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          <USAddress>
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      <ContractorCompensationGrp>
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          <USAddress>
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          <USAddress>
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        <ExclusionAmt>144909</ExclusionAmt>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>25347705</EOYAmt>
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        <EOYAmt>31262501</EOYAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>14577514</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>12177279</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>15166626</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>13029643</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>14234208</CurrentTaxYearAmt>
        <TotalAmt>69185270</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TaxRevLeviedOrgnztnlBnft170Grp>
        <TotalAmt>0</TotalAmt>
      </TaxRevLeviedOrgnztnlBnft170Grp>
      <GovtFurnSrvcFcltsVl170Grp>
        <TotalAmt>0</TotalAmt>
      </GovtFurnSrvcFcltsVl170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>14577514</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>12177279</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>15166626</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>13029643</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>14234208</CurrentTaxYearAmt>
        <TotalAmt>69185270</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>0</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>69185270</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>-39319</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>142038</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>735932</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>913371</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4068465</CurrentTaxYearAmt>
        <TotalAmt>5820487</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <UnrelatedBusinessNetIncm170Grp>
        <TotalAmt>0</TotalAmt>
      </UnrelatedBusinessNetIncm170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>0</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>0</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>421467</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>128902</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>173956</CurrentTaxYearAmt>
        <TotalAmt>724325</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>75730082</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>11286355</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.91358</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.95687</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmountsGrp />
      <HeldWorksArtGrp />
      <CYMinus3YrEndwmtFundGrp />
      <CYMinus4YrEndwmtFundGrp />
      <LandGrp>
        <OtherCostOrOtherBasisAmt>0</OtherCostOrOtherBasisAmt>
        <BookValueAmt>0</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>0</OtherCostOrOtherBasisAmt>
        <BookValueAmt>0</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>838691</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>167099</DepreciationAmt>
        <BookValueAmt>671592</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>2613939</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1972493</DepreciationAmt>
        <BookValueAmt>641446</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>1453092</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>739660</DepreciationAmt>
        <BookValueAmt>713432</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>2026470</TotalBookValueLandBuildingsAmt>
      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE LIABILITY</Desc>
        <Amt>770192</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>770192</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>17792705</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-3062400</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>-3062400</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>20855105</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>20855105</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>15886954</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>15886954</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>15886954</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <FirstClassOrCharterTravelInd>X</FirstClassOrCharterTravelInd>
      <TravelForCompanionsInd>X</TravelForCompanionsInd>
      <HousingAllowanceOrResidenceInd>X</HousingAllowanceOrResidenceInd>
      <WrittenPolicyRefTAndEExpnssInd>false</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>true</SubstantiationRequiredInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PAUL MUELLER</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>285077</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>17267</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>22610</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>324954</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SHANDA LOHSE</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>234763</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>12969</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>5897</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>253629</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANITA MORAN</PersonNm>
        <TitleTxt>FINANCE DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>209264</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>12619</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>14499</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>236382</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHELLE KAPLAN</PersonNm>
        <TitleTxt>PHYSICIAN'S ASSISTANT</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>10095</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>27206</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>196774</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT MORRIS</PersonNm>
        <TitleTxt>HUMAN RESOURCES DIRECTOR</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>8626</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>25976</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>173847</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Joseph McMillan</PersonNm>
        <TitleTxt>CHA Manager</TitleTxt>
        <BaseCompensationFilingOrgAmt>150667</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>9040</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>13669</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>173376</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jessica Johnson</PersonNm>
        <TitleTxt>PHYSICIAN'S ASSISTANT</TitleTxt>
        <BaseCompensationFilingOrgAmt>151231</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>7854</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>12953</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>172038</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I LINE 1B:</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE IS NO WRITTEN POLICY FOR TRAVEL FOR COMPANIONS. DUE TO THE REMOTE LOCATION OF THE SITES, AND THE DIFFICULTY TO FILL POSITIONS, EASTERN ALEUTIAN TRIBES, INC. ON RARE OCCASION (EX. CHRISTMAS) OFFERS TRAVEL FOR COMPANIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART I, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>TO DEVELOP AND PROVIDE MEDICAL, DENTAL, AND BEHAVIORAL HEALTH SERVICES TO SEVEN COMMUNITIES LOCATED IN THE RURAL PART OF ALASKA SERVED BY EASTERN ALEUTIAN TRIBES, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>JOE BERESKIN AND KAYLYN PELKEY BERESKIN ARE MARRIED. MELANIE HOBLET AND RUTH HOBLET ARE MOTHER AND DAUGHTER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD MEMBERS RECEIVE THE FINAL FORM 990. THE EXECUTIVE DIRECTOR REVIEWS THE RETURNS BEFORE FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE TRIBAL OFFICES AT EACH SITE AND THE MAIN EASTERN ALEUTIAN TRIBES OFFICE HAVE THE DOCUMENTS AVAILABLE FOR PUBLIC INSPECTION. THE BOARD MEMBERS ALL HAVE COPIES AND ALL ARE AVAILABLE TO BE SEEN BY THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:MEDICAL CONTRACTED SVCS TOTAL FEES:2662180</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:PROFESSIONAL SERVICES TOTAL FEES:841866</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>