﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2012v2.1">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2014-08-15T15:06:14-05:00</Timestamp>
    <TaxPeriodEndDate>2013-09-30</TaxPeriodEndDate>
    <PreparerFirm>
      <EIN>135381590</EIN>
      <PreparerFirmBusinessName>
        <BusinessNameLine1>BDO USA LLP</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>3601 C STREET SUITE 600</AddressLine1>
        <City>ANCHORAGE</City>
        <State>AK</State>
        <ZIPCode>99503</ZIPCode>
      </PreparerFirmUSAddress>
    </PreparerFirm>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2012-10-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>920162721</EIN>
      <Name>
        <BusinessNameLine1>ALASKA NATIVE TRIBAL HEALTH CONSORTIUM</BusinessNameLine1>
      </Name>
      <NameControl>ALAS</NameControl>
      <Phone>9077291900</Phone>
      <USAddress>
        <AddressLine1>4000 AMBASSADOR DRIVE</AddressLine1>
        <City>ANCHORAGE</City>
        <State>AK</State>
        <ZIPCode>99508</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>GARVIN FEDERENKO</Name>
      <Title>CHIEF FINANCIAL OFFICER</Title>
      <Phone>9077291903</Phone>
      <DateSigned>2014-08-15</DateSigned>
      <AuthorizeThirdParty>1</AuthorizeThirdParty>
    </Officer>
    <Preparer>
      <Name>KEY E GETTY CPA</Name>
      <PTIN>P00121200</PTIN>
      <Phone>9072788878</Phone>
      <DatePrepared>2014-08-12</DatePrepared>
    </Preparer>
    <TaxYear>2012</TaxYear>
    <BuildTS>2015-11-30 17:44:51Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="12">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <NameOfPrincipalOfficerPerson>ROALD HELGESEN</NameOfPrincipalOfficerPerson>
      <AddressPrincipalOfficerUS>
        <AddressLine1>4000 AMBASSADOR DRIVE</AddressLine1>
        <City>ANCHORAGE</City>
        <State>AK</State>
        <ZIPCode>99508</ZIPCode>
      </AddressPrincipalOfficerUS>
      <GrossReceipts>515572904</GrossReceipts>
      <GroupReturnForAffiliates>0</GroupReturnForAffiliates>
      <Organization501c3>X</Organization501c3>
      <WebSite>WWW.ANTHC.ORG</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>1998</YearFormation>
      <StateLegalDomicile>AK</StateLegalDomicile>
      <ActivityOrMissionDescription>ALASKA NATIVE MEDICAL CENTER-A 150 BED FACILITY PROVIDES IN-PATIENT, MEDICAL AND SUPPORT SERVICES.</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>15</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>14</NbrIndependentVotingMembers>
      <TotalNbrEmployees>2310</TotalNbrEmployees>
      <TotalNbrVolunteers>74</TotalNbrVolunteers>
      <TotalGrossUBI>0</TotalGrossUBI>
      <NetUnrelatedBusinessTxblIncome>0</NetUnrelatedBusinessTxblIncome>
      <ContributionsGrantsPriorYear>264561209</ContributionsGrantsPriorYear>
      <ContributionsGrantsCurrentYear>253499228</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>172531170</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>198290882</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>1026048</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>-428931</InvestmentIncomeCurrentYear>
      <OtherRevenuePriorYear>9009721</OtherRevenuePriorYear>
      <OtherRevenueCurrentYear>8456424</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>447128148</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>459817603</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsPriorYear>31409122</GrantsAndSimilarAmntsPriorYear>
      <GrantsAndSimilarAmntsCY>24961363</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersPriorYear>0</BenefitsPaidToMembersPriorYear>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>206367607</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>217492320</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpPriorYear>0</TotalProfFundrsngExpPriorYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>379396</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>187657491</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>195986880</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>425434220</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>438440563</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>21693928</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>21377040</RevenuesLessExpensesCY>
      <TotalAssetsBOY>415063952</TotalAssetsBOY>
      <TotalAssetsEOY>438633096</TotalAssetsEOY>
      <TotalLiabilitiesBOY>139098926</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>139442396</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>275965026</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>299190700</NetAssetsOrFundBalancesEOY>
      <InfoInScheduleOPartIII>X</InfoInScheduleOPartIII>
      <MissionDescription>PROVIDING THE HIGHEST QUALITY HEALTH SERVICES IN PARTNERSHIP WITH OUR PEOPLE AND THE ALASKA TRIBAL HEALTH SYSTEM.</MissionDescription>
      <SignificantNewProgramServices>0</SignificantNewProgramServices>
      <SignificantChange>0</SignificantChange>
      <Expense>275873261</Expense>
      <Grants>5000</Grants>
      <Revenue>193505630</Revenue>
      <Description>ALASKA NATIVE MEDICAL CENTER - A 150 BED FACILITY PROVIDES IN-PATIENT, MEDICAL, AND SUPPORT SERVICES.</Description>
      <Activity2>
        <Expense>100756512</Expense>
        <Grants>12050086</Grants>
        <Revenue>5655638</Revenue>
        <Description>ENVIRONMENTAL HEALTH AND ENGINEERING - PROVIDES DIRECT ASSISTANCE AND SUPPORT IN THE DEVELOPMENT AND CONSTRUCTION OF QUALITY WATER AND SANITARY WASTE DISPOSAL SYSTEMS; PROVIDES TECHNICAL ASSISTANCE FOR OCCUPATIONAL HEALTH AND SAFETY, EMPLOYEE HEALTH, RECRUITING, AND ENVIRONMENTAL IMPACT ISSUES; RESPONSIBLE FOR TRANSFER OF FUNDS FOR RENOVATION AND IMPROVEMENT OF HEALTH FACILITIES.</Description>
      </Activity2>
      <Activity3>
        <Expense>23691362</Expense>
        <Grants>4866036</Grants>
        <Revenue>2000938</Revenue>
        <Description>COMMUNITY HEALTH SERVICES - OVERSEES, TRAINS, ASSESSES AND PROVIDES TECHNICAL ASSISTANCE IN THE AREAS OF PUBLIC HEALTH AND COMMUNITY-BASED HEALTH SERVICES FOR TRIBES AND TRIBAL HEALTH ORGANIZATIONS IN ALASKA.</Description>
      </Activity3>
      <ActivityOther>
        <Expense>27267568</Expense>
        <Grants>8040241</Grants>
        <Revenue>675245</Revenue>
        <Description>TRIBAL SUPPORT SERVICES - PROVIDES PROFESSIONAL RECRUITING, AND BUSINESS OFFICE DEVELOPMENT SERVICES, SCHOLARSHIP PROGRAMS REGIONAL SUPPLY CENTER FOR MEDICAL AND PHARMACEUTICAL SUPPLIES TO HEALTH CARE FACILITIES AND PROVIDERS IN ALASKA, AND TELEMEDICINE - THIS PILOT PROGRAM IS TO DEVELOP TECHNICAL MEDICAL CARE AND ASSISTANCE VIA DISTANCE DELIVERY.</Description>
      </ActivityOther>
      <ActivityOther>
        <Revenue>319834</Revenue>
        <Description>AFHCAN GLOBAL TELEHEALTH SOLUTIONS</Description>
      </ActivityOther>
      <TotalOfOtherProgramServiceExp>27267568</TotalOfOtherProgramServiceExp>
      <TotalOfOtherProgramServiceGrnt>8040241</TotalOfOtherProgramServiceGrnt>
      <TotalOfOtherProgramServiceRev>995079</TotalOfOtherProgramServiceRev>
      <TotalProgramServiceExpense>427588703</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId="RetDoc1039100001">1</DescribedIn501C3>
      <ScheduleBRequired referenceDocumentId="RetDoc1234500001">1</ScheduleBRequired>
      <PoliticalActivities referenceDocumentId="RetDoc1039700001">0</PoliticalActivities>
      <LobbyingActivities referenceDocumentId="RetDoc1039700001">1</LobbyingActivities>
      <SubjectToProxyTax referenceDocumentId="RetDoc1039700001">0</SubjectToProxyTax>
      <DonorAdvisedFunds referenceDocumentId="RetDoc1040000001">0</DonorAdvisedFunds>
      <ConservationEasements referenceDocumentId="RetDoc1040000001">0</ConservationEasements>
      <CollectionsOfArt referenceDocumentId="RetDoc1040000001">0</CollectionsOfArt>
      <CreditCounseling referenceDocumentId="RetDoc1040000001">0</CreditCounseling>
      <TermOrPermanentEndowments referenceDocumentId="RetDoc1040000001">0</TermOrPermanentEndowments>
      <ReportLandBldgEquip referenceDocumentId="RetDoc1040000001">1</ReportLandBldgEquip>
      <ReportInvestOthSecurities referenceDocumentId="RetDoc1040000001">0</ReportInvestOthSecurities>
      <ReportProgRelInvest referenceDocumentId="RetDoc1040000001">0</ReportProgRelInvest>
      <ReportOtherAssets referenceDocumentId="RetDoc1040000001">1</ReportOtherAssets>
      <ReportOtherLiabilities referenceDocumentId="RetDoc1040000001">1</ReportOtherLiabilities>
      <ReportFin48Footnote referenceDocumentId="RetDoc1040000001">0</ReportFin48Footnote>
      <IndependentAuditFinancialStmt referenceDocumentId="RetDoc1040000001">1</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt referenceDocumentId="RetDoc1040000001">0</ConsolidatedAuditFinancialStmt>
      <School>0</School>
      <ForeignOffice>0</ForeignOffice>
      <ForeignActivities>0</ForeignActivities>
      <MoreThan5000KToOrganizations>0</MoreThan5000KToOrganizations>
      <MoreThan5000KToIndividuals>0</MoreThan5000KToIndividuals>
      <ProfessionalFundraising referenceDocumentId="RetDoc1041300001">0</ProfessionalFundraising>
      <FundraisingActivities referenceDocumentId="RetDoc1041300001">1</FundraisingActivities>
      <Gaming referenceDocumentId="RetDoc1041300001">0</Gaming>
      <Hospital>0</Hospital>
      <GrantsToOrganizations referenceDocumentId="RetDoc1041900001">1</GrantsToOrganizations>
      <GrantsToIndividuals referenceDocumentId="RetDoc1041900001">0</GrantsToIndividuals>
      <ScheduleJRequired referenceDocumentId="RetDoc1042400001">1</ScheduleJRequired>
      <TaxExemptBonds>0</TaxExemptBonds>
      <ExcessBenefitTransaction referenceDocumentId="RetDoc1042800001">0</ExcessBenefitTransaction>
      <PriorExcessBenefitTransaction referenceDocumentId="RetDoc1042800001">0</PriorExcessBenefitTransaction>
      <LoanToOfficerOrDQP referenceDocumentId="RetDoc1042800001">0</LoanToOfficerOrDQP>
      <GrantToRelatedPerson referenceDocumentId="RetDoc1042800001">0</GrantToRelatedPerson>
      <BsnssRltnshpWithOrganization referenceDocumentId="RetDoc1042800001">1</BsnssRltnshpWithOrganization>
      <BsnssRltnshpThruFamilyMember referenceDocumentId="RetDoc1042800001">0</BsnssRltnshpThruFamilyMember>
      <OfficerEntityWithBsnssRltnshp referenceDocumentId="RetDoc1042800001">0</OfficerEntityWithBsnssRltnshp>
      <DeductibleNonCashContributions referenceDocumentId="RetDoc1042900001">1</DeductibleNonCashContributions>
      <DeductibleContributionsOfArt referenceDocumentId="RetDoc1042900001">0</DeductibleContributionsOfArt>
      <Terminated>0</Terminated>
      <PartialLiquidation>0</PartialLiquidation>
      <DisregardedEntity referenceDocumentId="RetDoc1043400001">1</DisregardedEntity>
      <RelatedEntity referenceDocumentId="RetDoc1043400001">0</RelatedEntity>
      <RelatedOrgControlledEntity>0</RelatedOrgControlledEntity>
      <TransfersToExemptNonChrtblOrg referenceDocumentId="RetDoc1043400001">0</TransfersToExemptNonChrtblOrg>
      <ActivitiesConductedPartnership referenceDocumentId="RetDoc1043400001">0</ActivitiesConductedPartnership>
      <ScheduleORequired>1</ScheduleORequired>
      <NumberFormsTransmittedWith1096>677</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <ComplianceWithBackupWitholding>1</ComplianceWithBackupWitholding>
      <NumberOfEmployees>2310</NumberOfEmployees>
      <EmploymentTaxReturnsFiled>1</EmploymentTaxReturnsFiled>
      <UnrelatedBusinessIncome>0</UnrelatedBusinessIncome>
      <ForeignFinancialAccount>0</ForeignFinancialAccount>
      <ProhibitedTaxShelterTrans>0</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>0</TaxablePartyNotification>
      <NonDeductibleContributions>0</NonDeductibleContributions>
      <QuidProQuoContributions>1</QuidProQuoContributions>
      <QuidProQuoDisclosure>1</QuidProQuoDisclosure>
      <Form8282PropertyDisposedOf>0</Form8282PropertyDisposedOf>
      <NumberOf8282Filed>0</NumberOf8282Filed>
      <FundsToPayPremiums>0</FundsToPayPremiums>
      <PremiumsPaid>0</PremiumsPaid>
      <IndoorTanningServices>0</IndoorTanningServices>
      <InfoInScheduleOPartVI>X</InfoInScheduleOPartVI>
      <NbrVotingGoverningBodyMembers>15</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>14</NumberIndependentVotingMembers>
      <FamilyOrBusinessRelationship>1</FamilyOrBusinessRelationship>
      <DelegationOfManagementDuties>0</DelegationOfManagementDuties>
      <ChangesToOrganizingDocs>0</ChangesToOrganizingDocs>
      <MaterialDiversionOrMisuse>0</MaterialDiversionOrMisuse>
      <MembersOrStockholders>0</MembersOrStockholders>
      <ElectionOfBoardMembers>0</ElectionOfBoardMembers>
      <DecisionsSubjectToApproval>0</DecisionsSubjectToApproval>
      <MinutesOfGoverningBody>1</MinutesOfGoverningBody>
      <MinutesOfCommittees>1</MinutesOfCommittees>
      <OfficerMailingAddress>0</OfficerMailingAddress>
      <LocalChapters>0</LocalChapters>
      <Form990ProvidedToGoverningBody>1</Form990ProvidedToGoverningBody>
      <ConflictOfInterestPolicy>1</ConflictOfInterestPolicy>
      <AnnualDisclosureCoveredPersons>1</AnnualDisclosureCoveredPersons>
      <RegularMonitoringEnforcement>1</RegularMonitoringEnforcement>
      <WhistleblowerPolicy>1</WhistleblowerPolicy>
      <DocumentRetentionPolicy>1</DocumentRetentionPolicy>
      <CompensationProcessCEO>0</CompensationProcessCEO>
      <CompensationProcessOther>1</CompensationProcessOther>
      <InvestmentInJointVenture>0</InvestmentInJointVenture>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NameBusiness>
          <BusinessNameLine1>GARVIN FEDERENKOCHIEF FINANCIAL OFFICER</BusinessNameLine1>
        </NameBusiness>
        <TelephoneNumber>9077291903</TelephoneNumber>
        <AddressUS>
          <AddressLine1>4000 AMBASSADOR DRIVE</AddressLine1>
          <City>ANCHORAGE</City>
          <State>AK</State>
          <ZIPCode>99508</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <Form990PartVIISectionA>
        <NamePerson>ANDREW JIMMIE</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>41500</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ANDREW TEUBER</NamePerson>
        <Title>PRESIDENT/CHAIRMAN</Title>
        <AverageHoursPerWeek>32.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>107715</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>21082</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>BERNICE KAIGELAK</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>40500</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CAROLINE CANNON</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CAROLYN J CROWDER</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>64000</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CHARLENE NOLLNER</NamePerson>
        <Title>SECRETARY</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>57000</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CHARLES CLEMENT</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>4500</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>EMILY HUGHES</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>42500</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>EVELYN BEETER</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>46500</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>GARY HARRISON</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>43000</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>H SALLY SMITH</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>64500</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ILEEN SYLVESTER</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>1500</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JUNE WALUNGA</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>KATHERINE GOTTLIEB</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>35500</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>LINCOLN A BEAN SR</NamePerson>
        <Title>VICE CHAIRMAN</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>61000</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>LINDA CLEMENT</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>47500</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>LOUIS COMMACK</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MIKE ZACHAROF</NamePerson>
        <Title>TREASURER</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>55000</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>PAUL BRENDIBLE</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>PERCY BALLOT</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>RAY ALSTROM</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>42500</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ROBERT HENRICHS</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>42000</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ROBERT SAMPSON</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>5.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>43500</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>HELGESEN ROALD</NamePerson>
        <Title>CHIEF EXECUTIVE OFFICER</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>404184</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>44227</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>FEDERENKO GARVIN</NamePerson>
        <Title>CHIEF FINANCIAL OFFICER</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>304206</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>46510</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>WEAVER STEVEN</NamePerson>
        <Title>SENIOR DIRECTOR, ENVIRONMENTAL HEALTH</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>288641</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>39630</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>FIX SUSANNE E</NamePerson>
        <Title>PHYSICIAN-NEUROSURGEON</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>931614</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>58392</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MIDTHUN JOHN M</NamePerson>
        <Title>MEDICAL DIRECTOR-IMAGING SERVICES</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>646068</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>54172</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>BETTS WILLIAM B</NamePerson>
        <Title>PHYSICIAN-NEUROSURGEON</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>528766</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>26976</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CAYLOR MARK T</NamePerson>
        <Title>MEDICAL DIRECTOR-ORTHOPEDICS</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>515532</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>54179</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>GILSON GEORGE J</NamePerson>
        <Title>PHYSICIAN-PERINATOLOGIST</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>471289</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>47235</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>4930515</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>0</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>392403</TotalOtherCompensation>
      <NumberIndividualsGT100K>261</NumberIndividualsGT100K>
      <FormersListed>0</FormersListed>
      <TotalCompGT150K>1</TotalCompGT150K>
      <CompensationFromOtherSources>0</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>NANA MANAGEMENT SERVICES</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>5600 B STREET</AddressLine1>
            <City>ANCHORAGE</City>
            <State>AK</State>
            <ZIPCode>99518</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>CONTRACT EMPLOYEE/FOOD SERVICES</DescriptionOfServices>
        <Compensation>2925030</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>XTEND HEALTH CARE LLC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 1709</AddressLine1>
            <City>HENDERSONVILLE</City>
            <State>TN</State>
            <ZIPCode>37077</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>CODING SERVICES</DescriptionOfServices>
        <Compensation>1672713</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>ALASKA EXCAVATING LLC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>4900 FAIRBANKS STREET</AddressLine1>
            <City>ANCHORAGE</City>
            <State>AK</State>
            <ZIPCode>99503</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>CONSTRUCTION</DescriptionOfServices>
        <Compensation>1096674</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>QUEST DIAGNOSTICS INC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>FILE BOX 91514</AddressLine1>
            <City>LOS ANGELES</City>
            <State>CA</State>
            <ZIPCode>90074</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>LABORATORY SERVICES</DescriptionOfServices>
        <Compensation>1054761</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>CAPITAL OFFICE SYSTEMS</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>1120 E 35TH AVENUE</AddressLine1>
            <City>ANCHORAGE</City>
            <State>AK</State>
            <ZIPCode>99508</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>DESIGN SERVICES</DescriptionOfServices>
        <Compensation>992968</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>61</NumberOfContractorsGT100K>
      <FundraisingEvents>58397</FundraisingEvents>
      <GovernmentGrants>250807099</GovernmentGrants>
      <AllOtherContributions>2633732</AllOtherContributions>
      <NoncashContributions>67752</NoncashContributions>
      <TotalContributions>253499228</TotalContributions>
      <ProgramServiceRevenue>
        <Description>PATIENT REVENUES</Description>
        <BusinessCode>621400</BusinessCode>
        <TotalRevenueColumn>190634306</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>190634306</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>ARUC UTILITY REVENUE</Description>
        <BusinessCode>221000</BusinessCode>
        <TotalRevenueColumn>5655638</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>5655638</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>BIOMED FIELD SERVICES</Description>
        <BusinessCode>811000</BusinessCode>
        <TotalRevenueColumn>2000938</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>2000938</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>198290882</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>1983684</TotalRevenueColumn>
        <ExclusionAmount>1983684</ExclusionAmount>
      </InvestmentIncome>
      <GrossAmountSalesAssets>
        <Securities>31772681</Securities>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Securities>34185296</Securities>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Securities>-2412615</Securities>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>-2412615</TotalRevenueColumn>
        <ExclusionAmount>-2412615</ExclusionAmount>
      </NetGainOrLossInvestments>
      <GrossIncomeFundraisingEvents>511613</GrossIncomeFundraisingEvents>
      <CntrbtnsRprtdFundraisingEvents>58397</CntrbtnsRprtdFundraisingEvents>
      <FundraisingDirectExpenses>265756</FundraisingDirectExpenses>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>245857</TotalRevenueColumn>
        <ExclusionAmount>245857</ExclusionAmount>
      </NetIncomeFromFundraisingEvents>
      <GrossSalesOfInventory>21979494</GrossSalesOfInventory>
      <CostOfGoodsSold>21304249</CostOfGoodsSold>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>675245</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>675245</RelatedOrExemptFunctionIncome>
      </NetIncomeOrLoss>
      <OtherRevenueMisc>
        <Description>MISC. REVENUES</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>4344164</TotalRevenueColumn>
        <ExclusionAmount>4344164</ExclusionAmount>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>EHR MEANINGFUL USE</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>2871324</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>2871324</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>AFHCAN REVENUE</Description>
        <BusinessCode>541519</BusinessCode>
        <TotalRevenueColumn>319834</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>319834</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <TotalOtherRevenue>7535322</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>459817603</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>202157285</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>4161090</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>24961363</Total>
        <ProgramServices>24961363</ProgramServices>
      </GrantsToDomesticOrgs>
      <CompCurrentOfficersDirectors>
        <Total>2011673</Total>
        <ProgramServices>1669689</ProgramServices>
        <ManagementAndGeneral>341984</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <OtherSalariesAndWages>
        <Total>180948652</Total>
        <ProgramServices>152150739</ProgramServices>
        <ManagementAndGeneral>28797913</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>6176638</Total>
        <ProgramServices>5038533</ProgramServices>
        <ManagementAndGeneral>1138105</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>4985028</Total>
        <ProgramServices>4066320</ProgramServices>
        <ManagementAndGeneral>918708</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>23370329</Total>
        <ProgramServices>18620659</ProgramServices>
        <ManagementAndGeneral>4749670</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesLegal>
        <Total>1216307</Total>
        <ProgramServices>473043</ProgramServices>
        <ManagementAndGeneral>743264</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>698165</Total>
        <ProgramServices>698165</ProgramServices>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>273750</Total>
        <ManagementAndGeneral>273750</ManagementAndGeneral>
      </FeesForServicesLobbying>
      <FeesForServicesInvstMgmntFees>
        <Total>313347</Total>
        <ManagementAndGeneral>313347</ManagementAndGeneral>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>62842357</Total>
        <ProgramServices>49419569</ProgramServices>
        <ManagementAndGeneral>13422788</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>301498</Total>
        <ProgramServices>256162</ProgramServices>
        <ManagementAndGeneral>45336</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>5366889</Total>
        <ProgramServices>3064709</ProgramServices>
        <ManagementAndGeneral>2302180</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>5017590</Total>
        <ProgramServices>473043</ProgramServices>
        <ManagementAndGeneral>4544547</ManagementAndGeneral>
      </InformationTechnology>
      <Occupancy>
        <Total>8434935</Total>
        <ProgramServices>5348026</ProgramServices>
        <ManagementAndGeneral>3086909</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>12226866</Total>
        <ProgramServices>10590428</ProgramServices>
        <ManagementAndGeneral>1636438</ManagementAndGeneral>
      </Travel>
      <DepreciationDepletion>
        <Total>10177289</Total>
        <ProgramServices>4964612</ProgramServices>
        <ManagementAndGeneral>5212677</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>829435</Total>
        <ProgramServices>500</ProgramServices>
        <ManagementAndGeneral>828935</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>MEDICAL SUPPLIES</Description>
        <Total>32724858</Total>
        <ProgramServices>32256974</ProgramServices>
        <ManagementAndGeneral>467884</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>CONSTRUCTION MATERIALS/</Description>
        <Total>23043542</Total>
        <ProgramServices>23043084</ProgramServices>
        <ManagementAndGeneral>458</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MINOR EQUIPMENT</Description>
        <Total>8580624</Total>
        <ProgramServices>5765745</ProgramServices>
        <ManagementAndGeneral>2814879</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>INDIRECT COSTS ALLOCATI</Description>
        <Total>0</Total>
        <ProgramServices>63362811</ProgramServices>
        <ManagementAndGeneral>-63409008</ManagementAndGeneral>
        <Fundraising>46197</Fundraising>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>23939428</Total>
        <ProgramServices>21364529</ProgramServices>
        <ManagementAndGeneral>2241700</ManagementAndGeneral>
        <Fundraising>333199</Fundraising>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>438440563</Total>
        <ProgramServices>427588703</ProgramServices>
        <ManagementAndGeneral>10472464</ManagementAndGeneral>
        <Fundraising>379396</Fundraising>
      </TotalFunctionalExpenses>
      <SavingsAndTempCashInvestments>
        <BOY>155584355</BOY>
        <EOY>87281081</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <BOY>37248374</BOY>
        <EOY>37971239</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>28555448</BOY>
        <EOY>33457479</EOY>
      </AccountsReceivable>
      <InventoriesForSaleOrUse>
        <BOY>5611562</BOY>
        <EOY>5701767</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>1199920</BOY>
        <EOY>1374893</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>178388109</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>66884546</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>89812705</BOY>
        <EOY>111503563</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>71611072</BOY>
        <EOY>130533705</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <BOY>576560</BOY>
        <EOY>53573</EOY>
      </InvestmentsOtherSecurities>
      <OtherAssetsTotal>
        <BOY>24863956</BOY>
        <EOY>30755796</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>415063952</BOY>
        <EOY>438633096</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>72050755</BOY>
        <EOY>67705599</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>64645765</BOY>
        <EOY>58280878</EOY>
      </DeferredRevenue>
      <OtherLiabilities>
        <BOY>2402406</BOY>
        <EOY>13455919</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>139098926</BOY>
        <EOY>139442396</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>267202497</BOY>
        <EOY>292129854</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>8762529</BOY>
        <EOY>7060846</EOY>
      </TemporarilyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>275965026</BOY>
        <EOY>299190700</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>415063952</BOY>
        <EOY>438633096</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>21377040</ReconcilationRevenueExpenses>
      <ReconciliationUnrealizedInvest>1848634</ReconciliationUnrealizedInvest>
      <ReconcilationOtherChanges>0</ReconcilationOtherChanges>
      <InfoInScheduleOPartXII>X</InfoInScheduleOPartXII>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <FSAuditedBasis>
        <FinancialStatementSeparate>X</FinancialStatementSeparate>
      </FSAuditedBasis>
      <AuditCommittee>1</AuditCommittee>
      <FederalGrantAuditRequired>1</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>1</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2>X</PubliclySupportedOrg509a2>
      <GiftsGrantsContribReceived509>
        <CurrentTaxYearMinus4Years>220599675</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>268655376</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>264926309</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>264561208</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>253499228</CurrentTaxYear>
        <Total>1272241796</Total>
      </GiftsGrantsContribReceived509>
      <GrossReceiptsFromAdmissions>
        <CurrentTaxYearMinus4Years>125701374</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>154962968</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>172488448</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>194922610</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>221101823</CurrentTaxYear>
        <Total>869177223</Total>
      </GrossReceiptsFromAdmissions>
      <GrossReceiptsFromNonUBI>
        <CurrentTaxYearMinus1Year>191720</CurrentTaxYearMinus1Year>
        <Total>191720</Total>
      </GrossReceiptsFromNonUBI>
      <Total509>
        <CurrentTaxYearMinus4Years>346301049</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>423618344</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>437414757</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>459675538</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>474601051</CurrentTaxYear>
        <Total>2141610739</Total>
      </Total509>
      <AmtsRecdFromDisqualPersons>
        <Total>0</Total>
      </AmtsRecdFromDisqualPersons>
      <AmtsFromSubstContributors>
        <Total>0</Total>
      </AmtsFromSubstContributors>
      <SupportFromDQPsEtc>
        <Total>0</Total>
      </SupportFromDQPsEtc>
      <PublicSupportTotal509>2141610739</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>-4931134</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>2530474</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>2797764</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>1987922</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>1983684</CurrentTaxYear>
        <Total>4368710</Total>
      </GrossInvestmentIncome509>
      <InvestmentIncomeAndUBTI>
        <CurrentTaxYearMinus4Years>-4931134</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>2530474</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>2797764</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>1987922</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>1983684</CurrentTaxYear>
        <Total>4368710</Total>
      </InvestmentIncomeAndUBTI>
      <OtherIncome509>
        <CurrentTaxYearMinus4Years>7575961</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>8993707</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>7804550</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>8490312</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>7215488</CurrentTaxYear>
        <Total>40080018</Total>
      </OtherIncome509>
      <TotalSupportTotal>
        <CurrentTaxYearMinus4Years>348945876</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>435142525</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>448017071</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>470153772</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>483800223</CurrentTaxYear>
        <Total>2186059467</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.97970</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.97920</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.00200</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.00320</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="RetDoc1039700001">
      <Volunteers>0</Volunteers>
      <PaidStaffOrManagement>1</PaidStaffOrManagement>
      <MediaAdvertisements>0</MediaAdvertisements>
      <MailingsMembers>0</MailingsMembers>
      <PublicationsOrBroadcast>1</PublicationsOrBroadcast>
      <PublicationsOrBroadcastAmount>5566</PublicationsOrBroadcastAmount>
      <GrantsOtherOrganizations>0</GrantsOtherOrganizations>
      <DirectContactLegislators>1</DirectContactLegislators>
      <RalliesDemonstrations>0</RalliesDemonstrations>
      <OtherActivities>1</OtherActivities>
      <OtherActivitiesAmount>253750</OtherActivitiesAmount>
      <TotalLobbyingExpendituresIIB>259316</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>0</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
        <Identifier>EXPLANATION OF LOBBYING ACTIVITIES:</Identifier>
        <ReturnReference>PART II-B, LINE 1:</ReturnReference>
        <Explanation>EFFORTS TO FURTHER ANTHC PRIORITIES AT THE STATE AND FEDERAL LEVELS INCLUDED MATERIALS PREPARATION FOR DISTRIBUTION, MEETINGS WITH LEGISLATORS AND STAFF, PREPARATION AND DELIVERY OF WRITTEN AND ORAL TESTIMONIES, AND REVIEW AND INPUT ON LEGISLATION RELATED TO OUR PRIORITIES.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <Land>
        <OtherCostOrOtherBasis>17123728</OtherCostOrOtherBasis>
        <BookValue>17123728</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>63563740</OtherCostOrOtherBasis>
        <Depreciation>5182272</Depreciation>
        <BookValue>58381468</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>8733755</OtherCostOrOtherBasis>
        <Depreciation>3291628</Depreciation>
        <BookValue>5442127</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>71999271</OtherCostOrOtherBasis>
        <Depreciation>45419918</Depreciation>
        <BookValue>26579353</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>16967615</OtherCostOrOtherBasis>
        <Depreciation>12990728</Depreciation>
        <BookValue>3976887</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>111503563</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>RECEIVABLE FROM CENTRAL WAREHOUSE</Description>
        <BookValue>8917338</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>SOUTHCENTRAL FOUNDATION CONTRACT</Description>
        <BookValue>1539165</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>OTHER RECEIVABLES</Description>
        <BookValue>10133309</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>CONSTRUCTION IN PROGRESS</Description>
        <BookValue>10165984</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>30755796</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>SOUTHCENTRAL FOUNDATION CONTRACT PAYABLE</Description>
        <Amount>13455919</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>13455919</TotalOfAmounts>
      <TotRevenueEtcAuditedFinclStmt>482922895</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>1848634</NetUnrealizedGainsInvestments>
      <OtherRevenues>21570005</OtherRevenues>
      <RevenueNotRptdF990>23418639</RevenueNotRptdF990>
      <RevenueSubtotal>459504256</RevenueSubtotal>
      <InvestmentExpensesNotIncluded>313347</InvestmentExpensesNotIncluded>
      <RevenueNotRptdOnFinStmt>313347</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>459817603</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>459697221</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>21570005</OtherExpensesIncluded>
      <ExpensesNotRptdF990>21570005</ExpensesNotRptdF990>
      <ExpensesSubtotal>438127216</ExpensesSubtotal>
      <InvestmentExpensesNotIncluded2>313347</InvestmentExpensesNotIncluded2>
      <ExpensesNotRptdOnFinStmt>313347</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>438440563</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIII>
        <Identifier>PART XI, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>CENTRAL WAREHOUSE EXPENSES 21,304,249. FUNDRAISING EXPENSES NETTED AGAINST REVENUE 265,756.</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>PART XII, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>CENTRAL WAREHOUSE EXPENSES 21,304,249. FUNDRAISING EXPENSES NETTED AGAINST REVENUE 265,756.</Explanation>
      </Form990ScheduleDPartXIII>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <EventsInformation>
        <NameOfEvent1>DINNER</NameOfEvent1>
        <GrossReceiptsEvent1>536702</GrossReceiptsEvent1>
        <CharitableContributionsEvent1>53889</CharitableContributionsEvent1>
        <GrossRevenueEvent1>482813</GrossRevenueEvent1>
        <NonCashPrizesEvent1>53889</NonCashPrizesEvent1>
        <RentFacilityCostsEvent1>77551</RentFacilityCostsEvent1>
        <OtherDirectExpensesEvent1>109524</OtherDirectExpensesEvent1>
        <NameOfEvent2>GOLF TOURNAMENT</NameOfEvent2>
        <GrossReceiptsEvent2>33308</GrossReceiptsEvent2>
        <CharitableContributionsEvent2>4508</CharitableContributionsEvent2>
        <GrossRevenueEvent2>28800</GrossRevenueEvent2>
        <NonCashPrizesEvent2>4508</NonCashPrizesEvent2>
        <RentFacilityCostsEvent2>6068</RentFacilityCostsEvent2>
        <FoodAndBeverageEvent2>2317</FoodAndBeverageEvent2>
        <OtherDirectExpensesEvent2>11900</OtherDirectExpensesEvent2>
        <GrossReceiptsTotal>570010</GrossReceiptsTotal>
        <CharitableContributionsTotal>58397</CharitableContributionsTotal>
        <GrossRevenueTotalEvents>511613</GrossRevenueTotalEvents>
        <NonCashPrizesTotalEvents>58397</NonCashPrizesTotalEvents>
        <RentFacilityCostsTotalEvents>83619</RentFacilityCostsTotalEvents>
        <FoodAndBeverageTotalEvents>2317</FoodAndBeverageTotalEvents>
        <OtherDirectExpensesTotalEvents>121424</OtherDirectExpensesTotalEvents>
        <DirectExpenseSummaryEvents>265757</DirectExpenseSummaryEvents>
        <NetIncomeSummary>245856</NetIncomeSummary>
      </EventsInformation>
    </IRS990ScheduleG>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <RecordsMaintained>1</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>ALASKA FEDERATION OF NATIVES</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1577 C STREET SUITE 300</AddressLine1>
          <City>ANCHORAGE</City>
          <State>AK</State>
          <ZIPCode>99501</ZIPCode>
        </AddressUS>
        <EINOfRecipient>920034863</EINOfRecipient>
        <IRCSection>501(C)3</IRCSection>
        <AmountOfCashGrant>17000</AmountOfCashGrant>
        <PurposeOfGrant>SPONSORSHIP</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>ALASKA HEALTHCARE EXECUTIVES NETWORK</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO BOX 230724</AddressLine1>
          <City>ANCHORAGE</City>
          <State>AK</State>
          <ZIPCode>99507</ZIPCode>
        </AddressUS>
        <EINOfRecipient>200447788</EINOfRecipient>
        <IRCSection>501(C)6</IRCSection>
        <AmountOfCashGrant>5000</AmountOfCashGrant>
        <PurposeOfGrant>SPONSORSHIP</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>ALASKA NATIVE HEALTH BOARD</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1840 BRAGAW STREET SUITE 220</AddressLine1>
          <City>ANCHORAGE</City>
          <State>AK</State>
          <ZIPCode>995083463</ZIPCode>
        </AddressUS>
        <EINOfRecipient>920056272</EINOfRecipient>
        <IRCSection>501(C)3</IRCSection>
        <AmountOfCashGrant>427420</AmountOfCashGrant>
        <PurposeOfGrant>CONSUMER AWARENESS</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>ALASKA NATIVE HERITAGE CENTER</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>8800 HERITAGE CENTER DRIVE</AddressLine1>
          <City>ANCHORAGE</City>
          <State>AK</State>
          <ZIPCode>99506</ZIPCode>
        </AddressUS>
        <EINOfRecipient>920127531</EINOfRecipient>
        <IRCSection>501(C)3</IRCSection>
        <AmountOfCashGrant>20000</AmountOfCashGrant>
        <PurposeOfGrant>SPONSORSHIP</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>ALASKA STATE CHAMBER OF COMMERCE</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>471 W 36TH AVENUE SUITE 201</AddressLine1>
          <City>ANCHORAGE</City>
          <State>AK</State>
          <ZIPCode>99503</ZIPCode>
        </AddressUS>
        <EINOfRecipient>920026812</EINOfRecipient>
        <IRCSection>501(C)3</IRCSection>
        <AmountOfCashGrant>5000</AmountOfCashGrant>
        <PurposeOfGrant>SPONSORSHIP</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>ALEUTIAN PRIBILOF ISLAND ASSOC</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1131 E INTL AIRPORT ROAD</AddressLine1>
          <City>ANCHORAGE</City>
          <State>AK</State>
          <ZIPCode>99518</ZIPCode>
        </AddressUS>
        <EINOfRecipient>920073013</EINOfRecipient>
        <IRCSection>501(C)3</IRCSection>
        <AmountOfCashGrant>142548</AmountOfCashGrant>
        <PurposeOfGrant>BIOMED, BHA, HSS, SPECIAL PROJECT, SPONSORSHIP</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>AMERICAN CANCER SOCIETY</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>3851 PIPER STREET SUITE U240</AddressLine1>
          <City>ANCHORAGE</City>
          <State>AK</State>
          <ZIPCode>99508</ZIPCode>
        </AddressUS>
        <EINOfRecipient>131788491</EINOfRecipient>
        <IRCSection>501(C)3</IRCSection>
        <AmountOfCashGrant>5000</AmountOfCashGrant>
        <PurposeOfGrant>SPONSORSHIP</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>AMERICAN HEART ASSOCIATION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>3700 WOODLAND DRIVE SUITE 700</AddressLine1>
          <City>ANCHORAGE</City>
          <State>AK</State>
          <ZIPCode>99517</ZIPCode>
        </AddressUS>
        <EINOfRecipient>135613797</EINOfRecipient>
        <IRCSection>501(C)3</IRCSection>
        <AmountOfCashGrant>5000</AmountOfCashGrant>
        <PurposeOfGrant>SPONSORSHIP</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>ANNETTE ISLAND SERVICE UNIT</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO BOX 8</AddressLine1>
          <City>METLAKATLA</City>
          <State>AK</State>
          <ZIPCode>99926</ZIPCode>
        </AddressUS>
        <EINOfRecipient>920014579</EINOfRecipient>
        <IRCSection>501(C)3</IRCSection>
        <AmountOfCashGrant>28292</AmountOfCashGrant>
        <PurposeOfGrant>BIOMED</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>ARCTIC SLOPE NATIVE ASSOCIATION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO BOX 1232</AddressLine1>
          <City>BARROW</City>
          <State>AK</State>
          <ZIPCode>99723</ZIPCode>
        </AddressUS>
        <EINOfRecipient>910873623</EINOfRecipient>
        <IRCSection>501(C)3</IRCSection>
        <AmountOfCashGrant>424872</AmountOfCashGrant>
        <PurposeOfGrant>BIOMED, BHA, RADIOLOGY, HSS</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>BRISTOL BAY AREA HEALTH CORPORATION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO BOX 130</AddressLine1>
          <City>DILLINGHAM</City>
          <State>AK</State>
          <ZIPCode>99576</ZIPCode>
        </AddressUS>
        <EINOfRecipient>920044965</EINOfRecipient>
        <IRCSection>501(C)3</IRCSection>
        <AmountOfCashGrant>1113932</AmountOfCashGrant>
        <PurposeOfGrant>MAINTENANCE &amp; IMPROVEMENTM SPECIAL PROJECT, HSS, BIOMED, RADIOLOGY</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>CENTER FOR NATIVE AMERICAN YOUTH AT THE ASPEN INSTITUTE</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1 DUPONT CIRCLE NW SUITE 700</AddressLine1>
          <City>WASHINGTON</City>
          <State>DC</State>
          <ZIPCode>20036</ZIPCode>
        </AddressUS>
        <EINOfRecipient>840399006</EINOfRecipient>
        <IRCSection>501(C)3</IRCSection>
        <AmountOfCashGrant>5000</AmountOfCashGrant>
        <PurposeOfGrant>SPONSORSHIP</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>CHICKALOON VILLAGE</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO BOX 1105</AddressLine1>
          <City>CHICKALOON</City>
          <State>AK</State>
          <ZIPCode>99674</ZIPCode>
        </AddressUS>
        <EINOfRecipient>920120907</EINOfRecipient>
        <IRCSection>501(C)1</IRCSection>
        <AmountOfCashGrant>151337</AmountOfCashGrant>
        <PurposeOfGrant>HSS, PCC</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>CHITINA TRADITIONAL VILLAGE COUNCIL</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO BOX 31</AddressLine1>
          <City>CHITINA</City>
          <State>AK</State>
          <ZIPCode>99566</ZIPCode>
        </AddressUS>
        <EINOfRecipient>920068532</EINOfRecipient>
        <IRCSection>501(C)1</IRCSection>
        <AmountOfCashGrant>121685</AmountOfCashGrant>
        <PurposeOfGrant>BIOMED, PCC, HSS</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>CHUGACHMIUT</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1840 S BRAGAW SUITE 110</AddressLine1>
          <City>ANCHORAGE</City>
          <State>AK</State>
          <ZIPCode>99508</ZIPCode>
        </AddressUS>
        <EINOfRecipient>920046614</EINOfRecipient>
        <IRCSection>501(C)3</IRCSection>
        <AmountOfCashGrant>1201804</AmountOfCashGrant>
        <PurposeOfGrant>BIOMED, BHA, PCC, HSS</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>CITY OF NONDALTON</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO BOX 89</AddressLine1>
          <City>NONDALTON</City>
          <State>AK</State>
          <ZIPCode>99640</ZIPCode>
        </AddressUS>
        <EINOfRecipient>920055092</EINOfRecipient>
        <IRCSection>501(C)1</IRCSection>
        <AmountOfCashGrant>784435</AmountOfCashGrant>
        <PurposeOfGrant>WATER &amp; SEWER</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>CITY OF ST MARYS</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO BOX 209</AddressLine1>
          <City>ST MARYS</City>
          <State>AK</State>
          <ZIPCode>99658</ZIPCode>
        </AddressUS>
        <EINOfRecipient>920031426</EINOfRecipient>
        <IRCSection>501(C)1</IRCSection>
        <AmountOfCashGrant>231898</AmountOfCashGrant>
        <PurposeOfGrant>WATER &amp; SEWER</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>CITY OF TOGIAK</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO BOX 270</AddressLine1>
          <City>TOGIAK</City>
          <State>AK</State>
          <ZIPCode>99678</ZIPCode>
        </AddressUS>
        <EINOfRecipient>920047402</EINOfRecipient>
        <IRCSection>501(C)1</IRCSection>
        <AmountOfCashGrant>32511</AmountOfCashGrant>
        <PurposeOfGrant>WATER &amp; SEWER</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>COOK INLET TRIBAL COUNCIL INCORPORATED</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>3600 SAN JERONIMO DRIVE SUITE 286</AddressLine1>
          <City>ANCHORAGE</City>
          <State>AK</State>
          <ZIPCode>99508</ZIPCode>
        </AddressUS>
        <EINOfRecipient>920094184</EINOfRecipient>
        <IRCSection>501(C)3</IRCSection>
        <AmountOfCashGrant>25000</AmountOfCashGrant>
        <PurposeOfGrant>SPONSORSHIP</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>COPPER RIVER NATIVE ASSOCIATION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>DRAWER H</AddressLine1>
          <City>COPPER CENTER</City>
          <State>AK</State>
          <ZIPCode>99573</ZIPCode>
        </AddressUS>
        <EINOfRecipient>920041638</EINOfRecipient>
        <IRCSection>501(C)3</IRCSection>
        <AmountOfCashGrant>119867</AmountOfCashGrant>
        <PurposeOfGrant>SPECIAL PROJECT, BHA</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>COUNCIL OF ATHBASCAN TRIBAL GOVERNMENTS</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO BOX 309</AddressLine1>
          <City>FT YUKON</City>
          <State>AK</State>
          <ZIPCode>99740</ZIPCode>
        </AddressUS>
        <EINOfRecipient>920134670</EINOfRecipient>
        <IRCSection>501(C)1</IRCSection>
        <AmountOfCashGrant>24425</AmountOfCashGrant>
        <PurposeOfGrant>SPECIAL PROJECT, COMMUNITY HEALTH, BIOMED</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>EASTERN ALEUTIAN TRIBES</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>3380 C STREET SUITE 100</AddressLine1>
          <City>ANCHORAGE</City>
          <State>AK</State>
          <ZIPCode>995033949</ZIPCode>
        </AddressUS>
        <EINOfRecipient>920139107</EINOfRecipient>
        <IRCSection>501(C)1</IRCSection>
        <AmountOfCashGrant>166579</AmountOfCashGrant>
        <PurposeOfGrant>TASK FORCE, SPECIAL PROJECT, BHA, PH</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>FIRST ALASKANS INSTITUTE</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>606 E STREET SUITE 200</AddressLine1>
          <City>ANCHORAGE</City>
          <State>AK</State>
          <ZIPCode>99501</ZIPCode>
        </AddressUS>
        <EINOfRecipient>920174854</EINOfRecipient>
        <IRCSection>501(C)3</IRCSection>
        <AmountOfCashGrant>20000</AmountOfCashGrant>
        <PurposeOfGrant>SPONSORSHIP</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>FOUNDATION FOR WOMEN' CANCER</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>230 W MONROE SUITE 2528</AddressLine1>
          <City>CHICAGO</City>
          <State>IL</State>
          <ZIPCode>606064703</ZIPCode>
        </AddressUS>
        <EINOfRecipient>363797707</EINOfRecipient>
        <IRCSection>501(C)3</IRCSection>
        <AmountOfCashGrant>5000</AmountOfCashGrant>
        <PurposeOfGrant>SPONSORSHIP</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>GWICHYAA GWICHIN TRIBAL GOVERNMENT</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO BOX 126</AddressLine1>
          <City>FORT YUKON</City>
          <State>AK</State>
          <ZIPCode>99740</ZIPCode>
        </AddressUS>
        <EINOfRecipient>920065685</EINOfRecipient>
        <IRCSection>501(C)1</IRCSection>
        <AmountOfCashGrant>6554</AmountOfCashGrant>
        <PurposeOfGrant>MULTI MEDIA</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>KENAITZE INDIAN TRIBE</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO BOX 988</AddressLine1>
          <City>KENAI</City>
          <State>AK</State>
          <ZIPCode>99611</ZIPCode>
        </AddressUS>
        <EINOfRecipient>920069243</EINOfRecipient>
        <IRCSection>501(C)1</IRCSection>
        <AmountOfCashGrant>722874</AmountOfCashGrant>
        <PurposeOfGrant>BIOMED, PCC, TRIBAL SHARES, HSS</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>KETCHIKAN INDIAN CORPORATION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>2960 TONGASS AVENUE</AddressLine1>
          <City>KETCHIKAN</City>
          <State>AK</State>
          <ZIPCode>999015742</ZIPCode>
        </AddressUS>
        <EINOfRecipient>926002696</EINOfRecipient>
        <IRCSection>501(C)1</IRCSection>
        <AmountOfCashGrant>24990</AmountOfCashGrant>
        <PurposeOfGrant>CHEF, SPECIAL PROJECT, HSS</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>KNIK TRIBAL COUNCIL</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO BOX 871565</AddressLine1>
          <City>WASILLA</City>
          <State>AK</State>
          <ZIPCode>99687</ZIPCode>
        </AddressUS>
        <EINOfRecipient>920076275</EINOfRecipient>
        <IRCSection>501(C)1</IRCSection>
        <AmountOfCashGrant>157399</AmountOfCashGrant>
        <PurposeOfGrant>PCC, HSS</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>KODIAK AREA NATIVE ASSOCIATION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>3449 E REZANOF DRIVE</AddressLine1>
          <City>ANCHORAGE</City>
          <State>AK</State>
          <ZIPCode>99615</ZIPCode>
        </AddressUS>
        <EINOfRecipient>920038225</EINOfRecipient>
        <IRCSection>501(C)3</IRCSection>
        <AmountOfCashGrant>884740</AmountOfCashGrant>
        <PurposeOfGrant>BHA, BIOMED, PCC, SPECIAL PROJECT, MAINTENANCE &amp; IMPROVEMENTS, HSS, SUBSTANCE ABUSE</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>MANIILAQ ASSOCIATION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO BOX 856</AddressLine1>
          <City>KOTZEBUE</City>
          <State>AK</State>
          <ZIPCode>99752</ZIPCode>
        </AddressUS>
        <EINOfRecipient>920041461</EINOfRecipient>
        <IRCSection>501(C)3</IRCSection>
        <AmountOfCashGrant>530705</AmountOfCashGrant>
        <PurposeOfGrant>MAINTENANCE &amp; IMPROVEMENT, BIOMED, HSS, BHA</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>METLAKATLA INDIAN COMMUNITY</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO BOX 8</AddressLine1>
          <City>METLAKATLA</City>
          <State>AK</State>
          <ZIPCode>99926</ZIPCode>
        </AddressUS>
        <EINOfRecipient>920014579</EINOfRecipient>
        <IRCSection>501(C)1</IRCSection>
        <AmountOfCashGrant>8892</AmountOfCashGrant>
        <PurposeOfGrant>HSS</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>MT SANFORD TRIBAL CONSORTIUM</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO BOX 357</AddressLine1>
          <City>GAKONA</City>
          <State>AK</State>
          <ZIPCode>99586</ZIPCode>
        </AddressUS>
        <EINOfRecipient>920143492</EINOfRecipient>
        <IRCSection>501(C)3</IRCSection>
        <AmountOfCashGrant>142122</AmountOfCashGrant>
        <PurposeOfGrant>BIOMED. PCC, HSS</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>NATIVE VILLAGE OF AMBLER</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO BOX 47</AddressLine1>
          <City>AMBLER</City>
          <State>AK</State>
          <ZIPCode>99786</ZIPCode>
        </AddressUS>
        <EINOfRecipient>920067127</EINOfRecipient>
        <IRCSection>501(C)1</IRCSection>
        <AmountOfCashGrant>10110</AmountOfCashGrant>
        <PurposeOfGrant>SPECIAL PROJECT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>NATIVE VILLAGE OF EKLUTNA</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>26339 EKLUTNA VILLAGE ROAD</AddressLine1>
          <City>CHUGIAK</City>
          <State>AK</State>
          <ZIPCode>99567</ZIPCode>
        </AddressUS>
        <EINOfRecipient>920115246</EINOfRecipient>
        <IRCSection>501(C)1</IRCSection>
        <AmountOfCashGrant>159967</AmountOfCashGrant>
        <PurposeOfGrant>PCC, HSS</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>NATIVE VILLAGE OF ELIM</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO BOX 39070</AddressLine1>
          <City>ELIM</City>
          <State>AK</State>
          <ZIPCode>997390070</ZIPCode>
        </AddressUS>
        <EINOfRecipient>920055379</EINOfRecipient>
        <IRCSection>501(C)1</IRCSection>
        <AmountOfCashGrant>16521</AmountOfCashGrant>
        <PurposeOfGrant>MULTI MEDIA</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>NATIVE VILLAGE OF PEDRO BAY VILLAGE COUNCIL</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO BOX 47020</AddressLine1>
          <City>PEDRO BAY</City>
          <State>AK</State>
          <ZIPCode>99647</ZIPCode>
        </AddressUS>
        <EINOfRecipient>920074409</EINOfRecipient>
        <IRCSection>501(C)1</IRCSection>
        <AmountOfCashGrant>9777</AmountOfCashGrant>
        <PurposeOfGrant>MULTI MEDIA</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>NINILCHIK TRADITIONAL COUNCIL</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO BOX 39070</AddressLine1>
          <City>NINILCHIK</City>
          <State>AK</State>
          <ZIPCode>99639</ZIPCode>
        </AddressUS>
        <EINOfRecipient>920069906</EINOfRecipient>
        <IRCSection>501(C)1</IRCSection>
        <AmountOfCashGrant>209719</AmountOfCashGrant>
        <PurposeOfGrant>BIOMED, PCC, HSS</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>NORTH SLOPE BOROUGH</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO BOX 69</AddressLine1>
          <City>BARROW</City>
          <State>AK</State>
          <ZIPCode>99723</ZIPCode>
        </AddressUS>
        <EINOfRecipient>920042378</EINOfRecipient>
        <IRCSection>501(C)1</IRCSection>
        <AmountOfCashGrant>68368</AmountOfCashGrant>
        <PurposeOfGrant>BIOMED</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>NORTON SOUND HEALTH CORPORATION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO BOX 966</AddressLine1>
          <City>NOME</City>
          <State>AK</State>
          <ZIPCode>99762</ZIPCode>
        </AddressUS>
        <EINOfRecipient>920041488</EINOfRecipient>
        <IRCSection>501(C)3</IRCSection>
        <AmountOfCashGrant>730086</AmountOfCashGrant>
        <PurposeOfGrant>MAINTENANCE &amp; IMPROVEMENT, SPECIAL PROJECT, BIOMED, RADIOLOGY, HSS, SPONSORSHIP</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>SELDOVIA VILLAGE TRIBE</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO DRAWER L</AddressLine1>
          <City>SELDOVIA</City>
          <State>AK</State>
          <ZIPCode>996630250</ZIPCode>
        </AddressUS>
        <EINOfRecipient>920134463</EINOfRecipient>
        <IRCSection>501(C)1</IRCSection>
        <AmountOfCashGrant>282147</AmountOfCashGrant>
        <PurposeOfGrant>PCC, HSS, SPECIAL PROJECT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>SGCE TRIBAL CONSORTIUM</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO BOX 1734</AddressLine1>
          <City>MCALESTER</City>
          <State>OK</State>
          <ZIPCode>74502</ZIPCode>
        </AddressUS>
        <EINOfRecipient>342017910</EINOfRecipient>
        <IRCSection>501(C)3</IRCSection>
        <AmountOfCashGrant>5000</AmountOfCashGrant>
        <PurposeOfGrant>SPONSORSHIP</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>SMITHSONIAN INSTITUTION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1000 JEFFERSON DRIVE SW</AddressLine1>
          <City>WASHINGTON</City>
          <State>DC</State>
          <ZIPCode>20560</ZIPCode>
        </AddressUS>
        <EINOfRecipient>530206027</EINOfRecipient>
        <IRCSection>501(C)3</IRCSection>
        <AmountOfCashGrant>5000</AmountOfCashGrant>
        <PurposeOfGrant>SPONSORSHIP</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>SOUTHCENTRAL FOUNDATION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>4501 DIPLOMACY DRIVE</AddressLine1>
          <City>ANCHORAGE</City>
          <State>AK</State>
          <ZIPCode>99508</ZIPCode>
        </AddressUS>
        <EINOfRecipient>920086076</EINOfRecipient>
        <IRCSection>501(C)3</IRCSection>
        <AmountOfCashGrant>2215073</AmountOfCashGrant>
        <PurposeOfGrant>BHA, PCC, PA, RURAL ASU, HSS, MAINTENANCE &amp; IMPROVEMENT, BIOMED, RADIOLOGY, CHEF</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>SOUTHEAST ALASKA REGIONAL HEALTH CORPORATION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>3245 HOSPITAL DRIVE</AddressLine1>
          <City>JUNEAU</City>
          <State>AK</State>
          <ZIPCode>99801</ZIPCode>
        </AddressUS>
        <EINOfRecipient>920056274</EINOfRecipient>
        <IRCSection>501(C)3</IRCSection>
        <AmountOfCashGrant>962169</AmountOfCashGrant>
        <PurposeOfGrant>CHEF, MAINTENANCE &amp; IMPROVEMENT, SPECIAL PROJECT, BHA, BIOMED, HSS</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>STATE OF ALASKA</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>333 WILLOUGHBY AVE</AddressLine1>
          <City>JUNEAU</City>
          <State>AK</State>
          <ZIPCode>99801</ZIPCode>
        </AddressUS>
        <EINOfRecipient>926001185</EINOfRecipient>
        <IRCSection>501(C)1</IRCSection>
        <AmountOfCashGrant>8839289</AmountOfCashGrant>
        <PurposeOfGrant>WATER &amp; SEWER</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>TANANA CHIEFS CONFERENCE</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>122 1ST AVENUE SUITE 300</AddressLine1>
          <City>FAIRBANKS</City>
          <State>AK</State>
          <ZIPCode>99701</ZIPCode>
        </AddressUS>
        <EINOfRecipient>920040308</EINOfRecipient>
        <IRCSection>501(C)3</IRCSection>
        <AmountOfCashGrant>1029697</AmountOfCashGrant>
        <PurposeOfGrant>CHEF, SPECIAL PROJECT, INJURY PREVENTION, BHA, BIOMED, HSS</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>TANANA NATIVE COUNCIL</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO BOX 77093</AddressLine1>
          <City>TANANA</City>
          <State>AK</State>
          <ZIPCode>99777</ZIPCode>
        </AddressUS>
        <EINOfRecipient>920063172</EINOfRecipient>
        <IRCSection>501(C)1</IRCSection>
        <AmountOfCashGrant>17305</AmountOfCashGrant>
        <PurposeOfGrant>BIOMED, HSS</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>THE FORAKER GROUP</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>161 KLEVIN STREET SUITE 101</AddressLine1>
          <City>ANCHORAGE</City>
          <State>AK</State>
          <ZIPCode>99508</ZIPCode>
        </AddressUS>
        <EINOfRecipient>920177787</EINOfRecipient>
        <IRCSection>501(C)3</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <PurposeOfGrant>SPONSORSHIP</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>UNITED WAY OF ANCHORAGE</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>3350 COMMERCIAL DRIVE SUITE 104A</AddressLine1>
          <City>ANCHORAGE</City>
          <State>AK</State>
          <ZIPCode>99503</ZIPCode>
        </AddressUS>
        <EINOfRecipient>920027948</EINOfRecipient>
        <IRCSection>501(C)3</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <PurposeOfGrant>SPONSORSHIP</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>UNIVERSITY OF ALASKA FAIRBANKS</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO BOX 757880</AddressLine1>
          <City>FAIRBANKS</City>
          <State>AK</State>
          <ZIPCode>997757880</ZIPCode>
        </AddressUS>
        <EINOfRecipient>926000147</EINOfRecipient>
        <IRCSection>501(C)1</IRCSection>
        <AmountOfCashGrant>295110</AmountOfCashGrant>
        <PurposeOfGrant>BHA</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>YUKON KUSKOKWIM HEALTH CORPORATION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO BOX 3427</AddressLine1>
          <City>BETHEL</City>
          <State>AK</State>
          <ZIPCode>99559</ZIPCode>
        </AddressUS>
        <EINOfRecipient>920041414</EINOfRecipient>
        <IRCSection>501(C)3</IRCSection>
        <AmountOfCashGrant>2518816</AmountOfCashGrant>
        <PurposeOfGrant>SPECIAL PROJECT, INJURY PREVENTION, MAINTENANCE &amp; IMPROVEMENT, BHA, HSS, BIOMED</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>50</TotalNbrOf501C3AndGovtGrants>
      <TotalNbrOfOtherOrganizations>1</TotalNbrOfOtherOrganizations>
      <Form990ScheduleIPartIV>
        <Identifier>PROCEDURE FOR MONITORING GRANTS IN THE U.S.:</Identifier>
        <ReturnReference>PART I, LINE 2:</ReturnReference>
        <Explanation>SCHEDULE I, PART I, LINE 2: 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.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <FirstClassOrCharterTravel>X</FirstClassOrCharterTravel>
      <WrittenPolicyReTAndEExpenses>1</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>1</SubstantiationRequired>
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>0</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>0</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>0</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>HELGESEN ROALD</NamePerson>
        <Title>CHIEF EXECUTIVE OFFICER</Title>
        <BaseCompensationFilingOrg>404184</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>19600</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>24627</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>448411</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>FEDERENKO GARVIN</NamePerson>
        <Title>CHIEF FINANCIAL OFFICER</Title>
        <BaseCompensationFilingOrg>304206</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>19600</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>26910</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>350716</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>WEAVER STEVEN</NamePerson>
        <Title>SENIOR DIRECTOR, ENVIRONMENTAL HEALT</Title>
        <BaseCompensationFilingOrg>288641</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>19600</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>20030</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>328271</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>FIX SUSANNE E</NamePerson>
        <Title>PHYSICIAN-NEUROSURGEON</Title>
        <BaseCompensationFilingOrg>931614</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>19600</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>38792</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>990006</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MIDTHUN JOHN M</NamePerson>
        <Title>MEDICAL DIRECTOR-IMAGING SERVICES</Title>
        <BaseCompensationFilingOrg>646068</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>19600</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>34572</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>700240</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>BETTS WILLIAM B</NamePerson>
        <Title>PHYSICIAN-NEUROSURGEON</Title>
        <BaseCompensationFilingOrg>528766</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>19600</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>7376</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>555742</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>CAYLOR MARK T</NamePerson>
        <Title>MEDICAL DIRECTOR-ORTHOPEDICS</Title>
        <BaseCompensationFilingOrg>515532</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>19600</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>34579</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>569711</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>GILSON GEORGE J</NamePerson>
        <Title>PHYSICIAN-PERINATOLOGIST</Title>
        <BaseCompensationFilingOrg>471289</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>19600</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>27635</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>518524</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 1A</ReturnReference>
        <Explanation>FIRST CLASS TRAVEL AUTHORIZING ALLOWS FOR THE UPGRADE IF THE NECESSARY SCHEDULES TO/FROM ANCHORAGE ARE OTHERWISE FULL. 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. THE SCHEDULED TO/FROM ANCHORAGE FROM THE EAST COAST ARE CHALLENGING TO ALIGN FLIGHTS FOR APPROPRIATE TIMES. THE OFFICERS TYPICALLY HAVE AN ADDITIONAL LEG TO REMOTE SITES IN ALASKA.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>CAROLYN CROWDER</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>BOARD MEMBER</Relationship>
        <AmountOfTransaction>64000</AmountOfTransaction>
        <DescriptionOfTransaction>CONSULTING SERVICES</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <WorksOfArt>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>23</NumberOfContributions>
        <NoncashContribsRptdF990>17641</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>ESTIMATED FMV</MethodOfDeterminingRevenues>
      </WorksOfArt>
      <BooksAndPublications>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NoncashContribsRptdF990>28</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>ESTIMATED FMV</MethodOfDeterminingRevenues>
      </BooksAndPublications>
      <ClothingAndHouseholdGoods>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NoncashContribsRptdF990>13402</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>ESTIMATED FMV</MethodOfDeterminingRevenues>
      </ClothingAndHouseholdGoods>
      <FoodInventory>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>41</NumberOfContributions>
        <NoncashContribsRptdF990>1780</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>ESTIMATED FMV</MethodOfDeterminingRevenues>
      </FoodInventory>
      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>GIFTCARDS</Description>
        <NumberOfContributions>36</NumberOfContributions>
        <NoncashContribsRptdF990>6254</NoncashContribsRptdF990>
      </OtherNonCashContributionsTable>
      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>MEMBERSHIPS</Description>
        <NumberOfContributions>2</NumberOfContributions>
        <NoncashContribsRptdF990>135</NoncashContribsRptdF990>
      </OtherNonCashContributionsTable>
      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>MISCELLANEOUS AUCTION ITEMS</Description>
        <NumberOfContributions>61</NumberOfContributions>
        <NoncashContribsRptdF990>28511</NoncashContribsRptdF990>
      </OtherNonCashContributionsTable>
      <NumberOf8283Received>0</NumberOf8283Received>
      <AnyPropertyThatMustBeHeld>0</AnyPropertyThatMustBeHeld>
      <ReviewProcessUnusualNCGifts>0</ReviewProcessUnusualNCGifts>
      <ThirdPartiesUsed>0</ThirdPartiesUsed>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 2</ReturnReference>
        <Explanation>BOARD MEMBER, LINDA CLEMENT, IS THE MOTHER OF BOARD MEMBER, CHARLES CLEMENT.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>THE 990 IS REVIEWED BY ACCOUNTING STAFF AND APPROVED BY THE CHIEF FINANCIAL OFFICER. COPIES ARE MADE AND SENT TO THE ANTHC BOARD OF DIRECTORS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>ANTHC PROCUREMENT POLICIES ARE STRUCTURED TO HAVE MOST ITEMS COMPETED BASED ON PRICE AND VALUE. THERE ARE AT LEAST TWO SIGNATURES REQUIRED ON ANY TRANSACTION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15B</ReturnReference>
        <Explanation>-MARKET ANALYSIS IS TRADITIONALLY COMPLETED FOR EACH SENIOR POSITION AT LEAST ANNUALLY. SALARIES ARE COMPARED AGAINST INTERNAL EQUITY, SIZE OF THE DIVISION MANAGED, AND OTHER ORGANIZATIONS OF SIMILAR SIZE AND SCOPE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>AUDIT OVERSIGHT</Identifier>
        <ReturnReference>FORM 990, PART XII LINE 2C</ReturnReference>
        <Explanation>THERE HAS BEEN NO CHANGE IN THE PROCESS FROM THE PRIOR YEAR.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>AFHCAN GLOBAL TELEHEALTH SOLUTIONS LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4000 AMBASSADOR DRIVE RM 332</AddressLine1>
          <City>ANCHORAGE</City>
          <State>AK</State>
          <ZIPCode>99508</ZIPCode>
        </AddressUS>
        <EIN>270437842</EIN>
        <PrimaryActivities>COMPUTER AND COMPUTER PERIPHERAL EQUIPMENT AND SOFTWARE MERCHANT WHOLESALERS</PrimaryActivities>
        <LegalDomicileState>AK</LegalDomicileState>
        <TotalIncome>109624</TotalIncome>
        <EOYAssets>182984</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>ALASKA NATIVE TRIBAL HEALTH CONSORTIUM</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
    </IRS990ScheduleR>
  </ReturnData>
</Return>