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        <ReturnReference>PART X:</ReturnReference>
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        <Identifier>SUPPLEMENTAL INFORMATION</Identifier>
        <ReturnReference>PART III</ReturnReference>
        <Explanation>SCHEDULE J, PART I, LINE 3 A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE WAS USED BY QUALITY HEALTH STRATEGIES, A RELATED 501(C)(3) ORGANIZATION, TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S EXECUTIVE DIRECTOR.</Explanation>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 3</Identifier>
        <Explanation>MANAGEMENT FUNCTIONS, SUCH AS FINANCE, HUMAN RESOURCES, INFORMATION TECHNOLOGY, CONTRACTS, AND BUSINESS DEVELOPMENT, ARE PERFORMED BY QUALITY HEALTH STRATEGIES, INC., THE SOLE MEMBER OF DELMARVA FOUNDATION FOR MEDICAL CARE, INC.. IN ADDITION, THE ORGANIZATION'S CEO IS ALSO THE CEO OF QUALITY HEALTH STRATEGIES, INC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 6</Identifier>
        <Explanation>QUALITY HEALTH STRATEGIES, INC. IS THE SOLE MEMBER OF DELMARVA FOUNDATION FOR MEDICAL CARE, INC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 7A</Identifier>
        <Explanation>QUALITY HEALTH STRATEGIES, INC. HAS THE RIGHT TO APPOINT AND ELECT ALL DIRECTORS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 7B</Identifier>
        <Explanation>THE BOARD OF DIRECTORS OF QUALITY HEALTH STRATEGIES, INC. APPROVES ALL BOARD MEMBER RECOMMENDATIONS MADE BY THE BOARD OF DELMARVA FOUNDATION FOR MEDICAL CARE, INC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINE 11</Identifier>
        <Explanation>THE FORM 990 DATA IS PREPARED BY THE FINANCE DEPARTMENT OF THE COMPANY. THE INDEPENDENT AUDITOR TRANSFERS THE DATA FOR PREPARATION OF THE 990. THE CHIEF FINANCIAL OFFICER REVIEWS THE DATA PRIOR TO SUBMISSION TO THE INDEPENDENT AUDITORS. THE INDEPENDENT AUDITORS PREPARE THE FORM 990 AND SEND THE FIRST DRAFT TO THE CFO FOR REVIEW, COMMENT OR ANY CHANGES. IF ANY CHANGES, THEY ARE SENT TO THE INDEPENDENT AUDITORS FOR CHANGE. A SECOND DRAFT IS PREPARED AND SENT TO THE CFO, WHO DISSEMINATES THE SECOND DRAFT TO THE CEO AND MEMBERS OF THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS FOR THEIR REVIEW, COMMENT AND CHANGES. IF NO CHANGES, THEN THE 2ND DRAFT IS CONSIDERED FINAL AND IS THE VERSION FILED WITH THE IRS. IF CHANGES, THEN THE CHANGES ARE COMPLETED, THE REVISED 990 IS DISSEMINATED TO THE CEO AND BOARD OF DIRECTORS ELECTRONICALLY OR IN PAPER FORM PRIOR TO FILING. THE RETURN IS THEN FILED ELECTRONICALLY WITH THE IRS BY THE INDEPENDENT AUDITOR.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>THE BOARD OF DIRECTORS PARTICIPATES IN ANNUAL COMPLIANCE TRAINING AND CONFLICT OF INTEREST TRAINING GIVEN BY THE COMPLIANCE OFFICER. EACH BOARD MEMBER, THE CEO, COO, AND CFO ARE REQUIRED TO COMPLETE AND SIGN A CONFLICT OF INTEREST QUESTIONNAIRE ON AN ANNUAL BASIS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>CONSISTENT WITH SARBANES OXLEY, DELMARVA FOUNDATION FOR MEDICAL CARE'S PARENT ORGANIZATION, QUALITY HEALTH STRATEGIES, INC.'S BOARD OF DIRECTORS APPOINTS A COMMITTEE TO OBTAIN AND ANALYZE A COMPENSATION SURVEY FOR THE CEO AND C-SUITE OFFICERS. FOR OTHER VICE PRESIDENTS, THE DIRECTOR OF HUMAN RESOURCES OBTAINS THE SURVEY AND DISCUSSES WITH THE CEO. THE QHS BOARD COMMITTEE RESERVES THE RIGHT TO REVIEW THE VICE PRESIDENT COMPENSATION ANALYSIS.</Explanation>
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      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE VIA GUIDESTAR AND UPON REQUEST. ALL OTHER DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.</Explanation>
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      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>NET UNREALIZED GAINS ON INVESTMENTS: 355,875.</Explanation>
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        <ReturnReference>FORM 990, PART VII, SECTION A</ReturnReference>
        <Explanation>CATHERINE N. SMOOT-HASELN, MD IS ALSO A DIRECTOR OF QUALITY HEALTH STRATEGIES, INC., A RELATED ORGANIZATION. SHE DEVOTES ABOUT .2 HOURS PER WEEK TO THE RELATED ORGANIZATION. SEVERAL OFFICERS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES OF DELMARVA FOUNDATION FOR MEDICAL CARE ARE ALSO EMPLOYEES OF QUALITY HEALTH STRATEGIES, INC., A RELATED ORGANIZATION. HOURS DEVOTED TO QUALITY HEALTH STRATEGIES, INC. ARE LISTED BELOW: INDIVIDUAL HOURS DEVOTED TO QHS FREDIA WADLEY 22 MALCOLM R. HOLLEY 22 SUSAN JEAN MIDDLETON 22 CRAIG S. WELLER 22 BILL JAWISH 22 SEVERAL OFFICERS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES OF DELMARVA FOUNDATION FOR MEDICAL CARE ARE ALSO EMPLOYEES OF DELMARVA FOUNDATION OF THE DISTRICT OF COLUMBIA, INC., A RELATED ORGANIZATION. HOURS DEVOTED TO DELMARVA FOUNDATION OF THE DISTRICT OF COLUMBIA, INC. ARE LISTED BELOW: INDIVIDUAL HOURS DEVOTED TO DFDC FREDIA WADLEY 2 MALCOLM R. HOLLEY 2 SUSAN JEAN MIDDLETON 2 CRAIG S. WELLER 2 BILL JAWISH 2 CHRISTIAN JENSEN 6 SEVERAL OFFICERS DELMARVA FOUNDATION FOR MEDICAL CARE ARE ALSO DIRECTORS OR OFFICERS OF QUALITY HEALTH FOUNDATION, INC., A RELATED ORGANIZATION. HOURS DEVOTED TO QUALITY HEALTH FOUNDATION, INC. ARE LISTED BELOW: INDIVIDUAL HOURS DEVOTED TO QHF CHRISTIAN E. JENSEN .2 FREDIA WADLEY 1 MALCOLM R. HOLLEY 1</Explanation>
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