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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <AuditCommitteeInd>true</AuditCommitteeInd>
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        <CurrentTaxYearAmt>2484718</CurrentTaxYearAmt>
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    <IRS990ScheduleO documentId="RetDoc4">
      <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: ASSOCIATE 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>MARY OWEN, MD 3645 EAST 3RD STREET DULUTH, MN 55804 LUKEJOHN DAY, MD 559 JERSEY STREET SAN FRANCISCO, CA 94114 THOMAS BLAIR ANDERSON, MD P.O. BOX 1174 MANDAN, ND 58554 CHARLENE HANSEN, MD 8339 RUGE COURT ANTELOPE, CA 95843 DAN CALAC, MD 30980 ASHLEY COURT VALLEY CENTER, CA 92082 ALLISON KELLIHER, MD 1805 STANTON AVENUE ANCHORAGE, AK 99508 MELISSA BEGAY, MD 2109 HIGHWAY 314 NW LOS LUNAS, NM 87031 LORI ALVORD, MD 19106 S. QUAIL RUN PR SW PROSSER, WA 99350</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 IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>PAYROLL PROCESSING FEE 1,156 369 123 CONSULTANTS 550,777 15,433 5,144 OTHER 906 25 8 TOTAL 552,839 15,827 5,275</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
