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      <OtherExpenses>
        <Description>CONTRACT LOSS RESERVE</Description>
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        <ProgramServices>600000</ProgramServices>
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      <TotalFunctionalExpenses>
        <Total>27180459</Total>
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        <Fundraising>0</Fundraising>
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        <EOY>7634496</EOY>
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        <EOY>4729922</EOY>
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      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
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        <CurrentTaxYearMinus1Year>27534907</CurrentTaxYearMinus1Year>
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        <Explanation>DFMC ADOPTED THE ACCOUNTING STANDARD ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, WHICH ADDRESSES THE DETERMINATION OF WHETHER TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE FINANCIAL STATEMENTS. UNDER THIS POLICY, DFMC MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE-LIKELY-THAN-NOT THAT THE TAX POSITION WOULD BE SUSTAINED ON EXAMINATION BY TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. MANAGEMENT HAS EVALUATED DFMC'S TAX POSITIONS AND HAS CONCLUDED THAT DFMC HAS TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH PROVISIONS OF THIS GUIDANCE. DFMC IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR THE U.S. FEDERAL, STATE OR LOCAL TAX AUTHORITIES FOR YEARS BEFORE JUNE 30, 2010.</Explanation>
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        <ReturnReference>PART I, LINE 4A</ReturnReference>
        <Explanation>PART I, LINE 4A: THE ORGANIZATION HAS A SEVERANCE PLAN WHICH COVERS CERTAIN INDIVIDUALS. DURING THE YEAR TODD JENNINGS RECEIVED A PAYMENT UNDER THAT AGREEMENT WHICH IS DISCLOSED IN PART VII OF FORM 990, COLUMN D, AND SCHEDULE J, PART II AS A TAXABLE PAYMENT. THE SPECIFIC TERMS AND CONDITIONS OF THE AGREEMENT ARE LEGALLY CONFIDENTIAL AND ARE AVAILABLE TO THE IRS UPON REQUEST.</Explanation>
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      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 3</ReturnReference>
        <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.</Explanation>
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      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 6</ReturnReference>
        <Explanation>QUALITY HEALTH STRATEGIES, INC. IS THE SOLE MEMBER OF DELMARVA FOUNDATION FOR MEDICAL CARE, INC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7A</ReturnReference>
        <Explanation>QUALITY HEALTH STRATEGIES, INC. HAS THE RIGHT TO APPOINT AND ELECT ALL DIRECTORS.</Explanation>
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      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 7B</ReturnReference>
        <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>
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      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <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>
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        <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>
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        <Explanation>THE VICE PRESIDENT OF HUMAN RESOURCES OBTAINS AND ANALYSES A COMPENSATION SURVEY. THE VICE PRESIDENT REVIEWS AND DISCUSSES THE SURVEY WITH THE CEO OF QUALITY HEALTH STRATEGIES AND MAKES THE INFORMATION ON THE CEO AND OTHER C-SUITE OFFICERS AVAILABLE TO THE QHS AND SUBSIDIARY BOARDS. THE COMPENSATION OF THE DFMC CEO AND THE OTHER KEY EMPLOYEES IS DOCUMENTED AND DETERMINED BY THE DFMC BOARD.</Explanation>
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        <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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