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        <FormAndLineReferenceDesc>PART I - ADDITIONAL INFORMATION ABOUT PUBLIC CHARITY STATUS:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION QUALIFIES AS A MEDICAL ORGANIZATION UNDER INTERNAL REVENUE CODE SECTION 170(B)(1)(A)(III), BUT IT IS NOT A TRADITIONAL HOSPITAL THAT IS REQUIRED TO FILE SCHEDULE H OF FORM 990.</ExplanationTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SONJA RAJKI</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CRAIG RICHMOND</PersonNm>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN - INDIVIDUALS PARTICIPATE IN A SECTION 457(F) PLAN SPONSORED BY THE RELATED ORGANIZATION, METROHEALTH SYSTEM. CONTRIBUTIONS MADE TO THE PLAN ARE SUBJECT TO VESTING. THE NON-VESTED CONTRIBUTIONS HAVE BEEN REPORTED IN COLUMN C OF PART II.</ExplanationTxt>
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    </IRS990ScheduleJ>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>REVIEW OF FORM 990- THE BOARD REVIEWS THE 990 PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>MONITORING &amp; ENFORCEMENT OF CONFLICT POLICY- ALL EMPLOYEES ARE REQUIRED TO DISCLOSE ANY CONFLICTS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>PUBLIC DISCLOSURE OF DOCUMENTS- THE ORGANIZATION'S FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, &amp; CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
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        <ExplanationTxt>CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 18,286. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,286. SERVICE AND SOFTWARE CONTRACTS: PROGRAM SERVICE EXPENSES 793,023. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 793,023.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <CityNm>CLEVELAND</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
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</Return>