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        <EOYAmt>492802</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>938286</BOYAmt>
        <EOYAmt>1247027</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>1095425</BOYAmt>
        <EOYAmt>1394060</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>308741</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
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    <IRS990ScheduleA documentId="990A">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>2336231</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1652737</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1843565</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2140499</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2906891</CurrentTaxYearAmt>
        <TotalAmt>10879923</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>2336231</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1652737</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1843565</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2140499</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2906891</CurrentTaxYearAmt>
        <TotalAmt>10879923</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>10879923</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>2431</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1323</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1485</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>282</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>75</CurrentTaxYearAmt>
        <TotalAmt>5596</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <TotalSupportAmt>10885519</TotalSupportAmt>
      <PublicSupportCY170Pct>0.99950</PublicSupportCY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
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    <IRS990ScheduleD documentId="990D">
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>17824</OtherCostOrOtherBasisAmt>
        <BookValueAmt>17824</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>17824</TotalBookValueLandBuildingsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>2906891</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>2906891</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>2906891</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>2598150</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>2598150</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>2598150</TotalExpensesPerForm990Amt>
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    <IRS990ScheduleJ documentId="990J">
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Adriann Begay MD</PersonNm>
        <TitleTxt>Immediate Past President</TitleTxt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="990O">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Members or stockholder classes and rights Part VI line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>AAIP has 4 types of membershipsVoting memberhsip; any resident or licensed or former licensed or retired allopahthic or osteopathic phsician in good standing iwth thier licensure agecny, who idnetifies and hold himself or herself out as in american indian or alaska native, and who possesses 1/8 degree or more of american indian or alaska native blood or ancestry is elegible for voting membership.Associate Membership; as above, but not have proof of 1/8 degree of AI/AN ancestry may become an associate member. After 3 years of active participation in AAIP, may be granted full voting membership reights upon applications and recomendation of membership committee and approval of the board of directors.Honary Membership and supporting membership; no voting rights.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Member election for additional members Part VI line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>Authority of voting membership; may amend bylaws; elect officers, directors and sit as members of committees; review and comment to the board of directos regarding the annual budget; conduct other business which may properly come before it; and determine the number and composition of the board of directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>Due to filing deadline Form 990 was signed and mailed by the executive director. The form 990 is made available as soon as possible to the board of directors on the portion of the website that is accessible only by the board of directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The AAIP by laws are on the website or may be seen upon request at the office.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>