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      <Form990PartVIISectionAGrp>
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      <Form990PartVIISectionAGrp>
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      <Form990PartVIISectionAGrp>
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      <Form990PartVIISectionAGrp>
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          <USAddress>
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      <ContractorCompensationGrp>
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          <USAddress>
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      <ContractorCompensationGrp>
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          <USAddress>
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    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
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        <CurrentTaxYearMinus3YearsAmt>14577514</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>12177279</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>15166626</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>13029643</CurrentTaxYearAmt>
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      </TaxRevLeviedOrgnztnlBnft170Grp>
      <GovtFurnSrvcFcltsVl170Grp>
        <TotalAmt>0</TotalAmt>
      </GovtFurnSrvcFcltsVl170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>12633910</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>14577514</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>12177279</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>15166626</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>13029643</CurrentTaxYearAmt>
        <TotalAmt>67584972</TotalAmt>
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      <SubstantialContributorsTotAmt>0</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>67584972</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>742451</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>-39319</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>142038</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>735932</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>913371</CurrentTaxYearAmt>
        <TotalAmt>2494473</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <UnrelatedBusinessNetIncm170Grp>
        <TotalAmt>0</TotalAmt>
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      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>1501</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>0</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>0</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>421467</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>128902</CurrentTaxYearAmt>
        <TotalAmt>551870</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>70631315</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>10464565</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.95687</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.96280</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>779663</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>111726</DepreciationAmt>
        <BookValueAmt>667937</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>2532835</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1835880</DepreciationAmt>
        <BookValueAmt>696955</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>1593442</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>587667</DepreciationAmt>
        <BookValueAmt>1005775</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>2370667</TotalBookValueLandBuildingsAmt>
      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE LIABILITY</Desc>
        <Amt>1048804</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1048804</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>16971002</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>541176</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>541176</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>16429826</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>16429826</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>14450689</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>14450689</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>14450689</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>292162</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>17693</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>11551</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>321406</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SHANDA LOHSE</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>12217</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>1472</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>255880</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANITA MORAN</PersonNm>
        <TitleTxt>FINANCE DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>191024</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>11305</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>7222</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>209551</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LINNEA TRAGESER</PersonNm>
        <TitleTxt>NURSE PRACTITIONER</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>15834</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>13655</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>203239</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHELLE KAPLAN</PersonNm>
        <TitleTxt>PHYSICIAN'S ASSISTANT</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>16999</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>23816</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>210762</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT MORRIS</PersonNm>
        <TitleTxt>HUMAN RESOURCES DIRECTOR</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>8175</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>13284</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>150806</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jonathon Mason</PersonNm>
        <TitleTxt>Physician's Assistant</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>17787</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>13310</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>202547</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>June Morgan</PersonNm>
        <TitleTxt>Nurse Practitioner</TitleTxt>
        <BaseCompensationFilingOrgAmt>165090</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>17405</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>23033</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>205528</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Joseph McMillan</PersonNm>
        <TitleTxt>MEDICAL OPERATIONS MGR</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>16832</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>12979</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>185350</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 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:2288807</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:PROFESSIONAL SERVICES TOTAL FEES:771320</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>