﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2010v3.2" xsi:schemaLocation="http://www.irs.gov/efile">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2012-06-18T07:10:17-07:00</Timestamp>
    <TaxPeriodEndDate>2011-09-30</TaxPeriodEndDate>
    <PreparerFirm>
      <PreparerFirmBusinessName>
        <BusinessNameLine1>DONNA DENKER AND ASSOCIATES CPA</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>521 KANASAS CITY ST</AddressLine1>
        <City>RAPID CITY</City>
        <State>SD</State>
        <ZIPCode>577013683</ZIPCode>
      </PreparerFirmUSAddress>
    </PreparerFirm>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2010-10-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>460420063</EIN>
      <Name>
        <BusinessNameLine1>Great Plains Tribal Chairmens Health</BusinessNameLine1>
        <BusinessNameLine2>Board</BusinessNameLine2>
      </Name>
      <NameControl>GREA</NameControl>
      <Phone>6057211922</Phone>
      <USAddress>
        <AddressLine1>1770 Rand Road</AddressLine1>
        <City>Rapid City</City>
        <State>SD</State>
        <ZIPCode>57702</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>Jerilyn Church</Name>
      <Title>Executive Direc</Title>
      <DateSigned>2012-06-18</DateSigned>
    </Officer>
    <Preparer>
      <Name>Donna Denker CPA</Name>
      <Phone>6057213382</Phone>
    </Preparer>
    <TaxYear>2010</TaxYear>
    <BuildTS>2016-02-24 21:20:13Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="5">
    <IRS990 documentId="IRS990" referenceDocumentId=" IRS990ScheduleO" softwareId="10000105" softwareVersion="2010v3.2">
      <GrossReceipts>5875832</GrossReceipts>
      <GroupReturnForAffiliates>false</GroupReturnForAffiliates>
      <AllAffiliatesIncluded>false</AllAffiliatesIncluded>
      <Organization501c3>X</Organization501c3>
      <WebSite>www.gptchb.org</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>1992</YearFormation>
      <StateLegalDomicile>SD</StateLegalDomicile>
      <ActivityOrMissionDescription>Provides Native American people located in the BIA Aberdeen service area with a formal representative board as a means of communicating and participating with the Great Plains Indian Health Service and other health agencies for the improvement of indian health.</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>18</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>18</NbrIndependentVotingMembers>
      <TotalNbrEmployees>72</TotalNbrEmployees>
      <TotalNbrVolunteers>2</TotalNbrVolunteers>
      <TotalGrossUBI>0</TotalGrossUBI>
      <ContributionsGrantsPriorYear>4235649</ContributionsGrantsPriorYear>
      <ContributionsGrantsCurrentYear>5841681</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenueCY>0</ProgramServiceRevenueCY>
      <InvestmentIncomeCurrentYear>0</InvestmentIncomeCurrentYear>
      <OtherRevenuePriorYear>20184</OtherRevenuePriorYear>
      <OtherRevenueCurrentYear>34151</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>4255833</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>5875832</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsCY>0</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>2671758</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>2891012</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>0</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>1698605</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>2583821</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>4370363</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>5474833</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>-114530</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>400999</RevenuesLessExpensesCY>
      <TotalAssetsBOY>1000467</TotalAssetsBOY>
      <TotalAssetsEOY>955020</TotalAssetsEOY>
      <TotalLiabilitiesBOY>2564127</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>2117681</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>-1563660</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>-1162661</NetAssetsOrFundBalancesEOY>
      <MissionDescription>Provides Native American people located in the BIA Aberdeen service area with a formal representative board as a means of communicating and participating with the Great Plains Indian Health Service and other health agencies for the improvement of indian health.</MissionDescription>
      <SignificantNewProgramServices>false</SignificantNewProgramServices>
      <SignificantChange>false</SignificantChange>
      <Expense>4543448</Expense>
      <Description>Provide Native American people located in the Bureau of Indian Affairs Aberdeen service area with a formal representative board as a means of communicating and participating with the Great Plains Indian Health Service and other health agencies.</Description>
      <TotalProgramServiceExpense>4543448</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId=" IRS990ScheduleA">true</DescribedIn501C3>
      <ScheduleBRequired referenceDocumentId=" IRS990ScheduleB">true</ScheduleBRequired>
      <PoliticalActivities>false</PoliticalActivities>
      <LobbyingActivities>false</LobbyingActivities>
      <SubjectToProxyTax>false</SubjectToProxyTax>
      <DonorAdvisedFunds referenceDocumentId=" IRS990ScheduleD">false</DonorAdvisedFunds>
      <ConservationEasements referenceDocumentId=" IRS990ScheduleD">false</ConservationEasements>
      <CollectionsOfArt referenceDocumentId=" IRS990ScheduleD">false</CollectionsOfArt>
      <CreditCounseling referenceDocumentId=" IRS990ScheduleD">false</CreditCounseling>
      <TermOrPermanentEndowments referenceDocumentId=" IRS990ScheduleD">false</TermOrPermanentEndowments>
      <ReportLandBldgEquip referenceDocumentId=" IRS990ScheduleD">true</ReportLandBldgEquip>
      <ReportInvestOthSecurities referenceDocumentId=" IRS990ScheduleD">false</ReportInvestOthSecurities>
      <ReportProgRelInvest referenceDocumentId=" IRS990ScheduleD">false</ReportProgRelInvest>
      <ReportOtherAssets referenceDocumentId=" IRS990ScheduleD">false</ReportOtherAssets>
      <ReportOtherLiabilities referenceDocumentId=" IRS990ScheduleD">true</ReportOtherLiabilities>
      <ReportFin48Footnote referenceDocumentId=" IRS990ScheduleD">false</ReportFin48Footnote>
      <IndependentAuditFinancialStmt referenceDocumentId=" IRS990ScheduleD">true</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt referenceDocumentId=" IRS990ScheduleD">false</ConsolidatedAuditFinancialStmt>
      <School>false</School>
      <ForeignOffice>false</ForeignOffice>
      <ForeignActivities>false</ForeignActivities>
      <MoreThan5000KToOrganizations>false</MoreThan5000KToOrganizations>
      <MoreThan5000KToIndividuals>false</MoreThan5000KToIndividuals>
      <ProfessionalFundraising>false</ProfessionalFundraising>
      <FundraisingActivities>false</FundraisingActivities>
      <Gaming>false</Gaming>
      <Hospital>false</Hospital>
      <GrantsToOrganizations>false</GrantsToOrganizations>
      <GrantsToIndividuals>false</GrantsToIndividuals>
      <ScheduleJRequired>false</ScheduleJRequired>
      <TaxExemptBonds>false</TaxExemptBonds>
      <InvestTaxExemptBonds>false</InvestTaxExemptBonds>
      <EscrowAccount>false</EscrowAccount>
      <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
      <ExcessBenefitTransaction>false</ExcessBenefitTransaction>
      <PriorExcessBenefitTransaction>false</PriorExcessBenefitTransaction>
      <LoanToOfficerOrDQP>false</LoanToOfficerOrDQP>
      <GrantToRelatedPerson>false</GrantToRelatedPerson>
      <BsnssRltnshpWithOrganization>false</BsnssRltnshpWithOrganization>
      <BsnssRltnshpThruFamilyMember>false</BsnssRltnshpThruFamilyMember>
      <OfficerEntityWithBsnssRltnshp>false</OfficerEntityWithBsnssRltnshp>
      <DeductibleNonCashContributions>false</DeductibleNonCashContributions>
      <DeductibleContributionsOfArt>false</DeductibleContributionsOfArt>
      <Terminated>false</Terminated>
      <PartialLiquidation>false</PartialLiquidation>
      <DisregardedEntity>false</DisregardedEntity>
      <RelatedEntity>false</RelatedEntity>
      <RelatedOrgControlledEntity>false</RelatedOrgControlledEntity>
      <TransactionRelatedEntity>false</TransactionRelatedEntity>
      <TransfersToExemptNonChrtblOrg>false</TransfersToExemptNonChrtblOrg>
      <ActivitiesConductedPartnership>false</ActivitiesConductedPartnership>
      <ScheduleORequired>true</ScheduleORequired>
      <NumberFormsTransmittedWith1096>30</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <ComplianceWithBackupWitholding>true</ComplianceWithBackupWitholding>
      <NumberOfEmployees>72</NumberOfEmployees>
      <EmploymentTaxReturnsFiled>true</EmploymentTaxReturnsFiled>
      <UnrelatedBusinessIncome>false</UnrelatedBusinessIncome>
      <Form990-TFiled>false</Form990-TFiled>
      <ForeignFinancialAccount>false</ForeignFinancialAccount>
      <ProhibitedTaxShelterTrans>false</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>false</TaxablePartyNotification>
      <Form8886TFiled>false</Form8886TFiled>
      <NonDeductibleContributions>false</NonDeductibleContributions>
      <NonDeductibleDisclosure>false</NonDeductibleDisclosure>
      <QuidProQuoContributions>false</QuidProQuoContributions>
      <QuidProQuoDisclosure>false</QuidProQuoDisclosure>
      <Form8282PropertyDisposedOf>false</Form8282PropertyDisposedOf>
      <NumberOf8282Filed>0</NumberOf8282Filed>
      <FundsToPayPremiums>false</FundsToPayPremiums>
      <PremiumsPaid>false</PremiumsPaid>
      <Form8899Filed>false</Form8899Filed>
      <Form1098CFiled>false</Form1098CFiled>
      <ExcessBusinessHoldings>false</ExcessBusinessHoldings>
      <TaxableDistributions>false</TaxableDistributions>
      <DistributionToDonor>false</DistributionToDonor>
      <FiledLieu1041>false</FiledLieu1041>
      <LicensedMoreThanOneState>false</LicensedMoreThanOneState>
      <IndoorTanningServices>false</IndoorTanningServices>
      <Form720Filed>false</Form720Filed>
      <InfoInScheduleOPartVI>X</InfoInScheduleOPartVI>
      <NbrVotingGoverningBodyMembers>18</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>18</NumberIndependentVotingMembers>
      <FamilyOrBusinessRelationship>false</FamilyOrBusinessRelationship>
      <DelegationOfManagementDuties>false</DelegationOfManagementDuties>
      <ChangesToOrganizingDocs>false</ChangesToOrganizingDocs>
      <MaterialDiversionOrMisuse>false</MaterialDiversionOrMisuse>
      <MembersOrStockholders>false</MembersOrStockholders>
      <ElectionOfBoardMembers>false</ElectionOfBoardMembers>
      <DecisionsSubjectToApproval>false</DecisionsSubjectToApproval>
      <MinutesOfGoverningBody>true</MinutesOfGoverningBody>
      <MinutesOfCommittees>true</MinutesOfCommittees>
      <OfficerMailingAddress>false</OfficerMailingAddress>
      <LocalChapters>false</LocalChapters>
      <PoliciesReferenceChapters>false</PoliciesReferenceChapters>
      <Form990ProvidedToGoverningBody>false</Form990ProvidedToGoverningBody>
      <ConflictOfInterestPolicy>true</ConflictOfInterestPolicy>
      <AnnualDisclosureCoveredPersons>false</AnnualDisclosureCoveredPersons>
      <RegularMonitoringEnforcement>false</RegularMonitoringEnforcement>
      <WhistleblowerPolicy>false</WhistleblowerPolicy>
      <DocumentRetentionPolicy>true</DocumentRetentionPolicy>
      <CompensationProcessCEO>false</CompensationProcessCEO>
      <CompensationProcessOther>false</CompensationProcessOther>
      <InvestmentInJointVenture>false</InvestmentInJointVenture>
      <WrittenPolicyOrProcedure>false</WrittenPolicyOrProcedure>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NamePerson>Sue Mallon</NamePerson>
        <TelephoneNumber>6057211922</TelephoneNumber>
        <AddressUS>
          <AddressLine1>1770 Rand Road</AddressLine1>
          <City>Rapid City</City>
          <State>SD</State>
          <ZIPCode>57702</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <Form990PartVIISectionA>
        <NamePerson>Walt Moran</NamePerson>
        <Title>Member</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Thurmond Cournoyer</NamePerson>
        <Title>Member</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Tex G Hall</NamePerson>
        <Title>Member</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Ron His Horse Is Thunder</NamePerson>
        <Title>Executive Direc</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>48745</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Roger Yankton Sr</NamePerson>
        <Title>Member</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Roger Trudell</NamePerson>
        <Title>Chairman</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Rodney Bordeaux</NamePerson>
        <Title>Member-At-Large</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Robert Shepherd</NamePerson>
        <Title>Member</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Robecca White</NamePerson>
        <Title>Member</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Michael Jandreau</NamePerson>
        <Title>Member</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Merle St Claire</NamePerson>
        <Title>Member</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Kevin Keckler</NamePerson>
        <Title>Member</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>John Steele</NamePerson>
        <Title>Member</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>John Black Hawk</NamePerson>
        <Title>Vice Chairman</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>James H Dunham</NamePerson>
        <Title>Finance Officer</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>35664</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Duane Big Eagle</NamePerson>
        <Title>Member</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Charles W Murphy</NamePerson>
        <Title>Member</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Anthony Reider</NamePerson>
        <Title>Member</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Amen Sheridan</NamePerson>
        <Title>Member</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Adrian Pushetonequa</NamePerson>
        <Title>Treasurer</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>84409</TotalReportableCompFromOrg>
      <NumberIndividualsGT100K>0</NumberIndividualsGT100K>
      <FormersListed>false</FormersListed>
      <TotalCompGT150K>false</TotalCompGT150K>
      <CompensationFromOtherSources>false</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>University of Nebraska Medical Center</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>985100 Nebraska Med Center</AddressLine1>
            <City>Omaha</City>
            <State>NE</State>
            <ZIPCode>68198</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Medical Consultant</DescriptionOfServices>
        <Compensation>136933</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Native Research Network</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>2121 SW Broadway Suite 300</AddressLine1>
            <City>Portland</City>
            <State>OR</State>
            <ZIPCode>97201</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Medical Training</DescriptionOfServices>
        <Compensation>120000</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>2</NumberOfContractorsGT100K>
      <GovernmentGrants>5188778</GovernmentGrants>
      <AllOtherContributions>652903</AllOtherContributions>
      <NoncashContributions>4000</NoncashContributions>
      <TotalContributions>5841681</TotalContributions>
      <TotalProgramServiceRevenue>0</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </RoyaltiesRevenue>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetRentalIncomeOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetGainOrLossInvestments>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromFundraisingEvents>
      <NetIncomeFromGaming>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeOrLoss>
      <OtherRevenueMisc>
        <Description>Other</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>26072</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>26072</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>ND Medicaid</Description>
        <BusinessCode>624100</BusinessCode>
        <TotalRevenueColumn>8079</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>8079</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <TotalOtherRevenue>34151</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>5875832</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>34151</RelatedOrExemptFunctionIncome>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>0</Total>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>170616</Total>
        <ManagementAndGeneral>170616</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>2147253</Total>
        <ProgramServices>1802902</ProgramServices>
        <ManagementAndGeneral>344351</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>18249</Total>
        <ProgramServices>14084</ProgramServices>
        <ManagementAndGeneral>4165</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>359960</Total>
        <ProgramServices>295826</ProgramServices>
        <ManagementAndGeneral>64134</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>194934</Total>
        <ProgramServices>152285</ProgramServices>
        <ManagementAndGeneral>42649</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>0</Total>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>12432</Total>
        <ManagementAndGeneral>12432</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>59968</Total>
        <ManagementAndGeneral>59968</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>460404</Total>
        <ProgramServices>420992</ProgramServices>
        <ManagementAndGeneral>39412</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>166157</Total>
        <ProgramServices>166157</ProgramServices>
      </Advertising>
      <OfficeExpenses>
        <Total>343794</Total>
        <ProgramServices>297371</ProgramServices>
        <ManagementAndGeneral>46423</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>500</Total>
        <ProgramServices>500</ProgramServices>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>213221</Total>
        <ProgramServices>154457</ProgramServices>
        <ManagementAndGeneral>58764</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>337376</Total>
        <ProgramServices>303430</ProgramServices>
        <ManagementAndGeneral>33946</ManagementAndGeneral>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>127903</Total>
        <ProgramServices>116674</ProgramServices>
        <ManagementAndGeneral>11229</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>0</Total>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>11126</Total>
        <ProgramServices>9186</ProgramServices>
        <ManagementAndGeneral>1940</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>27608</Total>
        <ProgramServices>1986</ProgramServices>
        <ManagementAndGeneral>25622</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>Participant Costs</Description>
        <Total>802213</Total>
        <ProgramServices>802213</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Other</Description>
        <Total>21119</Total>
        <ProgramServices>5385</ProgramServices>
        <ManagementAndGeneral>15734</ManagementAndGeneral>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>0</Total>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>5474833</Total>
        <ProgramServices>4543448</ProgramServices>
        <ManagementAndGeneral>931385</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>409009</BOY>
        <EOY>2689</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <EOY>0</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <BOY>524393</BOY>
        <EOY>851710</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>1794</BOY>
        <EOY>5433</EOY>
      </AccountsReceivable>
      <ReceivablesFromOfficersEtc>
        <EOY>0</EOY>
      </ReceivablesFromOfficersEtc>
      <ReceivablesFromDisqualPersons>
        <EOY>0</EOY>
      </ReceivablesFromDisqualPersons>
      <OtherNotesLoansReceivableNet>
        <EOY>0</EOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
        <EOY>0</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>34349</BOY>
        <EOY>50082</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>82943</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>37837</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>30922</BOY>
        <EOY>45106</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <EOY>0</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <EOY>0</EOY>
      </InvestmentsOtherSecurities>
      <InvestmentsProgramRelated>
        <EOY>0</EOY>
      </InvestmentsProgramRelated>
      <IntangibleAssets>
        <EOY>0</EOY>
      </IntangibleAssets>
      <OtherAssetsTotal>
        <EOY>0</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>1000467</BOY>
        <EOY>955020</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>819816</BOY>
        <EOY>709375</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>1615182</BOY>
        <EOY>1313626</EOY>
      </DeferredRevenue>
      <OtherLiabilities>
        <BOY>129129</BOY>
        <EOY>94680</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>2564127</BOY>
        <EOY>2117681</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>-1678530</BOY>
        <EOY>-1277637</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>114870</BOY>
        <EOY>114976</EOY>
      </TemporarilyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>-1563660</BOY>
        <EOY>-1162661</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>1000467</BOY>
        <EOY>955020</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>400999</ReconcilationRevenueExpenses>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>false</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>true</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>true</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA" softwareId="10000105" softwareVersion="2010v3.2">
      <PubliclySupportedOrg170b1Avi>X</PubliclySupportedOrg170b1Avi>
      <GiftsGrantsContribReceived170>
        <CurrentTaxYearMinus4Years>5432068</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>5757482</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>3939939</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>4235649</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>5841682</CurrentTaxYear>
        <Total>25206820</Total>
      </GiftsGrantsContribReceived170>
      <TaxRevLeviedForOrgBenefit170>
        <Total>0</Total>
      </TaxRevLeviedForOrgBenefit170>
      <ValueSrvcFcltsFurnishedByGovt>
        <Total>0</Total>
      </ValueSrvcFcltsFurnishedByGovt>
      <Total170>
        <CurrentTaxYearMinus4Years>5432068</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>5757482</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>3939939</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>4235649</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>5841682</CurrentTaxYear>
        <Total>25206820</Total>
      </Total170>
      <AmountsSubstContributorsTotal>0</AmountsSubstContributorsTotal>
      <PublicSupportTotal170>25206820</PublicSupportTotal170>
      <GrossInvestmentIncome170>
        <Total>0</Total>
      </GrossInvestmentIncome170>
      <NetUBI>
        <Total>0</Total>
      </NetUBI>
      <OtherIncome170>
        <CurrentTaxYearMinus2Years>55595</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>20184</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>34151</CurrentTaxYear>
        <Total>109930</Total>
      </OtherIncome170>
      <TotalSupport>25316750</TotalSupport>
      <PublicSupportPertcentage170>0.99570</PublicSupportPertcentage170>
      <PublicSupportPertcentPriorYear>0.99690</PublicSupportPertcentPriorYear>
      <ThirtyThreePercntTestsCY170>X</ThirtyThreePercntTestsCY170>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB" softwareId="10000105" softwareVersion="2010v3.2">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="IRS990ScheduleD" softwareId="10000105" softwareVersion="2010v3.2">
      <Equipment>
        <OtherCostOrOtherBasis>82943</OtherCostOrOtherBasis>
        <Depreciation>37837</Depreciation>
        <BookValue>45106</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>45106</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>Compensated Absences</Description>
        <Amount>94680</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>94680</TotalOfAmounts>
      <TotalRevenue>5875832</TotalRevenue>
      <TotalExpenses>5474833</TotalExpenses>
      <ExcessOrDeficitForYear>400999</ExcessOrDeficitForYear>
      <ExcessOrDeficitPerFS>400999</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>5875832</TotRevenueEtcAuditedFinclStmt>
      <RevenueSubtotal>5875832</RevenueSubtotal>
      <TotalRevenuePerForm990>5875832</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>5474833</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>5474833</ExpensesSubtotal>
      <TotalExpensesPerForm990>5474833</TotalExpensesPerForm990>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="10000105" softwareVersion="2010v3.2">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>Copies of our Form 1023, Forms 990, governing documents, conflict of interest policy and financial statements are all available to the public upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11: Form 990 Review Process</ReturnReference>
        <Explanation>No review was done prior to filing the return. A review will be done of the finalized return at the next meeting of the Board of Directors.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>