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      <SupportingOrgType3FuncIntInd>X</SupportingOrgType3FuncIntInd>
      <SupportedOrganizationsCnt>1</SupportedOrganizationsCnt>
      <SupportedOrgInformationGrp>
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          <BusinessNameLine1Txt>CARILION STONEWALL JACKSON HOSPITAL</BusinessNameLine1Txt>
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        <OrganizationTypeCd>3</OrganizationTypeCd>
        <GoverningDocumentListedInd>true</GoverningDocumentListedInd>
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      <SupportSumAmt>73000</SupportSumAmt>
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        <PaymentSubstantialContribtrInd>false</PaymentSubstantialContribtrInd>
        <LoanDisqualifiedPersonInd>false</LoanDisqualifiedPersonInd>
        <ControlledDisqualifiedPrsnInd>false</ControlledDisqualifiedPrsnInd>
        <DisqualifiedPrsnControllIntInd>false</DisqualifiedPrsnControllIntInd>
        <DisqualifiedPrsnOwnrIntInd>false</DisqualifiedPrsnOwnrIntInd>
        <ExcessBusinessHoldingsRulesInd>false</ExcessBusinessHoldingsRulesInd>
        <ContributionControllerInd>false</ContributionControllerInd>
        <ContributionFamilyInd>false</ContributionFamilyInd>
        <Contribution35ControlledInd>false</Contribution35ControlledInd>
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        <TimelyProvidedDocumentsInd>false</TimelyProvidedDocumentsInd>
        <OfficersCloseRelationshipInd>true</OfficersCloseRelationshipInd>
        <SupportedOrgVoiceInvestmentInd>true</SupportedOrgVoiceInvestmentInd>
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        <ActivitiesTestInd>X</ActivitiesTestInd>
        <ActivitiesFurtherExemptPrpsInd>true</ActivitiesFurtherExemptPrpsInd>
        <ActivitiesEngagedOrgInvlmntInd>true</ActivitiesEngagedOrgInvlmntInd>
      </Form990SchAType3FuncIntGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION D, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SUPPORTED ORGANIZATION HAS SIGNIFICANT INVOLVEMENT IN DIRECTING THE USE OF THE ORGANIZATION'S INCOME AND ASSETS. MAJOR ASSETS OF THE FOUNDATION CONSIST OF A 20% INTEREST IN THE SUPPORTED ORGANIZATION, REAL ESTATE CONTROLLED BY THAT SUPPORTED ORGANIZATION, AND AN INVESTMENT FUND THAT IS MANAGED BY THE SUPPORTED ORGANIZATION. THE AMENDED AND RESTATED ARTICLES OF INCORPORATION OF THE FOUNDATION ALSO STATE IN ARTICLE II THAT ALL INCOME OVER AND ABOVE THE NECESSARY EXPENSES AND RESERVES IS TO BE TURNED OVER TO THE HOSPITAL, THE SUPPORTED ORGANIZATION.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION D, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SUPPORTED ORGANIZATION HAS SIGNIFICANT INVOLVEMENT IN DIRECTING THE USE OF THE ORGANIZATION'S INCOME AND ASSETS. MAJOR ASSETS OF THE FOUNDATION CONSIST OF A 20% INTEREST IN THE SUPPORTED ORGANIZATION, REAL ESTATE CONTROLLED BY THAT SUPPORTED ORGANIZATION, AND AN INVESTMENT FUND THAT IS MANAGED BY THE SUPPORTED ORGANIZATION. THE AMENDED AND RESTATED ARTICLES OF INCORPORATION OF THE FOUNDATION ALSO STATE IN ARTICLE II THAT ALL INCOME OVER AND ABOVE THE NECESSARY EXPENSES AND RESERVES IS TO BE TURNED OVER TO THE HOSPITAL, THE SUPPORTED ORGANIZATION.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION E, LINE 2A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S ACTIVITIES DIRECTLY FURTHERED THE EXEMPT PURPOSE OF THE SUPPORTED ORGANIZATION BY PROMOTING HEALTH AND THE EDUCATION OF HEALTH IN THE COMMUNITY.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION E, LINE 2B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION ENGAGED IN ACTIVITIES THAT THE SUPPORTED ORGANIZATION WOULD HAVE OTHERWISE ENGAGED IN THEMSELVES IN ORDER TO PROMOTE HEALTH AND THE EDUCATION OF HEALTH IN THE COMMUNITY.</ExplanationTxt>
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    <IRS990ScheduleD documentId="RetDoc3">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>722128</OtherCostOrOtherBasisAmt>
        <BookValueAmt>722128</BookValueAmt>
      </LandGrp>
      <TotalBookValueLandBuildingsAmt>722128</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>20% INTEREST IN CSJH</Desc>
        <BookValueAmt>4792416</BookValueAmt>
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      <TotalBookValueOtherAssetsAmt>4792416</TotalBookValueOtherAssetsAmt>
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    <IRS990ScheduleI documentId="RetDoc4">
      <GrantRecordsMaintainedInd>false</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CARILION STONEWALL JACKSON HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1 HEALTH CIRCLE</AddressLine1Txt>
          <CityNm>LEXINGTON</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>24450</ZIPCd>
        </USAddress>
        <RecipientEIN>203592795</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>73000</CashGrantAmt>
        <PurposeOfGrantTxt>HOSPITAL OPERATIONS</PurposeOfGrantTxt>
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    </IRS990ScheduleI>
    <IRS990ScheduleO documentId="RetDoc5">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL BOARD MEMBERS ARE PROVIDED A DRAFT COPY OF THE 990 AND GIVEN THE OPPORTUNITY TO REVIEW ALL FORMS AND PROVIDE FEEDBACK PRIOR TO THE FILING OF THE 990</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>UNREALIZED GAIN ON INVESTMENTS 9,134</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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</Return>