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The Commission issued an administrative complaint challenging Carilion Clinic’s 2008 acquisition of two competing outpatient clinics in the Roanoke, Virginia, area. The complaint alleges that Carilion’s acquisition of these outpatient centers eliminated competition for patients in the Roanoke area. On October 7, 2009 Carillion agreed to sell two independent outpatient medical clinics it acquired last year to settle the charges.