE POSITIONS AND QUALIFICATIONS. THE MARKET IS USED FOR THE BASIS OF ALL OFFERS OF COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SAME PROCESS IS USED FOR OTHER OFFICERS OR KEY EMPLOYEES COMPENSATION AS USED FOR THE TOP MANAGEMENT COMPENSATION PROCESS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST TO THE OFFICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>ROUNDING 1</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
