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      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>0</Total>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
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      <OtherSalariesAndWages>
        <Total>26896124</Total>
        <ProgramServices>24059205</ProgramServices>
        <ManagementAndGeneral>2836919</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <PensionPlanContributions>
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        <ProgramServices>1889225</ProgramServices>
        <ManagementAndGeneral>407980</ManagementAndGeneral>
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      <OtherEmployeeBenefits>
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        <ProgramServices>2884833</ProgramServices>
        <ManagementAndGeneral>738256</ManagementAndGeneral>
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      <PayrollTaxes>
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        <ProgramServices>1732993</ProgramServices>
        <ManagementAndGeneral>209992</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <FeesForServicesManagement>
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      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>0</Total>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>0</Total>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
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        <ManagementAndGeneral>126320</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <Advertising>
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        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>31413</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Advertising>
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        <ProgramServices>355484</ProgramServices>
        <ManagementAndGeneral>121471</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>350983</Total>
        <ProgramServices>42639</ProgramServices>
        <ManagementAndGeneral>308344</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>640556</Total>
        <ProgramServices>433257</ProgramServices>
        <ManagementAndGeneral>207299</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Occupancy>
      <Travel>
        <Total>1036522</Total>
        <ProgramServices>1015105</ProgramServices>
        <ManagementAndGeneral>21417</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>60803</Total>
        <ProgramServices>19328</ProgramServices>
        <ManagementAndGeneral>41475</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </ConferencesMeetings>
      <Interest>
        <Total>0</Total>
      </Interest>
      <PaymentsToAffiliates>
        <Total>1715021</Total>
        <ProgramServices>79332</ProgramServices>
        <ManagementAndGeneral>1635689</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
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        <ProgramServices>46866</ProgramServices>
        <ManagementAndGeneral>339744</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </DepreciationDepletion>
      <Insurance>
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        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>172327</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <OtherExpenses>
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        <ProgramServices>454370</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <OtherExpenses>
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        <ProgramServices>401341</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>COMMUNITY &amp; STAFF RELATIONS</Description>
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        <ProgramServices>25616</ProgramServices>
        <ManagementAndGeneral>32176</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <OtherExpenses>
        <Description>FOOD</Description>
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        <ManagementAndGeneral>460</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>BANKING FEES</Description>
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        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>18952</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <AllOtherExpenses>
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        <ManagementAndGeneral>14610</ManagementAndGeneral>
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      <TotalFunctionalExpenses>
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        <ProgramServices>33668726</ProgramServices>
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      <SavingsAndTempCashInvestments>
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        <EOY>6617583</EOY>
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      <GeneralExplanation>
        <Identifier>SUPPLEMENTAL DISCLOSURES</Identifier>
        <Explanation>GOVERNING BODY AND MANAGEMENT FORM 990, PART VI, SECTION A, LINE 7A,B THE BOARD OF DIRECTORS OF CHRISTIANA CARE HEALTH SYSTEM, INC. ("SYSTEM"), SOLE MEMBER OF CHRISTIANA CARE HOME HEALTH AND COMMUNITY SERVICES ("CCHHCS"), AT IT'S ANNUAL MEETING IN NOVEMBER, ELECTS DIRECTORS OF CCHHCS. THE ANNUAL OPERATING BUDGET OF CCHHCS IS APPROVED BY THE CCHHCS BOARD, THE SYSTEM FINANCE COMMITTEE AND THE SYSTEM BOARD. ----------------------- FORM 990 REVIEW PROCESS FORM 990, PART VI, SECTION B, LINE 11A INFORMATION RELATED TO CCHHCS' FORM 990 FILING IS GATHERED BY FINANCE STAFF AND PROVIDED TO PRICEWATERHOUSECOOPERS LLP FOR REVIEW. THE FINAL 2010 FORM 990 FOR THE FISCAL YEAR ENDING JUNE 30, 2011 WAS REVIEWED AND APPROVED BY VARIOUS SENIOR MANAGEMENT OFFICIALS. THE ORGANIZATION'S GOVERNING BOARD WAS ALSO PROVIDED ACCESS TO THE APPROVED 2010 FORM 990 VIA ITS BOARD OF DIRECTOR'S PORTAL. ----------------------- CONFLICT OF INTEREST POLICY FORM 990, PART VI, SECTION B, LINE 12C OUR CONFLICT OF INTEREST ("COI") POLICY IS LOCATED IN THE SUPERVISORY POLICY MANUAL. THERE IS AN ANNUAL MANDATORY EDUCATION FOR REQUIRED INDIVIDUALS WHICH INCLUDES AN ELECTRONIC SIGN OFF ACKNOWLEDGING COMPLETION OF THE EDUCATION, REPORTING OF A REAL OR PERCEIVED CONFLICT OR THAT NO CONFLICTS OF INTEREST EXISTS. THE HR/EMPLOYEE RELATIONS TEAM FOLLOWS UP WITH ANYONE WHO HAS A CONFLICT OR PERCEIVED CONFLICT OR DOES NOT COMPLETE THE EDUCATION IN ORDER TO RESOLVE. THE EMPLOYEE HANDBOOK SETS EXPECTATIONS FOR EMPLOYEE CONFLICTS OF INTEREST AND EXPECTATIONS. SEVERAL REPORTING MECHANISMS ALSO EXIST FOR EMPLOYEES TO REPORT CONCERNS. THE BOARD OF DIRECTORS HAS THEIR OWN COI POLICY. COI IS A STANDING AGENDA ITEM ON EACH BOARD OR BOARD COMMITTEE MEETING. BOARD MEMBERS EXPECTATIONS FOR COI ARE CLEARLY COMMUNICATED. ----------------------- COMPENSATION REVIEW AND APPROVAL FORM 990, PART VI, SECTION B, LINE 15 THIS ORGANIZATION IS AN AFFILIATE OF CHRISTIANA CARE HEALTH SERVICES, INC. ("CCHS"). COMPENSATION ARRANGEMENTS INVOLVING ANY OF OUR OFFICERS ARE ESTABLISHED BY CCHS PURSUANT TO A PROCESS THAT SATISFIES THE REBUTTABLE PRESUMPTION PROCEDURE AVAILABLE FOR SECTION 4958 EXCESS BENEFIT TRANSACTION TAX PURPOSES (WHICH REQUIRES A REVIEW OF COMPENSATION DETERMINATIONS BY DISINTERESTED PERSONS, USE OF APPROPRIATE COMPARABILITY DATA, AND CONTEMPORANEOUS DOCUMENTATION OF THE PROCESS). ----------------------- GOVERNANCE, MANAGEMENT, AND DISCLOSURE FORM 990, PART VI, SECTION C, LINE 19 THE FORMS 1023 AND 990, GOVERNING DOCUMENTS, AUDITED FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY OF CCHHCS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. IN ADDITION, THE FINANCIAL STATEMENTS ARE AVAILABLE ON THE WEB THROUGH DIGITAL ASSURANCE CERTIFICATION ("DAC"). ----------------------- DETAIL OF OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 5 UNREALIZED GAIN/(LOSS) ON INVESTMENTS $1,169,692 CHANGE IN PENSION LIABILITIES 3,579,447 OTHER CHANGES IN NET ASSETS (73,438) ---------- TOTAL $4,675,701</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:BRENDA PIERCE, ESQ TITLE:SECRETARY HOURS:41</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:WILFRED B. SHERK TITLE:CHAIRPERSON HOURS:2</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CHRISTIANA CARE HEALTH SYSTEM INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>501 W 14TH STREET</AddressLine1>
          <City>WILMINGTON</City>
          <State>DE</State>
          <ZIPCode>19801</ZIPCode>
        </AddressUS>
        <EIN>521479538</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>DE</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CHRISTIANA CARE HEALTH SERVICES INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 2653</AddressLine1>
          <City>WILMINGTON</City>
          <State>DE</State>
          <ZIPCode>19805</ZIPCode>
        </AddressUS>
        <EIN>510103684</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>DE</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CCH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CHRISTIANA CARE HLTH INITIATIVES INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>200 HYGEIA DRIVE SUITE 2300</AddressLine1>
          <City>NEWARK</City>
          <State>DE</State>
          <ZIPCode>19713</ZIPCode>
        </AddressUS>
        <EIN>510295186</EIN>
        <PrimaryActivities>OUTPATIENT SV</PrimaryActivities>
        <LegalDomicileState>DE</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CCH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>DELAWARE SLEEP DISORDERS CENTERS LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>200 HYGEIA DRIVE</AddressLine1>
          <City>NEWARK</City>
          <State>DE</State>
          <ZIPCode>19713</ZIPCode>
        </AddressUS>
        <EIN>205126228</EIN>
        <PrimaryActivity>MEDICAL SERVICES</PrimaryActivity>
        <LegalDomicileState>DE</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CCHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>N/A</PredominantIncomeType>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>GLASGOW MEDICAL CENTER LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2600 GLASGOW AVENUE SUITE 204</AddressLine1>
          <City>NEWARK</City>
          <State>DE</State>
          <ZIPCode>19702</ZIPCode>
        </AddressUS>
        <EIN>510320926</EIN>
        <PrimaryActivity>MEDICAL SERVICES</PrimaryActivity>
        <LegalDomicileState>DE</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CCHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>N/A</PredominantIncomeType>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>LIMESTONE MEDICAL IMAGING LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>200 HYGEIA DRIVE</AddressLine1>
          <City>NEWARK</City>
          <State>DE</State>
          <ZIPCode>19713</ZIPCode>
        </AddressUS>
        <EIN>203113063</EIN>
        <PrimaryActivity>MEDICAL SERVICES</PrimaryActivity>
        <LegalDomicileState>DE</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CCHI</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>N/A</PredominantIncomeType>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>ALL ABOUT WOMEN</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>200 HYGEIA DRIVE</AddressLine1>
          <City>NEWARK</City>
          <State>DE</State>
          <ZIPCode>19713</ZIPCode>
        </AddressUS>
        <EIN>203894053</EIN>
        <PrimaryActivity>HEALTHCARE</PrimaryActivity>
        <LegalDomicileState>DE</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CC HEALTH SRVCS</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORP</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>THE DE CTR FOR MAT FETAL MED OF CC INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>200 HYGEIA DRIVE</AddressLine1>
          <City>NEWARK</City>
          <State>DE</State>
          <ZIPCode>19713</ZIPCode>
        </AddressUS>
        <EIN>205891272</EIN>
        <PrimaryActivity>HEALTHCARE</PrimaryActivity>
        <LegalDomicileState>DE</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CC HEALTH SRVCS</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORP</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>CHR CARE VASCULAR SPECIALISTS INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>200 HYGEIA DRIVE</AddressLine1>
          <City>NEWARK</City>
          <State>DE</State>
          <ZIPCode>19713</ZIPCode>
        </AddressUS>
        <EIN>208303207</EIN>
        <PrimaryActivity>HEALTHCARE</PrimaryActivity>
        <LegalDomicileState>DE</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CC HEALTH SRVCS</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORP</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>CHRISTIANA CARE HEALTH PLANS</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>200 HYGEIA DRIVE OFFICE 2524</AddressLine1>
          <City>NEWARK</City>
          <State>DE</State>
          <ZIPCode>19713</ZIPCode>
        </AddressUS>
        <EIN>510352728</EIN>
        <PrimaryActivity>INSURANCE</PrimaryActivity>
        <LegalDomicileState>DE</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CCH SYSTEM</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORP</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>true</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
    <AffiliatedGroupAttachment documentId="AffiliatedGroupAttachment">
      <Explanation>DIRECT OTHER LOBBYING EXEMPT PURPOSE NAME OF ELECTING ORGANIZATION EXPENDITURES EXPENDITURES __________________________________ ____________ ______________ CHRISTIANA CARE HEALTH SYSTEM $ NONE $ 4,376,562 CHRISTIANA CARE HEALTH SERVICES 190,594 1,171,284,591 CHRISTIANA CARE HOME HEALTH AND COMMUNITY SERVICES NONE 40,933,570 CHRISTIANA CARE HEALTH INITIATIVES NONE 35,669,018 ------------ -------------- TOTAL $ 190,594 $1,252,263,741 THE ORGANIZATION HAS MADE THE LOBBYING ELECTION UNDER I.R.C. SECTION 501(H) FOR THE TAX YEAR ENDED JUNE 30, 2011. THIS ELECTION HAS NOT BEEN REVOKED BEFORE THE START OF THE ORGANIZATION'S TAX YEAR THAT BEGAN IN 2010.</Explanation>
    </AffiliatedGroupAttachment>
  </ReturnData>
</Return>