Although the financial investment in foster care is substantial, little is known about the outcomes of adults formerly served (“alumni”), especially American Indian or Alaska Native (AI/AN) alumni. To address this knowledge gap, special analyses of the Casey National Alumni Study were conducted to examine the long-term mental health, education, and employment outcomes for AI/AN alumni of foster care. This brief report summarizes the demographics, risk factors, foster care experiences, and outcomes for 243 AI/AN alumni and a comparison group of 574 white alumni.