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        <PersonNm>JAMES BURTON</PersonNm>
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        <PersonNm>CAROL KOENECKE-GRANT</PersonNm>
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        <PersonNm>ELIZABETH SAVAGE</PersonNm>
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        <PersonNm>CHRISTINE LOWMAN</PersonNm>
        <TitleTxt>Controller</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MATTHEW TOOMEY</PersonNm>
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        <PersonNm>ROBERT AMOS</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JULIE A SUIJK</PersonNm>
        <TitleTxt>Vice President</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARK BAKER</PersonNm>
        <TitleTxt>Vice President</TitleTxt>
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        <PersonNm>CARLA DALLMANN</PersonNm>
        <TitleTxt>Vice President</TitleTxt>
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        <PersonNm>JEFFREY FEIT</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GRADY W PHILIPS III</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES SHERWOOD</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>NELSON T CLARK</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>FLOYD R HEATER</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CHRIS RUCKER</PersonNm>
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        <PersonNm>THOMAS KLUGE</PersonNm>
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        <PersonNm>FRANCIS X DENNEHY</PersonNm>
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        <PersonNm>JEFFERY GROESBECK</PersonNm>
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        <PersonNm>MADHUR SOLANKI</PersonNm>
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        <PersonNm>BONNIE PITT</PersonNm>
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        <PersonNm>JAMES WIEDOWER MD</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>AUDREA WYNN MD</PersonNm>
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          <BusinessName>
            <BusinessNameLine1Txt>INOVA HEALTHCARE SERVICES</BusinessNameLine1Txt>
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            <AddressLine1Txt>8110 GATEHOUSE ROAD SUITE 400W</AddressLine1Txt>
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      <ContractorCompensationGrp>
        <ContractorName>
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            <BusinessNameLine1Txt>POWER WELLNESS MANAGEMENT</BusinessNameLine1Txt>
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            <BusinessNameLine1Txt>PRAIRIE DOG</BusinessNameLine1Txt>
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      <ContractorCompensationGrp>
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          <USAddress>
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          <BusinessName>
            <BusinessNameLine1Txt>PREMIER HEALTHCARE SOLUTIONS</BusinessNameLine1Txt>
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        <FundraisingAmt>66052</FundraisingAmt>
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        <RecipientBusinessName>
          <BusinessNameLine1Txt>CONCERN HOTLINE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 2032</AddressLine1Txt>
          <CityNm>WINCHESTER</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22604</ZIPCd>
        </USAddress>
        <RecipientEIN>541097847</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>15500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>DIRECT GRANT SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FAITH IN ACTION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>329 N CAMERON ST SUITE 200</AddressLine1Txt>
          <CityNm>WINCHESTER</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22601</ZIPCd>
        </USAddress>
        <RecipientEIN>262937544</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>DIRECT GRANT SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GOOD SAMARITAN FREE CLINIC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 2353</AddressLine1Txt>
          <CityNm>MARTINSBURG</CityNm>
          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25402</ZIPCd>
        </USAddress>
        <RecipientEIN>050602031</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>12000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>CHARITY CARE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LORD FAIRFAX EMS COUNCIL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>180 PROSPERITY DRIVE</AddressLine1Txt>
          <CityNm>WINCHESTER</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22601</ZIPCd>
        </USAddress>
        <RecipientEIN>541901169</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>24000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>COMMUNICATIONS</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NEW LIFE CENTER EDGEHILL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>315 E CORK STREET</AddressLine1Txt>
          <CityNm>WINCHESTER</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22601</ZIPCd>
        </USAddress>
        <RecipientEIN>541760843</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>11996</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>MORTGAGE ASSISTANCE</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NSV SUBSTANCE ABUSE COALITION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>301 N CAMERON STREET</AddressLine1Txt>
          <CityNm>WINCHESTER</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22601</ZIPCd>
        </USAddress>
        <RecipientEIN>473755186</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>60000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>DIRECT GRANT SUPPORT</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>OUR HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>329 N CAMERON STREET</AddressLine1Txt>
          <CityNm>WINCHESTER</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22601</ZIPCd>
        </USAddress>
        <RecipientEIN>541972659</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>62855</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>COVER OUR HEALTH EXPENSES</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PAGE COUNTY FREE MEDICAL C</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 45</AddressLine1Txt>
          <CityNm>LURAY</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22835</ZIPCd>
        </USAddress>
        <RecipientEIN>271421176</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>41000</CashGrantAmt>
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        <PurposeOfGrantTxt>CHARITY CARE</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SHENANDOAH COMMUNITY HEALTH</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>124 VISTA DRIVE</AddressLine1Txt>
          <CityNm>WOODSTOCK</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22664</ZIPCd>
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        <RecipientEIN>542032008</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>22500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>CHARITY CARE</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
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          <CityNm>WINCHESTER</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22601</ZIPCd>
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        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
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        <PurposeOfGrantTxt>CHARITY CARE</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>ST LUKE COMMUNITY CLINIC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>316 N ROYAL AVENUE</AddressLine1Txt>
          <CityNm>FRONT ROYAL</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22630</ZIPCd>
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        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>61020</CashGrantAmt>
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        <PurposeOfGrantTxt>CHARITY CARE</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>THE LAUREL CENTER</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>135 N LOUDOUN STREET</AddressLine1Txt>
          <CityNm>WINCHESTER</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22601</ZIPCd>
        </USAddress>
        <RecipientEIN>541262535</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>47982</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>DIRECT GRANT SUPPORT</PurposeOfGrantTxt>
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      <Total501c3OrgCnt>13</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Grantmaker's Description of How Grants are Used</FormAndLineReferenceDesc>
        <ExplanationTxt>VIRTUALLY ALL OF THE ORGANIZATIONS PROVIDED WITH GRANT FUNDS ARE LOCAL, AND CLOSELY MONITORED BY VALLEY HEALTH'S MANAGEMENT AND BOARD. PERIODIC REPORTS ARE OBTAINED AS WELL FROM THESE GRANTEES WHICH DISCUSS OPERATIONS AND BENEFITS RENDERED TO THE COMMUNITIES SERVED. BEFORE FUNDING IS GRANTED, CONSISTENCY OF MISSION IS EVALUATED IN ORDER TO ASSURE LIKE DIRECTION WITH VALLEY HEALTH INITIATIVES. GRANTS PAID TO ORGANIZATIONS BENEFIT THE SUPPORTING ORGANIZATIONS MISSION ALSO. THE GRANTS ARE THE SAME CHARITABLE CLASS OF GRANTS THAT THE SUPPORTING ORGANIZATIONS ADMINISTER.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARK BAKER</PersonNm>
        <TitleTxt>Vice President</TitleTxt>
        <BaseCompensationFilingOrgAmt>207318</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>23467</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>425</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>6841</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>28647</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>266698</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARK H MERRILL</PersonNm>
        <TitleTxt>President &amp; CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>889948</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>100000</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>31654</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>29368</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>43749</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>1094719</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MATTHEW TOOMEY</PersonNm>
        <TitleTxt>Vice President</TitleTxt>
        <BaseCompensationFilingOrgAmt>233484</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>26666</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>499</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>7705</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>28796</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>297150</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NELSON T CLARK</PersonNm>
        <TitleTxt>Vice President</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>223430</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>23650</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>43230</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>7373</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>29821</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>327504</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990RltdOrgsAmt>16864</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PETER GALLAGHER</PersonNm>
        <TitleTxt>SR VP/CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>475256</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>59857</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>171289</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>15683</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>30204</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>752289</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT AMOS</PersonNm>
        <TitleTxt>VP/ WMC CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>346352</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>31742</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>40196</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>11430</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>14201</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>443921</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>THOMAS KLUGE</PersonNm>
        <TitleTxt>President</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>228805</CompensationBasedOnRltdOrgsAmt>
        <BonusRelatedOrganizationsAmt>37976</BonusRelatedOrganizationsAmt>
        <OtherCompensationRltdOrgsAmt>30211</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>28437</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>30779</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>356208</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 1a: Relevant information in regards to selections on 1a.</FormAndLineReferenceDesc>
        <ExplanationTxt>Based on an employment agreement Mark Merrill received an allowance for discretionary spending during 2018. These amounts were included in taxable wages.Based on a change in the life insurance policies for executives, the board approved gross up payments to cover the cost and tax effects of the policies for Mark Merrill and Pete Gallagher.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="18007218" softwareVersionNum="2018v3.1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Client Note 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Client Note 1 -</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CORPORATION SHALL HAVE TWO CLASSES OF MEMBERS: REGULAR AND HONORARY. THE NUMBER OF REGULAR MEMBERS SHALL NOT EXCEED 100. IN ADDITION, THERE MAY BE AN UNLIMITED NUMBER OF HONORARY MEMBERS. QUALIFICATIONS FOR BOTH CLASSES OF MEMBERSHIP SHALL BE ESTABLISHED IN THE BYLAWS OF THE CORPORATION. HONORARY MEMBERS HAVE NO VOTING OR ANY OTHER RIGHTS WHATSOEVER. REGULAR MEMBERS SHALL HAVE VOTING RIGHTS SOLELY WITH RESPECT TO THE ELECTION OF REGULAR MEMBERS, HONORARY MEMBERS AND TRUSTEES, AS ESTABLISHED IN THE BYLAWS OF THE CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b: Form 990 Review Process</FormAndLineReferenceDesc>
        <ExplanationTxt>The 990 is prepared by internal staff and reviewed by an outside accounting firm, who is the paid preparer. The return then undergoes several levels of review including the CFO and CEO. Further, the board reviews the 990 during one of its recurring monthly meetings prior to filing where any issues of concern or question are addressed by Senior Management.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</FormAndLineReferenceDesc>
        <ExplanationTxt>All board members sign a conflict of interest policy annually and upon appointment to the board. All employees that are managers, including officers, have purchasing rights with defined limits, or may enter into a contract on behalf of the organization are required to sign a conflict of interest attestation upon employment and annually. All employees can report breaches in Valley Health System policy. Valley Health System has an employee integrity hotline and a compliance officer. The audit committee is advised of compliance activity on a quarterly basis in addition to monthly follow up by the CEO on any immediate issues. Any infractions can result in disciplinary action or dismissal.Any trustee, officer or employee that discloses a conflict of interest will leave a board meeting on a transaction or arrangement that would be related to the potential conflict. With conflicts of interest the chair of the board will appoint a person or committee (if appropriate) to investigate alternatives to the proposed arrangement.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a: Compensation Review &amp; Approval Process - CEO, Top Management</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Trustees is responsible for the compensation review. They use compensation literature and outside consultants to determine the appropriate compensation for the CEO. As new individuals are hired into management positions, recruiting firms use FMV information to establish salary and general compensation levels. A fair market value executive compensation review was completed in 2015.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Trustees is responsible for the compensation review. They use compensation literature and outside consultants to determine the appropriate compensation for the Officers, and Senior Management. As new individuals are hired into management positions, recruiting firms use FMV information to establish salary and general compensation levels. A fair market value executive compensation review was completed in 2015.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization makes all records available as required by law.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other Changes In Net Assets Or Fund Balances - Other Decreases</FormAndLineReferenceDesc>
        <ExplanationTxt>TRANSFERS TO AFFILIATES = -$10910578</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FUNDRAISING</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization pays for fundraising costs and the fundraising proceeds are recorded on the group return. The organization spent $1,260,188 in fundraising in 2018 and the related organization reported $1,793,203 in contributions under EIN 80-0584319.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>759 SOUTH MAIN STREET</AddressLine1Txt>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>WARREN MEMORIAL HOSPITAL FOUNDATION</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PAGE MEMORIAL HOSPITAL</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>200 MEMORIAL DRIVE</AddressLine1Txt>
          <CityNm>LURAY</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22835</ZIPCd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VALLEY PHYSICIAN ENTERPRISE INC</BusinessNameLine1Txt>
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          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22601</ZIPCd>
        </USAddress>
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        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>VALLEY HEALTH SYSTEM</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>WAR MEMORIAL HOSPITAL INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>1 HEALTHY WAY</AddressLine1Txt>
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          <StateAbbreviationCd>WV</StateAbbreviationCd>
          <ZIPCd>25411</ZIPCd>
        </USAddress>
        <EIN>800407200</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501 (c) (3)</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>EAST MOUNTAIN HEALTH ADVANTAGE INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>VALLEY PARTNERS LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>220 CAMPUS BLVD</AddressLine1Txt>
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        </USAddress>
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        <PrimaryActivitiesTxt>ACCOUNTABLE CARE ORGANIZATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>VALLEY HEALTH SYSTEM</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>EAST MOUNTAIN HEALTH ADVANTAGE INC</BusinessNameLine1Txt>
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        <PrimaryActivitiesTxt>WV MGMT COMPANY</PrimaryActivitiesTxt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>EAST MOUNTAIN HEALTH LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>WINCHESTER OPEN MRI LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
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          <BusinessNameLine1Txt>WINCHESTER ENDOSCOPY SERVICES LLC</BusinessNameLine1Txt>
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        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
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          <AddressLine1Txt>220 CAMPUS BLVD SUITE 310</AddressLine1Txt>
          <CityNm>WINCHESTER</CityNm>
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        <LegalDomicileStateCd>WV</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>VALLEY HEALTH SYSTEM</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>VALLEY HEALTH SURGERY CENTER LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>220 CAMPUS BLVD</AddressLine1Txt>
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        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
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        <ShareOfTotalIncomeAmt>-1098830</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>4768482</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>VALLEY REGIONAL ENTERPRISES INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>220 CAMPUS BLVD</AddressLine1Txt>
          <CityNm>WINCHESTER</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>22601</ZIPCd>
        </USAddress>
        <EIN>541456064</EIN>
        <PrimaryActivitiesTxt>MED EQUIP/AMBULANCE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>VA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C CORP</EntityTypeTxt>
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        <ShareOfEOYAssetsAmt>22646974</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Virginia Solutions SPE LTD</BusinessNameLine1Txt>
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          <AddressLine1Txt>PO Box 10233</AddressLine1Txt>
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          <ProvinceOrStateNm>Caribbean</ProvinceOrStateNm>
          <CountryCd>CJ</CountryCd>
          <ForeignPostalCd>KY1-1002</ForeignPostalCd>
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        <PrimaryActivitiesTxt>Other Insurance Funds</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
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      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
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      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
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      <TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>SHENANDOAH MEMORIAL HOSPITAL</BusinessNameLine1Txt>
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        <InvolvedAmt>1057277</InvolvedAmt>
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      <TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>WARREN MEMORIAL HOSPITAL</BusinessNameLine1Txt>
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        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HAMPSHIRE MEMORIAL HOSPITAL INC</BusinessNameLine1Txt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>PAGE MEMORIAL HOSPITAL</BusinessNameLine1Txt>
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        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>VALLEY PHYSICIAN ENTERPRISE INC</BusinessNameLine1Txt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>WAR MEMORIAL HOSPITAL INC</BusinessNameLine1Txt>
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        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>VALLEY PARTNERS LLC</BusinessNameLine1Txt>
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        <TransactionTypeTxt>q</TransactionTypeTxt>
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        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>EAST MOUNTAIN HEALTH ADVANTAGE INC</BusinessNameLine1Txt>
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        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
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        <OtherOrganizationName>
          <BusinessNameLine1Txt>VALLEY REGIONAL ENTERPRISES INC</BusinessNameLine1Txt>
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    </IRS990ScheduleR>
  </ReturnData>
</Return>