The Clinic is a freestanding ambulatory health care facility [accredited through AAAHC since 2000] located in Ketchikan, Alaska located in southern Southeast Alaska. The community is located on an Island and is accessible only by boat or plane. The Island is located along the panhandle, which is a 550 mile strip of coastal lands and Islands with the Pacific Ocean on the west and Canada on the north, south and east border. The terrain consists mostly of mountains and water with an estimated annual rain fall of 180 inches [roughly about a ½” of rain a day]. We are the only Indian Health Service facility on the Island and provide transitory care to AN/AI beneficiaries traveling to Ketchikan from our neighboring villages. Ketchikan Indian Community THC [KIC], is a federally recognized Indian Tribe, incorporated in 1940 under Section 16 of the Indian Reorganization Act of 1934, as amended for Alaska in 1936. KIC serves a membership of over 5,400 Alaska Natives/American Indians through the Bureau of Indian Affairs [BIA] and Indian Health Services [HIS] programs. KIC currently represents the largest Tribal membership in Southeast Alaska.