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    <IRS990ScheduleD documentId="IRS990ScheduleD">
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      <HeldWorksArtGrp />
      <CYMinus3YrEndwmtFundGrp />
      <CYMinus4YrEndwmtFundGrp />
      <LandGrp>
        <OtherCostOrOtherBasisAmt>3212366</OtherCostOrOtherBasisAmt>
        <BookValueAmt>3212366</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>160673231</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>13170346</DepreciationAmt>
        <BookValueAmt>147502885</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>3996427</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>687134</DepreciationAmt>
        <BookValueAmt>3309293</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>19570423</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>15794820</DepreciationAmt>
        <BookValueAmt>3775603</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>25768458</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>6825263</DepreciationAmt>
        <BookValueAmt>18943195</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>176743342</TotalBookValueLandBuildingsAmt>
      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>LINE OF CREDIT</Desc>
        <Amt>8158024</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>8158024</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>92094596</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>92094596</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>92094596</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>83786530</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>83786530</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>83786530</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>MEDICAL TRAVEL AND FUNERAL ASSISTANCE</GrantTypeTxt>
        <RecipientCnt>1526</RecipientCnt>
        <CashGrantAmt>2061693</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>Child Care for Low-Income Families</GrantTypeTxt>
        <RecipientCnt>144</RecipientCnt>
        <CashGrantAmt>313012</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>Family Preservation Services</GrantTypeTxt>
        <RecipientCnt>114</RecipientCnt>
        <CashGrantAmt>44962</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>Indian Child Welfare Assistance</GrantTypeTxt>
        <RecipientCnt>35</RecipientCnt>
        <CashGrantAmt>5066</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>Behavioural Health Services</GrantTypeTxt>
        <RecipientCnt>30</RecipientCnt>
        <CashGrantAmt>1186</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>Cancer Screening Examinations</GrantTypeTxt>
        <RecipientCnt>255</RecipientCnt>
        <CashGrantAmt>165517</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PART I</FormAndLineReferenceDesc>
        <ExplanationTxt>Approval of expenses are done and verified by program manager and VP of Finance. Reports are submitted to the granting agency and annual reconciliation for the annual single audit are prepared.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <HousingAllowanceOrResidenceInd>X</HousingAllowanceOrResidenceInd>
      <WrittenPolicyRefTAndEExpnssInd>true</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>true</SubstantiationRequiredInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARIE PAULINE CARROLL</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>295476</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>19312</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>24500</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>5370</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>344658</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT D ELKINS</PersonNm>
        <TitleTxt>INTERIM VP OF FINANCE/CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>212474</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>14972</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>24500</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>251946</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RICHARD HALL</PersonNm>
        <TitleTxt>HOSPITAL ADMINISTRATOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>306421</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>34895</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>5370</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>346686</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARTHA E MONNIN</PersonNm>
        <TitleTxt>VP OF ADMINISTRATION</TitleTxt>
        <BaseCompensationFilingOrgAmt>202509</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>28406</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>5983</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>236898</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LUKE WELLES</PersonNm>
        <TitleTxt>VP OF FINANCE</TitleTxt>
        <BaseCompensationFilingOrgAmt>261102</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>19333</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>20720</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>5370</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>306525</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ALANNA M SMALL</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>681845</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>29374</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>18500</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>5370</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>735089</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KEITH F BATTS</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>517075</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>1310</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>24500</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>542885</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>paul franke</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>323421</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>893</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>24500</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>7479</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>356293</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BARBARA MEDLIN</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>373197</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>17750</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>24500</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>4699</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>420146</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ALICE L MCCAULEY</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>371625</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>2285</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>24500</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>4885</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>403295</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KOHHEI NAKAGAWA</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>495780</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>478</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>18500</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>514758</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM SCH J PART II</FormAndLineReferenceDesc>
        <ExplanationTxt>SCH J, PART I, LINE 1A DUE TO THE HOUSING SHORTAGE IN BARROW, AK, ASNA PROVIDES HOUSING TO THEIR EMPLOYEES. ASNA UTILIZES A FEDERAL GOVERNMENT FORMULA TO DETERMINE THE AMOUNT OF THE RENTAL RATE, WHICH IS TO BE PAID BY IMPACTED EMPLOYEES. ANY EXPENSES (RENT, UTILITIES, ETC.) WHICH EXCEED THE AMOUNT COVERED BY EMPLOYEE RENTAL PAYMENTS ARE THEN SUBSIDIZED BY ASNA.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 Part VI Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>For Tax Year 2018, the Business Manager Reviewed the 990 prior to filing. The Finance Committee reviews the Form 990 subsequent to the filing of the return.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 Part VI Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The conflict of interest policy is in the board bylaws. IN THE EVENT OF A REAL OR PERCEIVED CONFLICT OR A COMPLAINT, THE BOARD ETHICS COMMITTEE WILL RESOLVE THE SITUATION. BOARD MEMBERS ARE TRAINED ANNUALLY ON COMPLIANCE AND ARE EXPECTED TO FULLY DISCLOSE ANY CIRCUMSTANCES THAT MIGHT CREATE A CONFLICT. When questions arise, legal counsel is sought.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 Part VI Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD APPROVES SALARY SCHEDULES FOR ALL PAY RANGES INCLUDING THE CEO. EXECUTIVE OFFICERS REVIEW CEO COMPENSATION COMPARISONS FROM 990S AND/OR WAGE STUDIES AS PART OF ANNUAL CEO PERFORMANCE EVALUATION AND WAGE DETERMINATION. THIS PROCESS WAS LAST UNDERTAKEN ON 02/09/2020.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 Part VI Line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE IS AN EXECUTIVE PAY MATRIX THAT IS UPDATED EVERY TWO YEARS AND APPROVED BY THE BOARD. ALL OFFICER POSITIONS, INCLUDING ORGANIZATION VICE PRESIDENTS, ARE INCLUDED IN THE PAY MATRIX. THIS PROCESS WAS LAST UNDERTAKEN ON 05/06/2018.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 Part VI Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>TAGIUGMIULU NUNAMIULLU HOUSING AUTHORITY</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 409</AddressLine1Txt>
          <CityNm>BARROW</CityNm>
          <StateAbbreviationCd>AK</StateAbbreviationCd>
          <ZIPCd>99723</ZIPCd>
        </USAddress>
        <EIN>920074122</EIN>
        <PrimaryActivitiesTxt>HOUSING ASSN.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>AK</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>115</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>true</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>true</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>true</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>