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        <EOY>116060</EOY>
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      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
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      <TotalNetAssetsFundBalances>
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      <ReconcilationRevenueExpenses>115675</ReconcilationRevenueExpenses>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>false</FSAudited>
      <AuditCommittee>false</AuditCommittee>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>false</FederalGrantAuditPerformed>
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      <PubliclySupportedOrg170b1Avi>X</PubliclySupportedOrg170b1Avi>
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        <CurrentTaxYearMinus2Years>1066879</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>1042501</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>985675</CurrentTaxYear>
        <Total>4968321</Total>
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      <TaxRevLeviedForOrgBenefit170>
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      <ValueSrvcFcltsFurnishedByGovt>
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        <CurrentTaxYearMinus1Year>1042501</CurrentTaxYearMinus1Year>
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        <Total>4968321</Total>
      </Total170>
      <AmountsSubstContributorsTotal>0</AmountsSubstContributorsTotal>
      <PublicSupportTotal170>4968321</PublicSupportTotal170>
      <GrossInvestmentIncome170>
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        <CurrentTaxYearMinus3Years>708</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>239</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>162</CurrentTaxYearMinus1Year>
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        <Total>2629</Total>
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      <NetUBI>
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        <CurrentTaxYearMinus3Years>14146</CurrentTaxYearMinus3Years>
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        <CurrentTaxYearMinus1Year>13857</CurrentTaxYearMinus1Year>
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      <TotalSupport>5148269</TotalSupport>
      <PublicSupportPertcentage170>0.96500</PublicSupportPertcentage170>
      <PublicSupportPertcentPriorYear>0.98450</PublicSupportPertcentPriorYear>
      <ThirtyThreePercntTestsCY170>X</ThirtyThreePercntTestsCY170>
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      <OtherLiabilities>
        <Description>PAYABLE TO INDIAN HEALTH SERVICES</Description>
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    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="11000144" softwareVersion="2011v1.2">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>ANNUAL AUDIT AVAILABLE TO FUNDING AGENCY AND PUBLIC UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 15b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</ReturnReference>
        <Explanation>THE BOARD PROVIDES THE EXECUTIVE DIRECTOR WITH AN ANNUAL PREFORMANCE REVIEW, WITH CORRESPONDING COMPENSATION INCREASES. BOARD MEMBERS DO NOT RECEIVE ANY COMPENSATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 12c</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</ReturnReference>
        <Explanation>PROCEDURES MANUAL INCLUDING GREVIANCE PROCEDURES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11: Form 990 Review Process</ReturnReference>
        <Explanation>REVIEWED AND APPROVED.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>