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        <PersonNm>DONALD B HALLIWILL</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <PersonNm>G ROBERT VAUGHAN JR</PersonNm>
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        <TotalCompensationRltdOrgsAmt>529010</TotalCompensationRltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>ADDITIONAL INFORMATION FOR SCHEDULE J, LINE 4B: MR. HALLIWILL RECEIVED $227,735 AND MR. VAUGHAN RECEIVED $57,282 IN PAYOUTS FROM A DEFINED CONTRIBUTION SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (DC SERP) TO WHICH THEIR EMPLOYER, AT THE DISCRETION OF CARILION CLINIC'S COMPENSATION COMMITTEE, MAKES A CONTRIBUTION. AMOUNTS BECOME NON-FORFEITABLE AND PAYABLE UPON VESTING. IF AN INDIVIDUAL REACHES AGE AND YEARS OF SERVICE REQUIREMENTS, CONTRIBUTIONS ARE NO LONGER DEFERRED. UNVESTED CONTRIBUTIONS MADE TO THE DC SERP IN THE REPORTING PERIOD ARE INCLUDED IN PART II, COLUMN C OF THIS SCHEDULE WITH "RETIREMENT AND OTHER DEFERRED COMPENSATION," WHILE VESTED CONTRIBUTIONS PAID OUT DURING THE YEAR ARE INCLUDED IN PART II, COLUMN B(III). MS. AGEE PARTICIPATES IN AN EXECUTIVE FLEXIBLE BENEFIT PLAN, UNDER WHICH SHE RECEIVED AN ALLOWANCE OF $245,365 IN THE REPORTING YEAR TO OBTAIN CERTAIN BENEFITS, WITH THE EXCESS DEFERRED UNTIL THE VESTING DATE. AMOUNTS NOW RECEIVED UNDER THIS PLAN IMMEDIATELY VEST AND THUS ARE NO LONGER DEFERRED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL DIRECTORS AND OFFICERS OF THE FILING ORGANIZATION ARE OFFICERS AND/OR EMPLOYEES OF CARILION MEDICAL CENTER AND 3 ARE OFFICERS OF CARILION MEDICAL CLINIC AND ITS SUBS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>BEFORE FILING, THE CHAIRMAN OF THE BOARD REVIEWS THE FORM 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES IT GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>INSTITUTE INNOVATIONS LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1 RIVERSIDE CIRCLE SUITE 101</AddressLine1Txt>
          <CityNm>ROANOKE</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24016</ZIPCd>
        </USAddress>
        <EIN>541984175</EIN>
        <PrimaryActivitiesTxt>MEDICAL RESEARCH &amp; DEVELOPMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <TotalIncomeAmt>7756</TotalIncomeAmt>
        <EndOfYearAssetsAmt>445271</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CARILION BIOMEDICAL INSTITUTE INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
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          <BusinessNameLine1Txt>CARILION MEDICAL CENTER</BusinessNameLine1Txt>
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          <AddressLine1Txt>PO BOX 12385</AddressLine1Txt>
          <CityNm>ROANOKE</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>240252385</ZIPCd>
        </USAddress>
        <EIN>540506332</EIN>
        <PrimaryActivitiesTxt>VIGINIA HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
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      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
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</Return>