APIA was chartered in 1976 as a nonprofit corporation in the State of Alaska. APIA contracts with federal, state and local governments as well as securing private funding to provide a broad spectrum of services throughout the region. These services include health, education, social, psychological, employment and vocational training, and public safety services. Dental care is contracted to Atka and Nikolski through Illiluk Family Health Services and South Central Foundation provides dental care to SPHC, St. George and OWC. SPHC has also expanded services to include Non-Native beneficiaries on a sliding fee basis; services have been expanded to include oral health for the community of St. Paul. Home monitoring and case management has also been implemented in the communities of St. Paul and Unalaska for Chronic care patients.