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      <MissionDesc>OUR MISSION IS TO PROVIDE QUALITY PUBLIC HEALTH SUPPORT AND HEALTH CARE ADVOCACY TO THE TRIBAL NATIONS OF THE GREAT PLAINS BY UTILIZING EFFECTIVE AND CULTURALLY CREDIBLE APPROACHES.</MissionDesc>
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      <Desc>THE GREAT PLAINS TRIBAL CHAIRMEN'S HEALTH BOARD (GPTCHB) IS AN ORGANIZATION DEDICATED TO REDUCING PUBLIC HEALTH DISPARITIES AND IMPROVING THE HEALTH AND WELLNESS OF AMERICAN INDIAN PEOPLE WHO ARE MEMBERS OF THE 18 GREAT PLAINS TRIBAL NATIONS AND COMMUNITIES. THROUGH ITS NUMEROUS PROGRAMS AND PARTNERSHIPS, THE GPTCHB PROVIDES CRITICAL HEALTH PROMOTION AND EDUCATION SERVICES, AND SERVES AS A GATEKEEPER FOR TRIBAL RESEARCH AND ACADEMIC DEVELOPMENT. THE GPTCHB INCORPORATES ITS ORGANIZATIONAL VALUES OF ACTING WITH INTEGRITY, RESPECT AND ETHICS IN EVERY DECISION, WHILE RESPECTING AND UPHOLDING CULTURAL VALUES AND TRIBAL SOVEREIGNTY. GPTCHB IS DEDICATED TO SERVING THE HEALTH AND WELLNESS NEEDS OF THE NEARLY 170,000 TRIBAL MEMBERS OF 18 TRIBES AND TRIBAL COMMUNITIES IN THE FOUR- STATE REGION OF SOUTH DAKOTA, NORTH DAKOA, NEBRASKA, AND IOWA. GPTCHB FULFILLS ITS MISSION TO PROVIDE QUALITY PUBLIC HEALTH SUPPORT AND HEALTH CARE ADVOCACY TO TRIBAL NATIONS OF THE GREAT PLAINS BY UTILIZING EFFECTIVE AND CULTURALLY CREDIBLE APPROACHES THAT ASSIST TRIBAL MEMBERS IN ACCESSING HEALTH-RELATED PROGRAMS AND RESOURCES. THE GPTCHB ACHIEVES THIS THROUGH FEDERAL, STATE AND PRIVATE FUNDING AND VARIOUS PARTNERSHIPS WITH THE INDIAN HEALTH SERVICE, OTHER HEALTH AND HUMAN SERVICES AGENCIES AND ACADEMIC INSTITUTIONS. WE ACHIEVE THIS BY: - ASSISTING WITH TRIBAL PARTICIPATION IN THE CONSULTATION PROCESS WITH THE HEALTH AND HUMAN SERVICES DIVISIONS INCLUDING THE INDIAN HEALTH SERVICE; - ASSISTING THE VARIOUS HEALTH AND HUMAN SERVICES DIVISIONS WITH THE DISTRIBUTION OF HEALTH RESOURCES FOR TRIBAL MEMBERS; - ADVOCATING FOR TRIBAL INTERESTS AND NEEDS AT STATE, REGIONAL AND NATIONAL LEVELS FOR HEALTH-RELATED CONCERNS AND INITIATIVES; - PROVIDING TECHNICAL ASSISTANCE TO TRIBES IN THE DEVELOPMENT AND IMPROVEMENT OF TRIBAL HEALTH PROGRAMS; - REPRESENTING GPTCHB AND MEMBER TRIBES BEFORE THE CONGRESS OF THE UNITED STATES AT HEARINGS AND MEETINGS REGARDING HEALTH ISSUES FOR AMERICAN INDIAN PEOPLES; AND - PROVIDING POLICY ANALYSIS AND RECOMMENDATIONS RELATED TO INDIAN HEALTH CARE CONCERNS, TO TRIBALLY APPOINTED REPRESENTATIVES DESIGNATED TO DELIVER ADVOCACY AND TESTIMONY TO CONGRESSIONAL AND EXECUTIVE BRANCH LEADERSHIP. IT IS OUR VISION THAT ALL TRIBAL NATIONS AND COMMUNITIES IN THE GREAT PLAINS WILL REACH OPTIMUM HEALTH AND WELLNESS THROUGH LASTING PARTNERSHIPS WITH HEALTH ORGANIZATIONS AND EMBRACE CULTURALLY SIGNIFICANT VALUES THAT ARE EMPOWERED BY TRIBAL SOVEREIGNTY. SPECIFIC PROGRAM ACCOMPLISHMENTS INCLUDE: BEHAVIORAL HEALTH AND RECOVERY: - IN PARTNERSHIP WITH THE CROW CREEK TRIBE, GPTCHB WILL PROVIDE PREVENTION SERVICES TO THE NATIVE AMERICAN YOUTH THROUGH THE 2017 NATIVE CONNECTIONS GRANT. - GPTCHB IS ALSO COLLABORATING WITH THE INDIAN COUNTRY CHILD TRAUMA CENTER IN OKLAHOMA CITY THROUGH AN OFFICE OF JUVENILE JUSTICE AND DELINQUENCY PREVENTION GRANT, TO PROVIDE CULTURALLY APPROPRIATE TRAINING, SUPPORT, RESOURCES, INFORMATION AND OTHER RELATED TECHNICAL ASSISTANCE, TARGETING THE NATIVE AMERICAN YOUTH POPULATION. - STARTED HOSTING MENTAL HEALTH FIRST AID INSTRUCTOR TRAINING IN APRIL 2016, CERTIFYING INSTRUCTORS FROM EIGHT AREA TRIBES. INSTRUCTORS LEARNED A 5-STEP PROCESS IN PROVIDING IMMEDIATE SUPPORT TO SOMEONE EXPERIENCING A MENTAL HEALTH CRISIS AND CAN NOW CERTIFY OTHERS IN THEIR RESPECTIVE COMMUNITIES. COMMUNITY HEALTH (PREVENTION PROGRAM): - GPTCHB, THROUGH THE GREAT PLAINS COLORECTAL CANCER SCREENING INITIATIVE, WAS AWARDED 18 COMMUNITY GRANTS, SERVING AMERICAN INDIANS IN THE GREAT PLAINS REGION (NORTH DAKOTA, SOUTH DAKOTA, NEBRASKA, AND IOWA). - GPTCHB HAS RECEIVED A TWO-YEAR, 140K; CHRONIC DISEASE SELF-MANAGEMENT EDUCATIONS PROGRAMS GRANT THROUGH THE DEPARTMENT OF HEALTH AND HUMAN SERVICES' ADMINISTRATION FOR COMMUNITY LIVING. GREAT PLAINS TRIBAL EPIDEMIOLOGY CENTER (GPTEC): - COLLABORATED WITH GPTCHB'S MATERNAL AND CHILD HEALTH (MCH) DEPARTMENT TO OBTAIN FUNDING FROM THE CENTERS FOR DISEASE CONTROL TO CONDUCT PREGNANCY RISK ASSESSMENT MONITORING SYSTEM ASSESSMENTS WITH FOUR TRIBES IN SOUTH DAKOTA AND HOSTED A SUCCESSFUL COMMUNITY HEALTH PROFILE TRAINING AS PART OF THE NEW TRIBAL EPIDEMIOLOGY LIAISON PROGRAM. - SEXUALLY-TRANSMITTED INFECTIONS AND TEEN PREGNANCY PREVENTION INITIATIVE COMPLETED IMPLEMENTATION WITHIN TWO PARTNER COMMUNITIES AND SUPPORTED SUSTAINABILITY AND REPLICATION THROUGH THE COMPLETION OF AN IMPLEMENTATION GUIDE, WHICH LED TO REFUNDING OF FOUR NEW GREAT PLAINS AREA COMMUNITIES. MATERNAL AND CHILD HEALTH - THE GREAT PLAINS RIDE SAFE PROGRAM PROVIDES CAR SEATS AND EDUCATION TO FAMILIES ON THEIR CORRECT USAGE, GPHS CHWS BECAME NATIONALLY CERTIFIED INJURY PREVENTION TECHNICIANS AND PROVIDED CHILD PASSENGER SAFETY EDUCATION TO FAMILIES AND DISTRIBUTED CAR SEATS TO CHILDREN IN NEED. HEALTH PROMOTION - GPPICH PROGRAM HAS SUCCESSFULLY ESTABLISHED THE GPPICH HEALTH TIPS MEDIA CAMPAIGN AND THE MONTHLY GPPICH E-NEWSLETTER. - GREAT PLAINS GOOD HEALTH AND WELLNESS STAFF ASSISTED TRIBAL PARTNERS WITH HEALTH PROMOTION AND EDUCATION BY PROVIDING ON-SITE PRESENTATIONS, TRAININGS AND PARTICIPATION IN TRIBAL HEALTH FAIRS AND COMMUNITY EVENTS AS REQUESTED, CONDUCTED 15 SITE VISITS TO PROVIDE FACE-TO-FACE DISCUSSION, TECHNICAL ASSISTANCE AND SUPPORT TO TRIBAL SUB-AWARDEES. TRAINING AND EDUCATION - THE PATHWAYS TO HEALTHCARE PROFESSIONS (PHP) PROGRAM, DESIGNED TO HELP QUALIFIED LOW-INCOME/TEMPORARY ASSISTANCE FOR NEEDY FAMILIES PARTICIPANTS OBTAIN TRAINING, EDUCATION, AND THE SKILLS NECESSARY TO FILL HIGH-DEMAND HEALTHCARE JOBS, ENROLLED 62 PARTICIPANTS IN THE FOLLOWING OCCUPATIONAL TRAINING COURSES: CERTIFIED NURSING ASSISTANT (37), NURSING LPN/RN (9), CERTIFIED AMERICAN ACADEMY OF PROFESSIONAL CODERS (13), AND GENERAL EDUCATIONAL DEVELOPMENT (3). - PHP COLLABORATED WITH TWO TRIBAL COLLEGES TO CONDUCT THREE BOOT CAMPS. SEVENTEEN STUDENTS PARTICIPATED IN THE TWO-WEEK TRAINING SESSIONS THAT PROVIDED PROSPECTIVE STUDENTS WITH AN OPPORTUNITY TO SEE FIRST-HAND THE RIGORS OF THE MEDICAL BILLING AND CODING OCCUPATION. - EDUCATE PARTICIPANTS IN NATIVE AMERICAN CULTURAL AWARENESS THAT WILL INCREASE KNOWLEDGE, UNDERSTANDING, AND THE ABILITY TO WORK WITH NATIVE AMERICAN CLIENTS/CONSUMERS MORE EFFECTIVELY. BUSINESS PLANNING AND DEVELOPMENT - HAVE COMPLETED CONTRACTS WITH SEVERAL TRIBES IN THE GREAT PLAINS AREA AND THE OKLAHOMA AREA TO SUPPORT THEIR BUSINESS OFFICE FUNCTIONS, PARTICULARLY AS IT PERTAINS TO REVENUE GENERATION MANAGEMENT. DURING THESE CONTRACTS, OUR MANAGER HAS BEEN ONSITE TO PROVIDE A THOROUGH ASSESSMENT OF ACTIVITIES AND PROVIDE COMPREHENSIVE REPORTS TO ADMINISTRATION AND THEIR TRIBAL LEADERS. ADDITIONALLY, WE HAVE ASSISTED TRIBES AND TRIBAL PROGRAMS WITH PRC (CHS) CLAIMS PROCESSING AND CODING AND BILLING TRAINING. - PROVIDED THREE ONE-WEEK LONG BASIC CODING AND BILLING TRAINING SESSIONS FOR OGLALA LAKOTA COLLEGE IN PINE RIDGE AND RAPID CITY. - WE CONSISTENTLY WORK WITH OTHER GPTCHB DEPARTMENTS TO ASSIST WITH FULFILLING THEIR DELIVERABLES SUCH AS: PROVIDE TRAINING FOR OUR TRAINING AND EDUCATION PROGRAM ACTIVITIES AND OUR EPIDEMIOLOGY PROGRAM DIABETES DATA PROJECT. - PREVIOUS PROJECT DIRECTOR FOR A HRSA FUNDED GRANT "GREAT PLAINS PURCHASED REFERRED CARE COLLABORATIVE." - CURRENTLY OVERSEE THE CMH HIE NAVIGATOR GRANT AND PROVIDE OUTREACH, EDUCATION AND ENROLLMENT TO THE TRIBES IN THE DAKOTAS. - WE ARE ALSO A LICENSED AAPC EDUCATION PROVIDER WITH STUDENTS ENROLLED IN EITHER THE CERTIFIED PROFESSIONAL CODER (CPC) OR CERTIFIED PROFESSIONAL BILLER (CPB) COURSES. - SERVE ON SEVERAL ADVISORY BOARDS AND PARTICIPATE IN ALL AREA'S MEDICAID TRIBAL CONSULTATION MEETINGS.</Desc>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID FLUTE</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MYRA PEARSON</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARK FOX</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>HENRY LADUE</PersonNm>
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        <PersonNm>ROBERT FLYING HAWK</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LARRY WRIGHT SR</PersonNm>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANTHONY WASESKUK</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BOYD GOURNEAU</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>FRANK WHITE</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JAMIE AZURE</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL WOLFE</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MIKE FAITH</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SCOTT WESTON</PersonNm>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RUDY PAPAKEE</PersonNm>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JERILYN CHURCH</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SUNNY COLOMBE</PersonNm>
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      <ContractorCompensationGrp>
        <ContractorName>
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      <ContractorCompensationGrp>
        <ContractorName>
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      <OtherExpensesGrp>
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          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68039</ZIPCd>
        </USAddress>
        <RecipientEIN>470550261</RecipientEIN>
        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CAROLE ANNE HEART CANCER COALITION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>15051 220TH STREET</AddressLine1Txt>
          <CityNm>BOX ELDER</CityNm>
          <StateAbbreviationCd>SD</StateAbbreviationCd>
          <ZIPCd>57719</ZIPCd>
        </USAddress>
        <RecipientEIN>454601164</RecipientEIN>
        <IRCSectionDesc>3</IRCSectionDesc>
        <CashGrantAmt>23000</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CHEYENNE RIVER SIOUX TRIBE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 590</AddressLine1Txt>
          <CityNm>EAGLE BUTTE</CityNm>
          <StateAbbreviationCd>SD</StateAbbreviationCd>
          <ZIPCd>57625</ZIPCd>
        </USAddress>
        <RecipientEIN>460217757</RecipientEIN>
        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>60000</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>DIAMOND WILLOW MINISTRIES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>22850 N SHORE ROAD</AddressLine1Txt>
          <CityNm>FT THOMPSON</CityNm>
          <StateAbbreviationCd>SD</StateAbbreviationCd>
          <ZIPCd>57739</ZIPCd>
        </USAddress>
        <RecipientEIN>460463077</RecipientEIN>
        <IRCSectionDesc>3</IRCSectionDesc>
        <CashGrantAmt>28000</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ELBOWOODS MEMORIAL HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1058 COLLEGE DRIVE</AddressLine1Txt>
          <CityNm>NEW TOWN</CityNm>
          <StateAbbreviationCd>ND</StateAbbreviationCd>
          <ZIPCd>58763</ZIPCd>
        </USAddress>
        <RecipientEIN>450323672</RecipientEIN>
        <CashGrantAmt>43000</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FLANDREAU SANTEE SIOUX TRIBE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>603 W BROAD AVE</AddressLine1Txt>
          <CityNm>FLANDREAU</CityNm>
          <StateAbbreviationCd>SD</StateAbbreviationCd>
          <ZIPCd>57028</ZIPCd>
        </USAddress>
        <RecipientEIN>237000301</RecipientEIN>
        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>160775</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>INDIAN CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1100 MILITARY ROAD</AddressLine1Txt>
          <CityNm>LINCOLN</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68508</ZIPCd>
        </USAddress>
        <RecipientEIN>470531887</RecipientEIN>
        <IRCSectionDesc>3</IRCSectionDesc>
        <CashGrantAmt>30000</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LOWER BRULE COMMUNITY COLLEGE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>IRON NATION STREET</AddressLine1Txt>
          <CityNm>LOWER BRULE</CityNm>
          <StateAbbreviationCd>SD</StateAbbreviationCd>
          <ZIPCd>57548</ZIPCd>
        </USAddress>
        <RecipientEIN>460430791</RecipientEIN>
        <IRCSectionDesc>3</IRCSectionDesc>
        <CashGrantAmt>30000</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LOWER BRULE SIOUX TRIBE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>187 OYATE CIRCLE</AddressLine1Txt>
          <CityNm>LOWER BRULE</CityNm>
          <StateAbbreviationCd>SD</StateAbbreviationCd>
          <ZIPCd>57548</ZIPCd>
        </USAddress>
        <RecipientEIN>460222351</RecipientEIN>
        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>47500</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NEBRASKA URBAN INDIAN HEALTH COALIT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2331 FAIRFIELD ST 1</AddressLine1Txt>
          <CityNm>LINCOLN</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68521</ZIPCd>
        </USAddress>
        <RecipientEIN>470697260</RecipientEIN>
        <IRCSectionDesc>3</IRCSectionDesc>
        <CashGrantAmt>7500</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>OGLALA SIOUX TRIBE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 5011</AddressLine1Txt>
          <CityNm>PINE RIDGE</CityNm>
          <StateAbbreviationCd>SD</StateAbbreviationCd>
          <ZIPCd>57770</ZIPCd>
        </USAddress>
        <RecipientEIN>460217222</RecipientEIN>
        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>OMAHA TRIBE OF NEBRASKA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 368</AddressLine1Txt>
          <CityNm>MACY</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68037</ZIPCd>
        </USAddress>
        <RecipientEIN>470459805</RecipientEIN>
        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>7547</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PONCA TRIBE OF NEBRASKA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2602 J STREET</AddressLine1Txt>
          <CityNm>OMAHA</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68107</ZIPCd>
        </USAddress>
        <RecipientEIN>470744117</RecipientEIN>
        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ROSEBUD SIOUX TRIBE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 30</AddressLine1Txt>
          <CityNm>ROSEBUD</CityNm>
          <StateAbbreviationCd>SD</StateAbbreviationCd>
          <ZIPCd>57570</ZIPCd>
        </USAddress>
        <RecipientEIN>460248724</RecipientEIN>
        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>7500</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SANTEE SIOUX NATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>110 SOUTH VISITING EAGLE ST</AddressLine1Txt>
          <CityNm>NIOBRARA</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68760</ZIPCd>
        </USAddress>
        <RecipientEIN>470533471</RecipientEIN>
        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>40419</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>STANDING ROCK SIOUX TRIBE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX D</AddressLine1Txt>
          <CityNm>FT YATES</CityNm>
          <StateAbbreviationCd>ND</StateAbbreviationCd>
          <ZIPCd>58538</ZIPCd>
        </USAddress>
        <RecipientEIN>450220519</RecipientEIN>
        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>35488</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SISSETON TRIBE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 509</AddressLine1Txt>
          <CityNm>AGENCY VILLAGE</CityNm>
          <StateAbbreviationCd>SD</StateAbbreviationCd>
          <ZIPCd>57262</ZIPCd>
        </USAddress>
        <RecipientEIN>460308226</RecipientEIN>
        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>7500</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TRENTON INDIAN SERVICE AREA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 210</AddressLine1Txt>
          <CityNm>TRENTON</CityNm>
          <StateAbbreviationCd>ND</StateAbbreviationCd>
          <ZIPCd>58853</ZIPCd>
        </USAddress>
        <RecipientEIN>450324907</RecipientEIN>
        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>7500</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TURTLE MOUNTAIN</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 900</AddressLine1Txt>
          <CityNm>BELCOURT</CityNm>
          <StateAbbreviationCd>ND</StateAbbreviationCd>
          <ZIPCd>58316</ZIPCd>
        </USAddress>
        <RecipientEIN>450223071</RecipientEIN>
        <CashGrantAmt>7500</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WINNEBAGO TRIBE OF NEBRASKA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 697</AddressLine1Txt>
          <CityNm>WINNEBAGO</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68071</ZIPCd>
        </USAddress>
        <RecipientEIN>470489118</RecipientEIN>
        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>50000</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>YANKTON SIOUX TRIBE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 1153</AddressLine1Txt>
          <CityNm>WAGNER</CityNm>
          <StateAbbreviationCd>SD</StateAbbreviationCd>
          <ZIPCd>57380</ZIPCd>
        </USAddress>
        <RecipientEIN>460373220</RecipientEIN>
        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>72139</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>AMERICAN INDIAN CANCER FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>615 FIRST AVE ND STE 125</AddressLine1Txt>
          <CityNm>MINNEAPOLIS</CityNm>
          <StateAbbreviationCd>MN</StateAbbreviationCd>
          <ZIPCd>55426</ZIPCd>
        </USAddress>
        <RecipientEIN>270300026</RecipientEIN>
        <IRCSectionDesc>3</IRCSectionDesc>
        <CashGrantAmt>14000</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CUSTER HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>403 BURLINGTON ST</AddressLine1Txt>
          <CityNm>MANDAN</CityNm>
          <StateAbbreviationCd>ND</StateAbbreviationCd>
          <ZIPCd>58554</ZIPCd>
        </USAddress>
        <RecipientEIN>456004343</RecipientEIN>
        <IRCSectionDesc>3</IRCSectionDesc>
        <CashGrantAmt>19998</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PINE RIDGE INDIAN HEALTH SERVICE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 1201</AddressLine1Txt>
          <CityNm>PINE RIDGE</CityNm>
          <StateAbbreviationCd>SD</StateAbbreviationCd>
          <ZIPCd>57770</ZIPCd>
        </USAddress>
        <RecipientEIN>460439437</RecipientEIN>
        <IRCSectionDesc>3</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SAC &amp; FOX TRIBE OF MISSISSIPPI</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1646 305TH ST</AddressLine1Txt>
          <CityNm>TAMA</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>52339</ZIPCd>
        </USAddress>
        <RecipientEIN>416053373</RecipientEIN>
        <IRCSectionDesc>3</IRCSectionDesc>
        <CashGrantAmt>7500</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SPIRIT LAKE TRIBAL HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 480</AddressLine1Txt>
          <CityNm>FT TOTTON</CityNm>
          <StateAbbreviationCd>ND</StateAbbreviationCd>
          <ZIPCd>58335</ZIPCd>
        </USAddress>
        <RecipientEIN>450314494</RecipientEIN>
        <IRCSectionDesc>3</IRCSectionDesc>
        <CashGrantAmt>45516</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SWO COMMUNITY HEALTH EDUCATION PROG</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 509</AddressLine1Txt>
          <CityNm>AGENCY VILLAGE</CityNm>
          <StateAbbreviationCd>SD</StateAbbreviationCd>
          <ZIPCd>57262</ZIPCd>
        </USAddress>
        <RecipientEIN>460308226</RecipientEIN>
        <IRCSectionDesc>3</IRCSectionDesc>
        <CashGrantAmt>45000</CashGrantAmt>
        <PurposeOfGrantTxt>TRIBAL HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>25</Total501c3OrgCnt>
      <TotalOtherOrgCnt>3</TotalOtherOrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>SCHOLARSHIPS</GrantTypeTxt>
        <RecipientCnt>162</RecipientCnt>
        <CashGrantAmt>109388</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>HONORARIUMS</GrantTypeTxt>
        <RecipientCnt>1</RecipientCnt>
        <CashGrantAmt>250</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PAGE 1, PART I, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>GRANTS ARE PROVIDED TO ENTITIES THAT PROVIDE TRIBAL HEALTH PROGRAMS TO NATIVE AMERICANS IN THE GREAT PLAINS REGION. PROGRAM DIRECTORS CONSISTENTLY MONITOR THE SUCCESS OF THE VARIOUS PROGRAMS THROUGH SITE VISITS AND PROGRAM REPORTS. SCHOLARSHIPS ARE PROVIDED TO HELP STUDENTS DEFRAY THE COSTS OF PURSUING A HIGH-DEMAND HEALTHCARE TRAINING PROGRAM OR POST-SECONDARY HEALTHCARE EDUCATION IN A QUALIFIED HEALTHCARE TRAINING PROGRAM. STUDENTS MUST DEMONSTRATE ACADEMIC MERIT AND FINANCIAL NEED. VERIFICATION OF ENROLLMENT IN A QUALIFIED PROGRAM IS REQUIRED PRIOR TO PAYMENT OF THE SCHOLARSHIP. STUDENTS ALSO PARTICIPATE IN MENTORSHIP MEETINGS, CAREER SUCCESS CLASSES, AND SURVEYS AS A FORM OF CONTINUAL MONITORING. HONORARIUMS ARE PROVIDED TO DRUMMERS, DANCERS, OR SPECIAL PRESENTERS AT ORGANIZATION MEETINGS OR CONFERENCES. THE HONARIUM IS DISTRIBUTED AT THE EVENT, SO NO ADDITIONAL MONITORING IS NECESSARY.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleO documentId="RetDoc5">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>STATE REGION OF SOUTH DAKOTA, NORTH DAKOA, NEBRASKA, AND IOWA. GPTCHB FULFILLS ITS MISSION TO PROVIDE QUALITY PUBLIC HEALTH SUPPORT AND HEALTH CARE ADVOCACY TO TRIBAL NATIONS OF THE GREAT PLAINS BY UTILIZING EFFECTIVE AND CULTURALLY CREDIBLE APPROACHES THAT ASSIST TRIBAL MEMBERS IN ACCESSING HEALTH-RELATED PROGRAMS AND RESOURCES. THE GPTCHB ACHIEVES THIS THROUGH FEDERAL, STATE AND PRIVATE FUNDING AND VARIOUS PARTNERSHIPS WITH THE INDIAN HEALTH SERVICE, OTHER HEALTH AND HUMAN SERVICES AGENCIES AND ACADEMIC INSTITUTIONS. WE ACHIEVE THIS BY: - ASSISTING WITH TRIBAL PARTICIPATION IN THE CONSULTATION PROCESS WITH THE HEALTH AND HUMAN SERVICES DIVISIONS INCLUDING THE INDIAN HEALTH SERVICE; - ASSISTING THE VARIOUS HEALTH AND HUMAN SERVICES DIVISIONS WITH THE DISTRIBUTION OF HEALTH RESOURCES FOR TRIBAL MEMBERS; - ADVOCATING FOR TRIBAL INTERESTS AND NEEDS AT STATE, REGIONAL AND NATIONAL LEVELS FOR HEALTH-RELATED CONCERNS AND INITIATIVES; - PROVIDING TECHNICAL ASSISTANCE TO TRIBES IN THE DEVELOPMENT AND IMPROVEMENT OF TRIBAL HEALTH PROGRAMS; - REPRESENTING GPTCHB AND MEMBER TRIBES BEFORE THE CONGRESS OF THE UNITED STATES AT HEARINGS AND MEETINGS REGARDING HEALTH ISSUES FOR AMERICAN INDIAN PEOPLES; AND - PROVIDING POLICY ANALYSIS AND RECOMMENDATIONS RELATED TO INDIAN HEALTH CARE CONCERNS, TO TRIBALLY APPOINTED REPRESENTATIVES DESIGNATED TO DELIVER ADVOCACY AND TESTIMONY TO CONGRESSIONAL AND EXECUTIVE BRANCH LEADERSHIP. IT IS OUR VISION THAT ALL TRIBAL NATIONS AND COMMUNITIES IN THE GREAT PLAINS WILL REACH OPTIMUM HEALTH AND WELLNESS THROUGH LASTING PARTNERSHIPS WITH HEALTH ORGANIZATIONS AND EMBRACE CULTURALLY SIGNIFICANT VALUES THAT ARE EMPOWERED BY TRIBAL SOVEREIGNTY. SPECIFIC PROGRAM ACCOMPLISHMENTS INCLUDE: BEHAVIORAL HEALTH AND RECOVERY: - IN PARTNERSHIP WITH THE CROW CREEK TRIBE, GPTCHB WILL PROVIDE PREVENTION SERVICES TO THE NATIVE AMERICAN YOUTH THROUGH THE 2017 NATIVE CONNECTIONS GRANT. - GPTCHB IS ALSO COLLABORATING WITH THE INDIAN COUNTRY CHILD TRAUMA CENTER IN OKLAHOMA CITY THROUGH AN OFFICE OF JUVENILE JUSTICE AND DELINQUENCY PREVENTION GRANT, TO PROVIDE CULTURALLY APPROPRIATE TRAINING, SUPPORT, RESOURCES, INFORMATION AND OTHER RELATED TECHNICAL ASSISTANCE, TARGETING THE NATIVE AMERICAN YOUTH POPULATION. - STARTED HOSTING MENTAL HEALTH FIRST AID INSTRUCTOR TRAINING IN APRIL 2016, CERTIFYING INSTRUCTORS FROM EIGHT AREA TRIBES. INSTRUCTORS LEARNED A 5-STEP PROCESS IN PROVIDING IMMEDIATE SUPPORT TO SOMEONE EXPERIENCING A MENTAL HEALTH CRISIS AND CAN NOW CERTIFY OTHERS IN THEIR RESPECTIVE COMMUNITIES. COMMUNITY HEALTH (PREVENTION PROGRAM): - GPTCHB, THROUGH THE GREAT PLAINS COLORECTAL CANCER SCREENING INITIATIVE, WAS AWARDED 18 COMMUNITY GRANTS, SERVING AMERICAN INDIANS IN THE GREAT PLAINS REGION (NORTH DAKOTA, SOUTH DAKOTA, NEBRASKA, AND IOWA). - GPTCHB HAS RECEIVED A TWO-YEAR, 140K; CHRONIC DISEASE SELF-MANAGEMENT EDUCATIONS PROGRAMS GRANT THROUGH THE DEPARTMENT OF HEALTH AND HUMAN SERVICES' ADMINISTRATION FOR COMMUNITY LIVING. GREAT PLAINS TRIBAL EPIDEMIOLOGY CENTER (GPTEC): - COLLABORATED WITH GPTCHB'S MATERNAL AND CHILD HEALTH (MCH) DEPARTMENT TO OBTAIN FUNDING FROM THE CENTERS FOR DISEASE CONTROL TO CONDUCT PREGNANCY RISK ASSESSMENT MONITORING SYSTEM ASSESSMENTS WITH FOUR TRIBES IN SOUTH DAKOTA AND HOSTED A SUCCESSFUL COMMUNITY HEALTH PROFILE TRAINING AS PART OF THE NEW TRIBAL EPIDEMIOLOGY LIAISON PROGRAM. - SEXUALLY-TRANSMITTED INFECTIONS AND TEEN PREGNANCY PREVENTION INITIATIVE COMPLETED IMPLEMENTATION WITHIN TWO PARTNER COMMUNITIES AND SUPPORTED SUSTAINABILITY AND REPLICATION THROUGH THE COMPLETION OF AN IMPLEMENTATION GUIDE, WHICH LED TO REFUNDING OF FOUR NEW GREAT PLAINS AREA COMMUNITIES. MATERNAL AND CHILD HEALTH - THE GREAT PLAINS RIDE SAFE PROGRAM PROVIDES CAR SEATS AND EDUCATION TO FAMILIES ON THEIR CORRECT USAGE, GPHS CHWS BECAME NATIONALLY CERTIFIED INJURY PREVENTION TECHNICIANS AND PROVIDED CHILD PASSENGER SAFETY EDUCATION TO FAMILIES AND DISTRIBUTED CAR SEATS TO CHILDREN IN NEED. HEALTH PROMOTION - GPPICH PROGRAM HAS SUCCESSFULLY ESTABLISHED THE GPPICH HEALTH TIPS MEDIA CAMPAIGN AND THE MONTHLY GPPICH E-NEWSLETTER. - GREAT PLAINS GOOD HEALTH AND WELLNESS STAFF ASSISTED TRIBAL PARTNERS WITH HEALTH PROMOTION AND EDUCATION BY PROVIDING ON-SITE PRESENTATIONS, TRAININGS AND PARTICIPATION IN TRIBAL HEALTH FAIRS AND COMMUNITY EVENTS AS REQUESTED, CONDUCTED 15 SITE VISITS TO PROVIDE FACE-TO-FACE DISCUSSION, TECHNICAL ASSISTANCE AND SUPPORT TO TRIBAL SUB-AWARDEES. TRAINING AND EDUCATION - THE PATHWAYS TO HEALTHCARE PROFESSIONS (PHP) PROGRAM, DESIGNED TO HELP QUALIFIED LOW-INCOME/TEMPORARY ASSISTANCE FOR NEEDY FAMILIES PARTICIPANTS OBTAIN TRAINING, EDUCATION, AND THE SKILLS NECESSARY TO FILL HIGH-DEMAND HEALTHCARE JOBS, ENROLLED 62 PARTICIPANTS IN THE FOLLOWING OCCUPATIONAL TRAINING COURSES: CERTIFIED NURSING ASSISTANT (37), NURSING LPN/RN (9), CERTIFIED AMERICAN ACADEMY OF PROFESSIONAL CODERS (13), AND GENERAL EDUCATIONAL DEVELOPMENT (3). - PHP COLLABORATED WITH TWO TRIBAL COLLEGES TO CONDUCT THREE BOOT CAMPS. SEVENTEEN STUDENTS PARTICIPATED IN THE TWO-WEEK TRAINING SESSIONS THAT PROVIDED PROSPECTIVE STUDENTS WITH AN OPPORTUNITY TO SEE FIRST-HAND THE RIGORS OF THE MEDICAL BILLING AND CODING OCCUPATION. - EDUCATE PARTICIPANTS IN NATIVE AMERICAN CULTURAL AWARENESS THAT WILL INCREASE KNOWLEDGE, UNDERSTANDING, AND THE ABILITY TO WORK WITH NATIVE AMERICAN CLIENTS/CONSUMERS MORE EFFECTIVELY. BUSINESS PLANNING AND DEVELOPMENT - HAVE COMPLETED CONTRACTS WITH SEVERAL TRIBES IN THE GREAT PLAINS AREA AND THE OKLAHOMA AREA TO SUPPORT THEIR BUSINESS OFFICE FUNCTIONS, PARTICULARLY AS IT PERTAINS TO REVENUE GENERATION MANAGEMENT. DURING THESE CONTRACTS, OUR MANAGER HAS BEEN ONSITE TO PROVIDE A THOROUGH ASSESSMENT OF ACTIVITIES AND PROVIDE COMPREHENSIVE REPORTS TO ADMINISTRATION AND THEIR TRIBAL LEADERS. ADDITIONALLY, WE HAVE ASSISTED TRIBES AND TRIBAL PROGRAMS WITH PRC (CHS) CLAIMS PROCESSING AND CODING AND BILLING TRAINING. - PROVIDED THREE ONE-WEEK LONG BASIC CODING AND BILLING TRAINING SESSIONS FOR OGLALA LAKOTA COLLEGE IN PINE RIDGE AND RAPID CITY. - WE CONSISTENTLY WORK WITH OTHER GPTCHB DEPARTMENTS TO ASSIST WITH FULFILLING THEIR DELIVERABLES SUCH AS: PROVIDE TRAINING FOR OUR TRAINING AND EDUCATION PROGRAM ACTIVITIES AND OUR EPIDEMIOLOGY PROGRAM DIABETES DATA PROJECT. - PREVIOUS PROJECT DIRECTOR FOR A HRSA FUNDED GRANT "GREAT PLAINS PURCHASED REFERRED CARE COLLABORATIVE." - CURRENTLY OVERSEE THE CMH HIE NAVIGATOR GRANT AND PROVIDE OUTREACH, EDUCATION AND ENROLLMENT TO THE TRIBES IN THE DAKOTAS. - WE ARE ALSO A LICENSED AAPC EDUCATION PROVIDER WITH STUDENTS ENROLLED IN EITHER THE CERTIFIED PROFESSIONAL CODER (CPC) OR CERTIFIED PROFESSIONAL BILLER (CPB) COURSES. - SERVE ON SEVERAL ADVISORY BOARDS AND PARTICIPATE IN ALL AREA'S MEDICAID TRIBAL CONSULTATION MEETINGS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PREPARED BY A LICENSED CPA AND REVIEWED IN DETAIL BY THE FINANCE DEPARTMENT PRIOR TO FILING. IT IS ALSO PROVIDED TO THE BOARD OF DIRECTOR'S VIA EMAIL BEFOR FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>AN INDEPENDENT CONTRACTOR PERFORMS AN INITIAL COMPENSATION EVALUATION, AND OTHER COMPENSATION DATA IS GATHERED FROM VARIOUS SOURCES AND ANALYZED. RAISES ARE CONSIDERED ANNUALLY BASED ON COST OF LIVING INCREASES AND PERFORMANCE. COMPENSATION IS APPROVED BY THE INDEPENDENT BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE 15A ABOVE - SAME PROCESS IS FOLLOWED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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