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        <EndYearBalanceAmt>2060572</EndYearBalanceAmt>
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      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>190000</BeginningYearBalanceAmt>
        <ContributionsAmt>639000</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>0</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>0</GrantsOrScholarshipsAmt>
        <OtherExpendituresAmt>0</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>0</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>829000</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <BoardDesignatedBalanceEOYPct>0.00000</BoardDesignatedBalanceEOYPct>
      <PrmnntEndowmentBalanceEOYPct>1.00000</PrmnntEndowmentBalanceEOYPct>
      <TermEndowmentBalanceEOYPct>0.00000</TermEndowmentBalanceEOYPct>
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      <EndowmentsHeldRelatedOrgInd>false</EndowmentsHeldRelatedOrgInd>
      <LandGrp />
      <BuildingsGrp />
      <LeaseholdImprovementsGrp />
      <EquipmentGrp />
      <OtherLandBuildingsGrp />
      <OtherAssetsOrgGrp>
        <Desc>DONATIONS HELD-HVIS AMBULATORY</Desc>
        <BookValueAmt>500000</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>DONATIONS NOT YET TRANSFERRED</Desc>
        <BookValueAmt>475570</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>CAPITAL CONT TO LEEWARD HEALTH</Desc>
        <BookValueAmt>20000</BookValueAmt>
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      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>INTERCOMPANY PAYABLE: HEALTH SVCS</Desc>
        <Amt>9224279</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>INTERCOMPANY PAYABLE: HOME HEALTH</Desc>
        <Amt>5118</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>INTERCOMPANY PAYABLE: UHCC</Desc>
        <Amt>261</Amt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE D, PART V, LINES 3A &amp; 4</FormAndLineReferenceDesc>
        <ExplanationTxt>DETAIL OF ENDOWMENT THE ORGANIZATION'S PERMANENTLY RESTRICTED ENDOWMENT CONSISTS OF PLEDGE BALANCES OF THREE DONOR RESTRICTED ENDOWMENT FUNDS USED FOR PROGRAM AND EDUCATIONAL SUPPORT.</ExplanationTxt>
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    </IRS990ScheduleD>
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        <PersonNm>JR RAY INC</PersonNm>
        <ActivityTxt>GRANT WRITING</ActivityTxt>
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        <Event1Nm>GOLF CLASSIC</Event1Nm>
        <GrossReceiptsEvent1Amt>153814</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>120214</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>33600</GrossRevenueEvent1Amt>
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        <CashPrizesOtherEventsAmt>0</CashPrizesOtherEventsAmt>
        <NonCashPrizesOtherEventsAmt>0</NonCashPrizesOtherEventsAmt>
        <RentFcltyCostsOtherEventsAmt>0</RentFcltyCostsOtherEventsAmt>
        <FoodAndBeverageOtherEventsAmt>0</FoodAndBeverageOtherEventsAmt>
        <EntertainmentOtherEventsAmt>0</EntertainmentOtherEventsAmt>
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        <GrossReceiptsTotalAmt>153814</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>120214</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>33600</GrossRevenueTotalEventsAmt>
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        <FoodAndBeverageTotalEventsAmt>0</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>0</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>94143</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>94143</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-60543</NetIncomeSummaryAmt>
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    </IRS990ScheduleG>
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      <IndependentConsultantInd>X</IndependentConsultantInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
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      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JANICE E NEVIN MD</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>1347992</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>742346</BonusRelatedOrganizationsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>9778</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>3159851</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JENNIFER L SCHWARTZ ESQ</PersonNm>
        <TitleTxt>CORPORATE SECRETARY</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>543248</CompensationBasedOnRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>823851</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT MCMURRAY</PersonNm>
        <TitleTxt>CFO, TREAS. &amp; ASS'T SECRETARY</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>624494</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>226794</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>6652</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>66326</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>20501</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>944767</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE J, PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>SUPPLEMENTAL NONQUALIFIED PLAN PARTICIPATION CHRISTIANA CARE HEALTH SERVICES, INC. ("CCHS") MAINTAINS AN IRC SECTION 457(F) DEFERRED COMPENSATION PLAN. THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED AND/OR RECEIVED DISTRIBUTIONS FROM THE 457(F) PLAN DURING THE YEAR: ROBERT MCMURRAY- NO DISTRIBUTION JANICE E. NEVIN, MD- NO DISTRIBUTION JENNIFER L. SCHWARTZ, ESQ.- NO DISTRIBUTION ---------------</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>FAMILY AND BUSINESS RELATIONSHIPS GEORGE FOUTRAKIS, TRUSTEE, AND PAUL KANIEFSKI, TRUSTEE, HAVE A BUSINESS RELATIONSHIP. ---------------</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 REVIEW PROCESS INFORMATION RELATED TO THE CHRISTIANA CARE HEALTH SYSTEM INC.("SYSTEM") FORM 990 IS GATHERED BY FINANCE STAFF AND PROVIDED TO PWC US TAX LLP FOR REVIEW. THE FINAL 2022 FORM 990 FOR THE FISCAL YEAR ENDING JUNE 30, 2023 WAS REVIEWED AND APPROVED BY VARIOUS SENIOR MANAGEMENT OFFICIALS. THE ORGANIZATION'S GOVERNING BOARD WAS ALSO PROVIDED ACCESS TO THE APPROVED 2022 FORM 990 VIA ITS BOARD OF DIRECTORS PORTAL. ---------------</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>CONFLICT OF INTEREST POLICY OUR CONFLICT OF INTEREST ("COI") POLICY IS LOCATED IN THE CAREGIVER RESOURCE CENTER ON THE EMPLOYEE PORTAL. 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 EXIST. 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 ITS OWN COI POLICY. COI IS A STANDING AGENDA ITEM ON EACH BOARD OR BOARD COMMITTEE MEETING. BOARD MEMBERS' EXPECTATIONS FOR COI ARE CLEARLY COMMUNICATED. ---------------</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION REVIEW AND APPROVAL PROCESS THE BOARD OF DIRECTORS OF THIS ORGANIZATION ESTABLISHES THE COMPETITIVE TOTAL COMPENSATION POLICY AND PRACTICE. THE EXECUTIVE COMPENSATION COMMITTEE ("ECC") OF THE BOARD ENGAGES AN INDEPENDENT THIRD PARTY ANNUALLY WHO ASSESSES DATA FROM SEVERAL MAJOR SURVEYS TO ENSURE TOTAL REMUNERATION IS MARKET COMPETITIVE AND QUALIFIES FOR THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER THE INTERMEDIATE SANCTIONS RULE, SECTION 4958 OF THE INTERNAL REVENUE CODE. AFTER DELIBERATION, THE ECC DOCUMENTS THEIR DECISIONS IN MEETING MINUTES. ---------------</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNANCE, MGMT, AND DISCLOSURE THE GOVERNING DOCUMENTS, AUDITED FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST. ---------------</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER CHANGES IN NET ASSETS OR FUND BALANCES WRITE-OFF OF PLEDGES DEEMED TO BE UNCOLLECTIBLE $(30,374) ---------------</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE K</FormAndLineReferenceDesc>
        <ExplanationTxt>DETAIL OF TAX EXEMPT BONDS ALTHOUGH A DELAWARE HEALTH FACILITIES AUTHORITY SERIES 2020A BOND WAS ISSUED TO CHRISTIANA CARE HEALTH SYSTEM, INC., ALL BOND PROCEEDS WERE ALLOCATED TO CHRISTIANA CARE HEALTH SERVICES, INC.(EIN: 51-0103684), A RELATED IRC SECTION 501(C)(3) ORGANIZATION. AS A RESULT, THIS BOND IS REPORTED ON THE FORM 990, PART X AND FORM 990, SCHEDULE K OF CHRISTIANA CARE HEALTH SERVICES, INC. CHRISTIANA CARE HEALTH SYSTEM, INC. REMAINS THE PRIMARY OBLIGOR OF THIS BOND. AS OF JUNE 30, 2023, THE TOTAL OUTSTANDING LIABILITY FOR THIS BOND WAS $247,255,000. ---------------</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:STAFF LEASED FROM AFFILIA TOTAL FEES:1186842</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:OTHER FEES FOR SERVICES TOTAL FEES:285529</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>CHRISTIANA CARE HEALTH SERVICES INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>4000 NEXUS DR NW3-100</AddressLine1Txt>
          <CityNm>WILMINGTON</CityNm>
          <StateAbbreviationCd>DE</StateAbbreviationCd>
          <ZIPCd>19803</ZIPCd>
        </USAddress>
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        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>CCH SYSTEM</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>CHRISTIANA CARE HOME HEALTH &amp; COMM SVCS</BusinessNameLine1Txt>
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          <AddressLine1Txt>4000 NEXUS DR NW3-100</AddressLine1Txt>
          <CityNm>WILMINGTON</CityNm>
          <StateAbbreviationCd>DE</StateAbbreviationCd>
          <ZIPCd>19803</ZIPCd>
        </USAddress>
        <EIN>510064334</EIN>
        <PrimaryActivitiesTxt>HOME HLTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
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          <CityNm>WILMINGTON</CityNm>
          <StateAbbreviationCd>DE</StateAbbreviationCd>
          <ZIPCd>19803</ZIPCd>
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        <PrimaryActivitiesTxt>OUTPATIENT SV</PrimaryActivitiesTxt>
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          <AddressLine1Txt>PO BOX 1668</AddressLine1Txt>
          <CityNm>WILMINGTON</CityNm>
          <StateAbbreviationCd>DE</StateAbbreviationCd>
          <ZIPCd>19899</ZIPCd>
        </USAddress>
        <EIN>510275944</EIN>
        <PrimaryActivitiesTxt>SUPPORT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12C,III-FI</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>AFFINITY HEALTH ALLIANCE INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>4000 NEXUS DR NW3-100</AddressLine1Txt>
          <CityNm>WILMINGTON</CityNm>
          <StateAbbreviationCd>DE</StateAbbreviationCd>
          <ZIPCd>19803</ZIPCd>
        </USAddress>
        <EIN>521794697</EIN>
        <PrimaryActivitiesTxt>MANAGEMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12B, II</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>CCH SERVICES</BusinessNameLine1Txt>
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          <AddressLine1Txt>4000 NEXUS DR NW3-100</AddressLine1Txt>
          <CityNm>WIMLINGTON</CityNm>
          <StateAbbreviationCd>DE</StateAbbreviationCd>
          <ZIPCd>19803</ZIPCd>
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        <EIN>520607945</EIN>
        <PrimaryActivitiesTxt>HLTHCARE SVCS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>AFFINITY</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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          <BusinessNameLine1Txt>UNION HOSPITAL OF CECIL COUNTY HLTH SVCS</BusinessNameLine1Txt>
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          <AddressLine1Txt>4000 NEXUS DR NW3-100</AddressLine1Txt>
          <CityNm>WILMINGTON</CityNm>
          <StateAbbreviationCd>DE</StateAbbreviationCd>
          <ZIPCd>19803</ZIPCd>
        </USAddress>
        <EIN>521794553</EIN>
        <PrimaryActivitiesTxt>PROPERTY MGMT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>AFFINITY</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>UNION HOSPITAL OF CECIL COUNTY ONCOLOGY</BusinessNameLine1Txt>
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          <CityNm>WILMINGTON</CityNm>
          <StateAbbreviationCd>DE</StateAbbreviationCd>
          <ZIPCd>19803</ZIPCd>
        </USAddress>
        <EIN>812662359</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
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        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>AFFINITY</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>UNION HOSPITAL OF CECIL COUNTY FDN INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>4000 NEXUS DR NW3-100</AddressLine1Txt>
          <CityNm>WILMINGTON</CityNm>
          <StateAbbreviationCd>DE</StateAbbreviationCd>
          <ZIPCd>19803</ZIPCd>
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          <BusinessNameLine1Txt>CHRISTIANA CARE WEST GROVE INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>4000 NEXUS DR NW3-100</AddressLine1Txt>
          <CityNm>WILMINGTON</CityNm>
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          <BusinessNameLine1Txt>CCH SERVICES</BusinessNameLine1Txt>
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          <AddressLine1Txt>4000 NEXUS DR NW3-100</AddressLine1Txt>
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          <BusinessNameLine1Txt>CHRISTIANACARE GOHEALTH URGENT CARE LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>5555 GLENRIDGE CONNECTOR SUITE 700</AddressLine1Txt>
          <CityNm>ATLANTA</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>30342</ZIPCd>
        </USAddress>
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        <PrimaryActivitiesTxt>URGENT CARE SRVCS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>CCH SERVICES</BusinessNameLine1Txt>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>CHRISTIANACARE VALUE HEALTH JV LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>11221 ROE AVENUE</AddressLine1Txt>
          <CityNm>LEAWOOD</CityNm>
          <StateAbbreviationCd>KS</StateAbbreviationCd>
          <ZIPCd>66211</ZIPCd>
        </USAddress>
        <EIN>851100149</EIN>
        <PrimaryActivitiesTxt>AMBULATORY SRVCS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>CCH SERVICES</BusinessNameLine1Txt>
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      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>CLINERGY LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>4755 OGLETOWN STANTON RD</AddressLine1Txt>
          <CityNm>NEWARK</CityNm>
          <StateAbbreviationCd>DE</StateAbbreviationCd>
          <ZIPCd>19718</ZIPCd>
        </USAddress>
        <EIN>852698063</EIN>
        <PrimaryActivitiesTxt>GROUP PURCHASING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CCH SERVICES</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>LEEWARD HEALTH LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>4000 NEXUS DRIVE STE C3-300</AddressLine1Txt>
          <CityNm>WILMINGTON</CityNm>
          <StateAbbreviationCd>DE</StateAbbreviationCd>
          <ZIPCd>19803</ZIPCd>
        </USAddress>
        <EIN>883132477</EIN>
        <PrimaryActivitiesTxt>MED ADV RISK SHAR</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>CCH SYSTEM</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>34</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>20034</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <UBICodeVAmt>0</UBICodeVAmt>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.80000</OwnershipPct>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>CHRISTIANA CARE HEALTH PLANS</BusinessNameLine1Txt>
        </RelatedOrganizationName>
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          <AddressLine1Txt>4000 NEXUS DR NW3-100</AddressLine1Txt>
          <CityNm>WILMINGTON</CityNm>
          <StateAbbreviationCd>DE</StateAbbreviationCd>
          <ZIPCd>19803</ZIPCd>
        </USAddress>
        <EIN>510352728</EIN>
        <PrimaryActivitiesTxt>INSURANCE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CCH SYSTEM</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C CORP</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>-20194</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>84331</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>THE DE CTR FOR MAT FETAL MED OF CC INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>4000 NEXUS DR NW3-100</AddressLine1Txt>
          <CityNm>WILMINGTON</CityNm>
          <StateAbbreviationCd>DE</StateAbbreviationCd>
          <ZIPCd>19803</ZIPCd>
        </USAddress>
        <EIN>205891272</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>CCH SERVICES</BusinessNameLine1Txt>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>CHRISTIANA CARE DEFERRED COMP PLAN</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>4755 OGLETOWN STANTON RD</AddressLine1Txt>
          <CityNm>NEWARK</CityNm>
          <StateAbbreviationCd>DE</StateAbbreviationCd>
          <ZIPCd>19718</ZIPCd>
        </USAddress>
        <EIN>816359549</EIN>
        <PrimaryActivitiesTxt>DEF COMP PLAN</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CCH SERVICES</BusinessNameLine1Txt>
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        <EntityTypeTxt>TRUST</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>CHRISTIANA CARE EXEC DEFERRED COMP PLAN</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>4755 OGLETOWN STANTON RD</AddressLine1Txt>
          <CityNm>NEWARK</CityNm>
          <StateAbbreviationCd>DE</StateAbbreviationCd>
          <ZIPCd>19718</ZIPCd>
        </USAddress>
        <EIN>357048822</EIN>
        <PrimaryActivitiesTxt>DEF COMP PLAN</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CCH SERVICES</BusinessNameLine1Txt>
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        <EntityTypeTxt>TRUST</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>CARE ASSOCIATES DEFERRED COMP PLAN</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>4755 OGLETWON STANTON RD</AddressLine1Txt>
          <CityNm>NEWARK</CityNm>
          <StateAbbreviationCd>DE</StateAbbreviationCd>
          <ZIPCd>19718</ZIPCd>
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        <EIN>357048714</EIN>
        <PrimaryActivitiesTxt>DEF COMP PLAN</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CCH SERVICES</BusinessNameLine1Txt>
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        <EntityTypeTxt>TRUST</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>CHRISTIANA CARE INSURANCE CO LTD</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1Txt>PO BOX 1159 878 W BAY RD</AddressLine1Txt>
          <ProvinceOrStateNm>GRAND CAYMAN</ProvinceOrStateNm>
          <CountryCd>CJ</CountryCd>
          <ForeignPostalCd>KY1-1102</ForeignPostalCd>
        </ForeignAddress>
        <EIN>981489490</EIN>
        <PrimaryActivitiesTxt>SELF-INSURANCE</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
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          <BusinessNameLine1Txt>CCH SERVICES</BusinessNameLine1Txt>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>CHRISTIANA CARE STRATEGIC INVESTMENTS</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>4000 NEXUS DR NW3-100</AddressLine1Txt>
          <CityNm>WILMINGTON</CityNm>
          <StateAbbreviationCd>DE</StateAbbreviationCd>
          <ZIPCd>19803</ZIPCd>
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        <EIN>853348300</EIN>
        <PrimaryActivitiesTxt>STRATEGY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>CCH SYSTEM</BusinessNameLine1Txt>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>UNION HOSPITAL OF CECIL COUNTY VENTURES</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>4000 NEXUS DR NW3-100</AddressLine1Txt>
          <CityNm>WILMINGTON</CityNm>
          <StateAbbreviationCd>DE</StateAbbreviationCd>
          <ZIPCd>19803</ZIPCd>
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        <EIN>521793691</EIN>
        <PrimaryActivitiesTxt>MEDICAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>AFFINITY</BusinessNameLine1Txt>
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      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
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      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
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          <BusinessNameLine1Txt>CHRISTIANA CARE HEALTH SERVICES INC</BusinessNameLine1Txt>
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        <TransactionTypeTxt>BKLNO</TransactionTypeTxt>
        <InvolvedAmt>4990121</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>CHRISTIANA CARE HOME HLTH &amp; COMM SRVCS INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>BLN</TransactionTypeTxt>
        <InvolvedAmt>102403</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
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    </IRS990ScheduleR>
    <AffiliatedGroupAttachment documentId="AffiliatedGroupAttachment">
      <MeduimExplanationTxt>DIRECT OTHER LOBBYING EXEMPT PURPOSE NAME OF ELECTING ORGANIZATION EXPENDITURES EXPENDITURES __________________________________ ____________ _______________ CHRISTIANA CARE HEALTH SYSTEM $ NONE $ 2,870,161 CHRISTIANA CARE HEALTH SERVICES 325,798 2,588,030,162 CHRISTIANA CARE HOME HEALTH AND COMMUNITY SERVICES NONE 42,543,018 CHRISTIANA CARE HEALTH INITIATIVES NONE 10,583,853 ----------- -------------- TOTAL $ 325,798 $2,644,027,194 THE ORGANIZATION HAS MADE THE LOBBYING ELECTION UNDER I.R.C. SECTION 501(H) FOR THE TAX YEAR ENDED JUNE 30, 2023. THIS ELECTION HAS NOT BEEN REVOKED BEFORE THE START OF THE ORGANIZATION'S TAX YEAR THAT BEGAN IN 2022.</MeduimExplanationTxt>
    </AffiliatedGroupAttachment>
  </ReturnData>
</Return>
