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        <ProgramServicesAmt>1758082</ProgramServicesAmt>
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        <ProgramServicesAmt>29516</ProgramServicesAmt>
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        <Desc>CONTRACTED SERVICES</Desc>
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      <OtherExpensesGrp>
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      <OtherExpensesGrp>
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        <ExplanationTxt>THE ORGANIZATION SUPPORTS THE METROHEALTH SYSTEM WHICH IS A GOVERNMENTAL ENTITY OF CUYAHOGA COUNTY, OHIO. AS SUCH, METROHEALTH DOES NOT HAVE A DETERMINATION LETTER FROM THE IRS REGARDING ITS PUBLIC CHARITY STATUS UNDER SECTIONS 509(A)(1) OR (A)(2).</ExplanationTxt>
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      <Form990ScheduleAPartVIGrp>
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        <ExplanationTxt>THE ORGANIZATION IS ASSISTING THE METROHEALTH SYSTEM WITH ITS TRANSFORMATION PLANS, PARTICULARLY AS THOSE PLANS RELATE TO REAL ESTATE DEVELOPMENT AND MANAGEMENT. BECAUSE THE METROHEALTH SYSTEM IS DEPENDENT ON THOSE BUILDINGS TO FURTHER ITS EXEMPT HEALTHCARE PURPOSES, IT HAS A SIGNIFICANT VOICE IN CCH DEVELOPMENT CORPORATION'S INVESTMENT POLICIES AND USE OF ASSETS AT ALL TIMES.</ExplanationTxt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION E, LINE 1C - SUPPORT OF GOV'T ENTITY:</FormAndLineReferenceDesc>
        <ExplanationTxt>AS PREVIOUSLY DESCRIBED, CCH DEVELOPMENT PLAYS A SIGNIFICANT ROLE IN THE TRANSFORMATION AND EXPANSION PLANS OF THE METROHEALTH SYSTEM, A GOVERNMENTAL ENTITY OF CUYAHOGA COUNTY, OHIO. CCH DEVELOPMENT CORPORATION HAS DEVELOPED AND IS MANAGING REAL ESTATE PROPERTIES IN WHICH THE METROHEALTH SYSTEM CONDUCTS ITS HEALTHCARE AND COMMUNITY DEVELOPMENT ACTIVITIES. IF CCH DEVELOPMENT WERE NOT PERFORMING THESE ACTIVITIES, THE METROHEALTH SYSTEM WOULD HAVE TO DO THEM ITSELF.</ExplanationTxt>
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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>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>REVIEW OF FORM 990 - FORM 990 IS REVIEWED BY THE EXECUTIVE DIRECTOR WITH THE ASSISTANCE OF THE OUTSIDE PUBLIC ACCOUNTING FIRM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>AVAILABILITY OF DOCUMENTS - THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>GRANT REVENUE ADJUSTMENT - 2022 -5,000.</ExplanationTxt>
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    </IRS990ScheduleO>
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          <StateAbbreviationCd>OH</StateAbbreviationCd>
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</Return>