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      <Form990PartVIISectionAGrp>
        <PersonNm>PRESTON ROOKOK</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>9.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>49000</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LORETTA S NELSON</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>9.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>48500</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARK SNIGAROFF</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>9.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>48500</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT HENRICHS</PersonNm>
        <TitleTxt>FORMER DIRECTOR (THRU 8/22)</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>4.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>41973</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LORENA J WALKER</PersonNm>
        <TitleTxt>FORMER DIRECTOR (THRU 7/22)</TitleTxt>
        <AverageHoursPerWeekRt>9.00</AverageHoursPerWeekRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>36631</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>FRANCIS NORMAN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>9.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>4.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>10739</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GAYLEN HANNA</PersonNm>
        <TitleTxt>DIRECTOR (THRU 10/22)</TitleTxt>
        <AverageHoursPerWeekRt>9.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>9870</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TANYA M KIRK</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>9.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>4000</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHARLES CLEMENT</PersonNm>
        <TitleTxt>DIRECTOR (THRU 1/23)</TitleTxt>
        <AverageHoursPerWeekRt>9.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>1000</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CORINA LYNN EWAN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>9.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>1000</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KIMBERLEY ANN STRONG</PersonNm>
        <TitleTxt>CURRENT CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>9.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ALONZO LEISHOLMN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>9.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>APRIL KYLE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>9.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>4.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT CLARK</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>9.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MATILDA J HARDY</PersonNm>
        <TitleTxt>ALTERNATIVE DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>9.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HEATHER PAYENNA</PersonNm>
        <TitleTxt>ALTERNATIVE DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>9.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JESSICA MATA RUKOVISHNIKOFF</PersonNm>
        <TitleTxt>ALTERNATIVE DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>9.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARGIE NELSON</PersonNm>
        <TitleTxt>ALTERNATIVE DIRECTOR (THRU 11/22)</TitleTxt>
        <AverageHoursPerWeekRt>9.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>8550999</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
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      <IndivRcvdGreaterThan100KCnt>891</IndivRcvdGreaterThan100KCnt>
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      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NANA MANAGEMENT SERVICES LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>800 E DIMOND BLVD STE 3-450</AddressLine1Txt>
            <CityNm>ANCHORAGE</CityNm>
            <StateAbbreviationCd>AK</StateAbbreviationCd>
            <ZIPCd>99515</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>JANITORIAL, SECURITY AND CATERING</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ALYESKA VASCULAR SURGERY LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>4001 LAUREL ST STE 204</AddressLine1Txt>
            <CityNm>ANCHORAGE</CityNm>
            <StateAbbreviationCd>AK</StateAbbreviationCd>
            <ZIPCd>99508</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SURGICAL PROVIDERS</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CADENCE GENERAL LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>700 E 46TH AVE</AddressLine1Txt>
            <CityNm>ANCHORAGE</CityNm>
            <StateAbbreviationCd>AK</StateAbbreviationCd>
            <ZIPCd>99503</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION GENERAL CONTRACTOR</ServicesDesc>
        <CompensationAmt>3779156</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>UMIAQ DESIGN LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>6700 ARCTIC SPUR RD</AddressLine1Txt>
            <CityNm>ANCHORAGE</CityNm>
            <StateAbbreviationCd>AK</StateAbbreviationCd>
            <ZIPCd>99518</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ARCHITECTURAL, ENGINEERING, AND SURVEYIN</ServicesDesc>
        <CompensationAmt>3325612</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HDL ENGINEERING CONSULTANTS LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3335 ARCTIC BLVD STE 300</AddressLine1Txt>
            <CityNm>ANCHORAGE</CityNm>
            <StateAbbreviationCd>AK</StateAbbreviationCd>
            <ZIPCd>99503</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ENGINEERING CONSULTANTS</ServicesDesc>
        <CompensationAmt>3109364</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>107</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>598236</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>342149696</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>12094623</AllOtherContributionsAmt>
      <TotalContributionsAmt>354842555</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT REVENUE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>442585020</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>442585020</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT TRAVEL</Desc>
        <BusinessCd>561500</BusinessCd>
        <TotalRevenueColumnAmt>14100374</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>14100374</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT HOUSING</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>7904245</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>7904245</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>ARUC UTILITY REVENUE</Desc>
        <BusinessCd>221000</BusinessCd>
        <TotalRevenueColumnAmt>5430729</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>5430729</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>CLINICS STAFFING</Desc>
        <BusinessCd>561300</BusinessCd>
        <TotalRevenueColumnAmt>1328010</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1328010</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>542091</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>542091</RelatedOrExemptFuncIncomeAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>471890469</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>32460550</TotalRevenueColumnAmt>
        <ExclusionAmt>32460550</ExclusionAmt>
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      <GrossRentsGrp>
        <RealAmt>3702008</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>4822840</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>-1120832</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>-1120832</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>-173328</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>-947504</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>285442188</SecuritiesAmt>
        <OtherAmt>156121</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>269661523</SecuritiesAmt>
        <OtherAmt>41800</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>15780665</SecuritiesAmt>
        <OtherAmt>114321</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>15894986</TotalRevenueColumnAmt>
        <ExclusionAmt>15894986</ExclusionAmt>
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      <GrossSalesOfInventoryAmt>2532926</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>2114119</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>418807</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>418807</RelatedOrExemptFuncIncomeAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>26816825</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>26816825</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>HOTEL OPERATIONS</Desc>
        <BusinessCd>721110</BusinessCd>
        <TotalRevenueColumnAmt>2974360</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>1224390</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>1749970</ExclusionAmt>
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      <OtherRevenueTotalAmt>29791185</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>904177720</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>499126101</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>1051062</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>49158002</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>31750737</TotalAmt>
        <ProgramServicesAmt>31750737</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>92500</TotalAmt>
        <ProgramServicesAmt>92500</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>3923058</TotalAmt>
        <ManagementAndGeneralAmt>3923058</ManagementAndGeneralAmt>
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        <TotalAmt>386929528</TotalAmt>
        <ProgramServicesAmt>315070270</ProgramServicesAmt>
        <ManagementAndGeneralAmt>71859258</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>12529743</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3798215</ManagementAndGeneralAmt>
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        <TotalAmt>27768922</TotalAmt>
        <ProgramServicesAmt>19353197</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8415725</ManagementAndGeneralAmt>
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        <TotalAmt>22908630</TotalAmt>
        <ProgramServicesAmt>17425366</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5483264</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>3198488</TotalAmt>
        <ProgramServicesAmt>40463</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3158025</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
        <TotalAmt>2366286</TotalAmt>
        <ManagementAndGeneralAmt>2366286</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
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        <ManagementAndGeneralAmt>275078</ManagementAndGeneralAmt>
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        <TotalAmt>147968783</TotalAmt>
        <ProgramServicesAmt>93589978</ProgramServicesAmt>
        <ManagementAndGeneralAmt>54378805</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
        <TotalAmt>511027</TotalAmt>
        <ProgramServicesAmt>180707</ProgramServicesAmt>
        <ManagementAndGeneralAmt>330320</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>7848011</TotalAmt>
        <ProgramServicesAmt>5346525</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2501486</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>4756542</TotalAmt>
        <ProgramServicesAmt>1247464</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3509078</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>10486935</TotalAmt>
        <ProgramServicesAmt>9670931</ProgramServicesAmt>
        <ManagementAndGeneralAmt>816004</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>9985018</TotalAmt>
        <ProgramServicesAmt>9685347</ProgramServicesAmt>
        <ManagementAndGeneralAmt>299671</ManagementAndGeneralAmt>
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      <InterestGrp>
        <TotalAmt>639848</TotalAmt>
        <ProgramServicesAmt>626443</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13405</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>24227743</TotalAmt>
        <ProgramServicesAmt>9613802</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14613941</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>2219051</TotalAmt>
        <ManagementAndGeneralAmt>2219051</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>75454875</TotalAmt>
        <ProgramServicesAmt>74362966</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1091909</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CONTRACT HEALTH</Desc>
        <TotalAmt>17150864</TotalAmt>
        <ProgramServicesAmt>17150864</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MINOR EQUIPMENT</Desc>
        <TotalAmt>13762580</TotalAmt>
        <ProgramServicesAmt>7887183</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5875397</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>INDIRECT COSTS ALLOCATI</Desc>
        <TotalAmt>0</TotalAmt>
        <ProgramServicesAmt>144287612</ProgramServicesAmt>
        <ManagementAndGeneralAmt>-144287612</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>35018655</TotalAmt>
        <ProgramServicesAmt>21748754</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13269901</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
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        <USAddress>
          <AddressLine1Txt>PO BOX 130</AddressLine1Txt>
          <CityNm>DILLINGHAM</CityNm>
          <StateAbbreviationCd>AK</StateAbbreviationCd>
          <ZIPCd>99576</ZIPCd>
        </USAddress>
        <RecipientEIN>920044965</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>1463954</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>REPLACE GENERATOR</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CAMP FIRE USA ALASKA COUNCIL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>161 KLEVIN ST STE 100</AddressLine1Txt>
          <CityNm>ANCHORAGE</CityNm>
          <StateAbbreviationCd>AK</StateAbbreviationCd>
          <ZIPCd>99508</ZIPCd>
        </USAddress>
        <RecipientEIN>920029613</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>21384</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>CHILDREN HEALTH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CHENEGA VILLAGE IRA COUNCIL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3000 C ST STE 200</AddressLine1Txt>
          <CityNm>ANCHORAGE</CityNm>
          <StateAbbreviationCd>AK</StateAbbreviationCd>
          <ZIPCd>99503</ZIPCd>
        </USAddress>
        <RecipientEIN>920074435</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10778</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SANITATION IMPROVEMENT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CHICKALOON VILLAGE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 1105</AddressLine1Txt>
          <CityNm>CHICKALOON</CityNm>
          <StateAbbreviationCd>AK</StateAbbreviationCd>
          <ZIPCd>99674</ZIPCd>
        </USAddress>
        <RecipientEIN>920120907</RecipientEIN>
        <IRCSectionDesc>501(C)(1)</IRCSectionDesc>
        <CashGrantAmt>160699</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>HSS, PCC</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CHITINA TRADITIONAL INDIAN</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 31</AddressLine1Txt>
          <CityNm>CHITINA</CityNm>
          <StateAbbreviationCd>AK</StateAbbreviationCd>
          <ZIPCd>99566</ZIPCd>
        </USAddress>
        <RecipientEIN>920068532</RecipientEIN>
        <IRCSectionDesc>VILLAGE GOV</IRCSectionDesc>
        <CashGrantAmt>162405</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>BIOMED, HSS, PCC</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CHUGACHMIUT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1840 S BRAGAW STE 110</AddressLine1Txt>
          <CityNm>ANCHORAGE</CityNm>
          <StateAbbreviationCd>AK</StateAbbreviationCd>
          <ZIPCd>99508</ZIPCd>
        </USAddress>
        <RecipientEIN>920046614</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>1443091</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>BHA, BIOMED, HSS, PCC, PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CITY OF ELIM</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 39009</AddressLine1Txt>
          <CityNm>ELIM</CityNm>
          <StateAbbreviationCd>AK</StateAbbreviationCd>
          <ZIPCd>99739</ZIPCd>
        </USAddress>
        <RecipientEIN>920058095</RecipientEIN>
        <IRCSectionDesc>501(C)(1)</IRCSectionDesc>
        <CashGrantAmt>89626</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>WATER &amp; SEWER</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CITY OF HOONAH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 360</AddressLine1Txt>
          <CityNm>HOONAH</CityNm>
          <StateAbbreviationCd>AK</StateAbbreviationCd>
          <ZIPCd>99829</ZIPCd>
        </USAddress>
        <RecipientEIN>926001151</RecipientEIN>
        <IRCSectionDesc>501(C)(1)</IRCSectionDesc>
        <CashGrantAmt>272645</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>WATER &amp; SEWER</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CITY OF KOTZEBUE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 46</AddressLine1Txt>
          <CityNm>KOTZEBUE</CityNm>
          <StateAbbreviationCd>AK</StateAbbreviationCd>
          <ZIPCd>99752</ZIPCd>
        </USAddress>
        <RecipientEIN>926001350</RecipientEIN>
        <IRCSectionDesc>501(C)(1)</IRCSectionDesc>
        <CashGrantAmt>2302180</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>WATER &amp; SEWER</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CITY OF ST MARYS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 209</AddressLine1Txt>
          <CityNm>ST MARYS</CityNm>
          <StateAbbreviationCd>AK</StateAbbreviationCd>
          <ZIPCd>99658</ZIPCd>
        </USAddress>
        <RecipientEIN>920031426</RecipientEIN>
        <IRCSectionDesc>501(C)(1)</IRCSectionDesc>
        <CashGrantAmt>149940</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>WATER &amp; SEWER</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COPPER RIVER NATIVE ASSOC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>MILE 1115 RICHARDSON HWY</AddressLine1Txt>
          <CityNm>GLENNALLEN</CityNm>
          <StateAbbreviationCd>AK</StateAbbreviationCd>
          <ZIPCd>99588</ZIPCd>
        </USAddress>
        <RecipientEIN>920041638</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>867278</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>BIOMED, BHA, HSS, PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COUNCIL OF ATHABASCAN TRIBAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 33</AddressLine1Txt>
          <CityNm>FT YUKON</CityNm>
          <StateAbbreviationCd>AK</StateAbbreviationCd>
          <ZIPCd>99740</ZIPCd>
        </USAddress>
        <RecipientEIN>920134670</RecipientEIN>
        <IRCSectionDesc>VILLAGE GOV</IRCSectionDesc>
        <CashGrantAmt>20639</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>CLINIC CONSTRUCTION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>EASTERN ALEUTIAN TRIBES INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3380 C ST STE 100</AddressLine1Txt>
          <CityNm>ANCHORAGE</CityNm>
          <StateAbbreviationCd>AK</StateAbbreviationCd>
          <ZIPCd>99503</ZIPCd>
        </USAddress>
        <RecipientEIN>920139107</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>166098</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>BIOMED, BHA, HSS, COVID</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HEALTHY ALASKA NATIVES FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4000 AMBASSADOR DR</AddressLine1Txt>
          <CityNm>ANCHORAGE</CityNm>
          <StateAbbreviationCd>AK</StateAbbreviationCd>
          <ZIPCd>99508</ZIPCd>
        </USAddress>
        <RecipientEIN>821850261</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>234204</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>RAVEN'S BALL EVENT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>JOHNS HOPKINS UNIVERSITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>12529 COLLECTIONS CTR DR</AddressLine1Txt>
          <CityNm>CHICAGO</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60693</ZIPCd>
        </USAddress>
        <RecipientEIN>520595110</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>11232</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>PUBLIC HEALTH - WASTE WATER</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>KENAITZE INDIAN TRIBE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 988</AddressLine1Txt>
          <CityNm>KENAI</CityNm>
          <StateAbbreviationCd>AK</StateAbbreviationCd>
          <ZIPCd>99611</ZIPCd>
        </USAddress>
        <RecipientEIN>920069243</RecipientEIN>
        <IRCSectionDesc>501(C)(1)</IRCSectionDesc>
        <CashGrantAmt>1128131</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>BIOMED, HSS, PCC</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>KETCHIKAN INDIAN COMMUNITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2960 TONGASS AVE</AddressLine1Txt>
          <CityNm>KETCHIKAN</CityNm>
          <StateAbbreviationCd>AK</StateAbbreviationCd>
          <ZIPCd>99901</ZIPCd>
        </USAddress>
        <RecipientEIN>926002696</RecipientEIN>
        <IRCSectionDesc>501(C)(4)</IRCSectionDesc>
        <CashGrantAmt>405076</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>HSS, M&amp;I, BEMAR</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>KNIK TRIBAL COUNCIL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 871565</AddressLine1Txt>
          <CityNm>WASILLA</CityNm>
          <StateAbbreviationCd>AK</StateAbbreviationCd>
          <ZIPCd>99687</ZIPCd>
        </USAddress>
        <RecipientEIN>920076275</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>167135</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>HSS, PCC</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>KODIAK AREA NATIVE ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3449 REZANOF DR EAST</AddressLine1Txt>
          <CityNm>KODIAK</CityNm>
          <StateAbbreviationCd>AK</StateAbbreviationCd>
          <ZIPCd>99615</ZIPCd>
        </USAddress>
        <RecipientEIN>920038225</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>2161823</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>BHA, BIOMED, HSS, PCC</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LOUDEN TRIBAL COUNCIL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 244</AddressLine1Txt>
          <CityNm>GALENA</CityNm>
          <StateAbbreviationCd>AK</StateAbbreviationCd>
          <ZIPCd>99741</ZIPCd>
        </USAddress>
        <RecipientEIN>920081515</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>6383</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>COMMUNITY DEVELOPMENT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LOWER KUSKOKWIM SCHOOL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 305</AddressLine1Txt>
          <CityNm>BETHEL</CityNm>
          <StateAbbreviationCd>AK</StateAbbreviationCd>
          <ZIPCd>99559</ZIPCd>
        </USAddress>
        <RecipientEIN>920056756</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>79764</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>WATER &amp; SEWER</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LOWER YUKON SCHOOL DISTRICT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 32089</AddressLine1Txt>
          <CityNm>MOUNTAIN VILLAGE</CityNm>
          <StateAbbreviationCd>AK</StateAbbreviationCd>
          <ZIPCd>99632</ZIPCd>
        </USAddress>
        <RecipientEIN>920057691</RecipientEIN>
        <IRCSectionDesc>501(C)(1)</IRCSectionDesc>
        <CashGrantAmt>161699</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SAMHSA PASS THROUGH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MANIILAQ ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 256</AddressLine1Txt>
          <CityNm>KOTZEBUE</CityNm>
          <StateAbbreviationCd>AK</StateAbbreviationCd>
          <ZIPCd>99752</ZIPCd>
        </USAddress>
        <RecipientEIN>920041461</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>1362299</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>BIOMED, BHA, HSS, PROGRAM SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>METLAKATLA INDIAN COMMUNITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 8</AddressLine1Txt>
          <CityNm>METLAKATLA</CityNm>
          <StateAbbreviationCd>AK</StateAbbreviationCd>
          <ZIPCd>99926</ZIPCd>
        </USAddress>
        <RecipientEIN>920014579</RecipientEIN>
        <IRCSectionDesc>501(C)(1)</IRCSectionDesc>
        <CashGrantAmt>9448</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SNAP CONTINGENCY (SNAP FDPIR SAE)</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MT SANFORD TRIBAL CONSORTIUM</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 357</AddressLine1Txt>
          <CityNm>GAKONA</CityNm>
          <StateAbbreviationCd>AK</StateAbbreviationCd>
          <ZIPCd>99586</ZIPCd>
        </USAddress>
        <RecipientEIN>920143492</RecipientEIN>
        <IRCSectionDesc>VILLAGE GOV</IRCSectionDesc>
        <CashGrantAmt>175036</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>BIOMED, HSS, PCC</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NATIVE VILLAGE OF CHITINA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 31</AddressLine1Txt>
          <CityNm>CHITINA</CityNm>
          <StateAbbreviationCd>AK</StateAbbreviationCd>
          <ZIPCd>99566</ZIPCd>
        </USAddress>
        <RecipientEIN>920068532</RecipientEIN>
        <IRCSectionDesc>VILLAGE GOV</IRCSectionDesc>
        <CashGrantAmt>11720</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>BIOMED, HSS, PCC</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NATIVE VILLAGE OF EKLUTNA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>26339 EKLUTNA VILLAGE RD</AddressLine1Txt>
          <CityNm>CHUGIAK</CityNm>
          <StateAbbreviationCd>AK</StateAbbreviationCd>
          <ZIPCd>99567</ZIPCd>
        </USAddress>
        <RecipientEIN>920115246</RecipientEIN>
        <IRCSectionDesc>501(C)(1)</IRCSectionDesc>
        <CashGrantAmt>160837</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>HSS, PCC</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NATIVE VILLAGE OF PORT HEIDEN</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2200 JAMES ST</AddressLine1Txt>
          <CityNm>PORT HEIDEN</CityNm>
          <StateAbbreviationCd>AK</StateAbbreviationCd>
          <ZIPCd>99549</ZIPCd>
        </USAddress>
        <RecipientEIN>920059922</RecipientEIN>
        <IRCSectionDesc>VILLAGE GOV</IRCSectionDesc>
        <CashGrantAmt>72623</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>BEHAVIORAL HEALTH SERVICES</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NATIVE VILLAGE OF WHITE MOUNTAIN</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 84090</AddressLine1Txt>
          <CityNm>WHITE MOUNTAIN</CityNm>
          <StateAbbreviationCd>AK</StateAbbreviationCd>
          <ZIPCd>99784</ZIPCd>
        </USAddress>
        <RecipientEIN>920009822</RecipientEIN>
        <IRCSectionDesc>501(C)(4)</IRCSectionDesc>
        <CashGrantAmt>11512</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SANITATION FACILITY IMPROVEMENT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NEWHALEN TRIBAL COUNCIL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 207</AddressLine1Txt>
          <CityNm>NEWHALEN</CityNm>
          <StateAbbreviationCd>AK</StateAbbreviationCd>
          <ZIPCd>99606</ZIPCd>
        </USAddress>
        <RecipientEIN>920069064</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>7179</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>WATER AND SEWER</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NINILCHIK TRADITIONAL COUNCIL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 39070</AddressLine1Txt>
          <CityNm>NINILCHIK</CityNm>
          <StateAbbreviationCd>AK</StateAbbreviationCd>
          <ZIPCd>99639</ZIPCd>
        </USAddress>
        <RecipientEIN>920069906</RecipientEIN>
        <IRCSectionDesc>VILLAGE GOV</IRCSectionDesc>
        <CashGrantAmt>213665</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>BIOMED, HSS, PCC</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NOATAK UTILITIES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 41</AddressLine1Txt>
          <CityNm>NOATAK</CityNm>
          <StateAbbreviationCd>AK</StateAbbreviationCd>
          <ZIPCd>99761</ZIPCd>
        </USAddress>
        <RecipientEIN>920173848</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>33061</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>WATER AND SEWER</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
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        </RecipientBusinessName>
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          <CityNm>BARROW</CityNm>
          <StateAbbreviationCd>AK</StateAbbreviationCd>
          <ZIPCd>99723</ZIPCd>
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        <RecipientEIN>920042378</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
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      <RecipientTable>
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      <RecipientTable>
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        </RecipientBusinessName>
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      <RecipientTable>
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        <USAddress>
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          <StateAbbreviationCd>AK</StateAbbreviationCd>
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      <RecipientTable>
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        </RecipientBusinessName>
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          <StateAbbreviationCd>AK</StateAbbreviationCd>
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        <ExplanationTxt>THE MONITORING OF SUBAWARDS ANTHC PROVIDES INCLUDES ANNUAL REVIEW OF THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS, REVIEW OF PROGRAM REPORTS, AND THROUGH ON-GOING COMMUNICATIONS.</ExplanationTxt>
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        <TotalCompensationFilingOrgAmt>822024</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARISSA FLANNERY</PersonNm>
        <TitleTxt>FORMER VP OF LEGAL AFFAIRS</TitleTxt>
        <BaseCompensationFilingOrgAmt>272035</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>109740</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>21816</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>7563</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>411154</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT HENRICHS</PersonNm>
        <TitleTxt>FORMER DIRECTOR (THRU 8/22)</TitleTxt>
        <BaseCompensationFilingOrgAmt>41973</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>41973</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LORENA J WALKER</PersonNm>
        <TitleTxt>FORMER DIRECTOR (THRU 7/22)</TitleTxt>
        <BaseCompensationFilingOrgAmt>36631</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>36631</TotalCompensationFilingOrgAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>FIRST CLASS TRAVEL MUST BE AUTHORIZED. GENERALLY, ANTHC ALLOWS FOR THE UPGRADE ONLY IF IT IS NECESSARY OR OTHERWISE CONSISTENT WITH LEGITIMATE BUSINESS PURPOSE, SUCH PURPOSES INCLUDE, BUT ARE NOT LIMITED TO, SCHEDULES TO/FROM ANCHORAGE ARE OTHERWISE FULL; IT WOULD REDUCE THE TOTAL COST OF THE TRIP. THE COST OF THE UPGRADE IS COMPARED TO A FULL FARE/REIMBURSABLE TICKET AS WELL AS POTENTIAL SAVINGS FOR LEAVING RATHER THAN STAYING OVER NIGHT. SCHEDULED FLIGHTS BETWEEN ANCHORAGE AND THE EAST COAST ARE CHALLENGING TO ALIGN FOR APPROPRIATE TIMES. OFFICERS TYPICALLY HAVE AN ADDITIONAL LEG WHEN GOING TO REMOTE SITES IN ALASKA. ANTHC PROVIDES HOUSING FOR CERTAIN MEMBERS OF THE WORKFORCE WHO DO NOT RESIDE WITHIN COMMUTING DISTANCE OF ANCHORAGE, BUT WHO ARE REQUIRED TO BE ON SITE TO PERFORM THEIR RESPONSIBILITIES. THE VALUE OF HOUSING IS REPORTED AS TAXABLE COMPENSATION IN PART II COLUMN (B)(III).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>TWO EMPLOYEES LISTED ON FORM 990, PART VII, SECTION A, LINE 1A RECEIVED SEVERANCE. ADDITIONAL DETAILS WILL BE PROVIDED TO THE IRS UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>ANTHC PAYS BONUSES TO EXECUTIVES IN ACCORDANCE WITH THEIR EXECUTIVE AGREEMENTS. THE AGREEMENT INDICATES THAT PERFORMANCE-BASED COMPENSATION IS BASED UPON A PERCENTAGE OF THE EXECUTIVES BASE SALARY ANNUALLY AT ANTHC'S SOLE AND COMPLETE DISCRETION BASED ON INDIVIDUAL, DEPARTMENTAL AND/OR ORGANIZATIONAL PERFORMANCE. BONUSES ARE FINAL REVIEWED BY CFO THEN APPROVED BY PRESIDENT/CEO.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING BOARD OF DIRECTORS HAVE A BUSINESS RELATIONSHIP: CHARLES CLEMENT AND KIMBERLEY STRONG.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE ARE 13 REGIONAL HEALTH ORGANIZATIONS WHO HAVE THE POWER TO APPOINT A MEMBER TO THE ANTHC BOARD OF DIRECTORS. IN ADDITION, THE UNAFFILIATED ALASKA NATIVE TRIBAL HEALTH COMMITTEE ("UANTHC") HAS THE POWER TO APPOINT TWO DIRECTORS. THE LIST OF REGIONAL HEALTH ORGANIZATIONS ARE: - ALEUTIAN/PRIBILOF ISLANDS ASSOCIATION, INC. - BRISTOL BAY AREA HEALTH CORPORATION - CHUGACHMIUT - COPPER RIVER NATIVE ASSOCIATION - KODIAK AREA NATIVE ASSOCIATION - MANIILAQ ASSOCIATION - METLAKATLA INDIAN COMMUNITY - ARCTIC SLOPE NATIVE ASSOCIATION, LTD. - NORTON SOUND HEALTH CORPORATION - SOUTHCENTRAL FOUNDATION - SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM - DENA NENA` HENASH, INC. D/B/A TANANA CHIEFS CONFERENCE, INC. - YUKON KUSKOKWIM HEALTH CORPORATION</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS REVIEWED BY ACCOUNTING STAFF AND APPROVED BY THE CFO AND PRESIDENT. COPIES ARE MADE AND SENT TO THE ANTHC BOARD OF DIRECTORS TO ALLOW FOR QUESTIONS BEFORE THE FILING DEADLINE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>DIRECTORS, OFFICERS, AND EMPLOYEES ARE REQUIRED TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST RELATIVE TO EVALUATION, VENDOR SELECTION, OR OTHER PROCUREMENT TRANSACTION THEY ARE REQUESTING OR INVOLVED WITH. ANTHC MONITORS PROPOSED TRANSACTIONS VIA ESTABLISHED PROCEDURES REQUIRING THE REQUESTER AND/OR THOSE INVOLVED WITH EVALUATION OF VENDORS TO DISCLOSE ANY CONFLICTS VIA PROCUREMENT DOCUMENTATION. FOR POTENTIAL CONFLICTS INVOLVING THE PRESIDENT/CEO OR A DIRECTOR, THE DETERMINATION IS MADE BY THE CHAIR OF THE COMPLIANCE COMMITTEE OR THE BOARD OF DIRECTORS. FOR POTENTIAL CONFLICTS INVOLVING ALL OTHER EMPLOYEES, THE DETERMINATION IS MADE BY THE PRESIDENT/CEO. IF IT IS DETERMINED THAT A CONFLICT EXISTS, APPROPRIATE ACTION WILL BE TAKEN, WHICH MAY INCLUDE REQUIRING THE CONFLICTED INDIVIDUAL TO EXCUSE THEMSELVES FROM PARTICIPATING IN DELIBERATIONS AND DECISIONS ABOUT A PROPOSED TRANSACTION OR TERMINATING A TRANSACTION THAT HAS ALREADY OCCURRED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>MARKET ANALYSIS IS TRADITIONALLY COMPLETED FOR EACH SENIOR POSITION AT LEAST ANNUALLY. IN ADDITION, INDEPENDENT SURVEYS ARE CONDUCTED PERIODICALLY FOR EXECUTIVE POSITIONS. COMPENSATION IS SET BASED ON THE MARKET FOR POSITIONS OF SIMILAR COMPETENCE, SCOPE AND LEVEL OF RESPONSIBILITY AT COMPARABLE ORGANIZATIONS; ORGANIZATIONAL NEEDS; INTERNAL EQUITY AND INDIVIDUAL QUALIFICATIONS. THE LEADERSHIP AND PLANNING COMMITTEE HAS OVERSIGHT RESPONSIBILITY FOR COMPENSATION OF DIRECTORS, OFFICERS, AND DESIGNATED EXECUTIVES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>ANTHC BYLAWS AND ANNUAL REPORTS ARE AVAILABLE ON THE COMPANY WEBSITE. GOVERNING DOCUMENTS, INCLUDING CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST THROUGH THE COMPANY WEBSITE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER CONTRACTUAL FEES: PROGRAM SERVICE EXPENSES 93,589,978. MANAGEMENT AND GENERAL EXPENSES 54,378,805. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 147,968,783.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
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          <ZIPCd>99509</ZIPCd>
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      <IdDisregardedEntitiesGrp>
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          <BusinessNameLine1Txt>ALASKA PACIFIC UNIVERSITY</BusinessNameLine1Txt>
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        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>ALASKA PACIFIC UNIVERSITY</BusinessNameLine1Txt>
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      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
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      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>1</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HEALTHY ALASKA NATIVES FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>B</TransactionTypeTxt>
        <InvolvedAmt>234204</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HEALTHY ALASKA NATIVES FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>338373</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ALASKA PACIFIC UNIVERSITY</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>K</TransactionTypeTxt>
        <InvolvedAmt>5000000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ALASKA PACIFIC UNIVERSITY</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
        <InvolvedAmt>149325</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>COST</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>