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      <TotalLobbyingExpenditures>
        <FilingOrganizationsTotals>0</FilingOrganizationsTotals>
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        <FilingOrganizationsTotals>446856</FilingOrganizationsTotals>
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      <TotalExemptPurposeExpenditures>
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        <AffiliatedGroupTotals>69549160</AffiliatedGroupTotals>
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      <LobbyingNontaxableAmount>
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      <GrassrootsNontaxableAmount>
        <FilingOrganizationsTotals>22343</FilingOrganizationsTotals>
        <AffiliatedGroupTotals>250000</AffiliatedGroupTotals>
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        <FilingOrganizationsTotals>0</FilingOrganizationsTotals>
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      <LobbyingNontaxableAmount2>
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        <CurrentYearMinus2>1000000</CurrentYearMinus2>
        <CurrentYearMinus1>1000000</CurrentYearMinus1>
        <CurrentYear>1000000</CurrentYear>
        <Total>4000000</Total>
      </LobbyingNontaxableAmount2>
      <LobbyingCeilingAmount>6000000</LobbyingCeilingAmount>
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        <CurrentYearMinus3>4971</CurrentYearMinus3>
        <CurrentYearMinus2>4971</CurrentYearMinus2>
        <CurrentYearMinus1>4971</CurrentYearMinus1>
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      <GrassrootsNontaxableAmount2>
        <CurrentYearMinus3>250000</CurrentYearMinus3>
        <CurrentYearMinus2>250000</CurrentYearMinus2>
        <CurrentYearMinus1>250000</CurrentYearMinus1>
        <CurrentYear>250000</CurrentYear>
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        <CurrentYearMinus1>2486</CurrentYearMinus1>
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    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <TotalOfBookValueLandBuildings>0</TotalOfBookValueLandBuildings>
      <OtherSecurities>
        <Description>3858.476 DNVYX</Description>
        <BookValue>135510</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>5604.234 PRFDX</Description>
        <BookValue>138313</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <TotalOfBookValueSecurities>273823</TotalOfBookValueSecurities>
      <OtherLiabilities>
        <Description>DUE TO AFFILIATE</Description>
        <Amount>7731</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>7731</TotalOfAmounts>
      <TotalRevenue>473396</TotalRevenue>
      <TotalExpenses>446856</TotalExpenses>
      <ExcessOrDeficitForYear>26540</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>-65261</NetUnrealizedGLOnInvestments>
      <TotalAdjustments>-65261</TotalAdjustments>
      <ExcessOrDeficitPerFS>-38721</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>71673343</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>-65261</NetUnrealizedGainsInvestments>
      <OtherRevenues>71615208</OtherRevenues>
      <RevenueNotRptdF990>71549947</RevenueNotRptdF990>
      <RevenueSubtotal>123396</RevenueSubtotal>
      <OtherRevenuesNotIncluded>350000</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>350000</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>473396</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>69406551</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>69309695</OtherExpensesIncluded>
      <ExpensesNotRptdF990>69309695</ExpensesNotRptdF990>
      <ExpensesSubtotal>96856</ExpensesSubtotal>
      <OtherExpensesNotIncluded>350000</OtherExpensesNotIncluded>
      <ExpensesNotRptdOnFinStmt>350000</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>446856</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
        <ReturnReference>PART X:</ReturnReference>
        <Explanation>THE COMPANY HAS 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 CONSOLIDATED FINANCIAL STATEMENTS. UNDER THIS GUIDANCE, THE COMPANY MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT'S MORE-THAN-LIKELY-THAN-NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ALSO ADDRESSES DE-RECOGNITION CLASSIFICATION, INTEREST, AND PENALTIES ON INCOME TAXES, AND ACCOUNTING IN INTERIM PERIODS. MANAGEMENT HAS EVALUATED THE COMPANY'S TAX POSITIONS AND HAS CONCLUDED THAT THE COMPANY HAS TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE CONSOLIDATED FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISION OF THIS GUIDANCE. THE COMPANY IS NO LONGER SUBJECT TO U.S. FEDERAL, STATE, AND LOCAL INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS ENDING PRIOR TO JUNE 30, 2009.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XII, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>REVENUE FROM AFFILIATES INCLUDED ON CONSOLIDATED FINANCIAL STATEMENTS 71,615,208.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XII, LINE 4B - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>REVENUE ELIMINATED ON CONSOLIDATED FINANCIAL STATEMENT 350,000.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XIII, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>EXPENSES FROM AFFILIATES INCLUDED ON CONSOLIDATED FINANCIAL STATEMENTS 69,309,695.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XIII, LINE 4B - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>EXPENSE ELIMINATED ON CONSOLIDATED FINANCIAL STATEMENT 350,000.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <RecordsMaintained>1</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>ACCESS CARROLL INC</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>2 LOCUST LANE STE 301</AddressLine1>
          <City>WESTMINSTER</City>
          <State>MD</State>
          <ZIPCode>21157</ZIPCode>
        </AddressUS>
        <EINOfRecipient>202146701</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>50000</AmountOfCashGrant>
        <PurposeOfGrant>GENERAL SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>HELP &amp; OUTREACH POINT OF ENTRY</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO BOX 5113</AddressLine1>
          <City>SALISBURY</City>
          <State>MD</State>
          <ZIPCode>21802</ZIPCode>
        </AddressUS>
        <EINOfRecipient>260756910</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>50000</AmountOfCashGrant>
        <PurposeOfGrant>GENERAL SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>COMMUNITY OF HOPE</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1717 MASSACHUSETTS AVE NW STE 805</AddressLine1>
          <City>WASHINGTON</City>
          <State>DC</State>
          <ZIPCode>20036</ZIPCode>
        </AddressUS>
        <EINOfRecipient>521184749</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>30000</AmountOfCashGrant>
        <PurposeOfGrant>GENERAL SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>FOR ALL SEASONS INC</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>300 TALBOT ST</AddressLine1>
          <City>EASTON</City>
          <State>MD</State>
          <ZIPCode>21601</ZIPCode>
        </AddressUS>
        <EINOfRecipient>521496434</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>36000</AmountOfCashGrant>
        <PurposeOfGrant>GENERAL SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>UNIVERSITY OF MD MEDICAL SYSTEM</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>724 W LOMBARD ST</AddressLine1>
          <City>BALTIMORE</City>
          <State>MD</State>
          <ZIPCode>21201</ZIPCode>
        </AddressUS>
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        <IRCSection>501(C)(3)</IRCSection>
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        <PurposeOfGrant>GENERAL SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
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          <BusinessNameLine1>MARYLAND FOUNDATION OF DENTISTRY FOR THE HANDICAPPED</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>6410 DOBBIN ROAD STE F</AddressLine1>
          <City>COLUMBIA</City>
          <State>MD</State>
          <ZIPCode>21045</ZIPCode>
        </AddressUS>
        <EINOfRecipient>521962484</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>50000</AmountOfCashGrant>
        <PurposeOfGrant>GENERAL SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>HOSPICE OF QUEEN ANNE'S</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>255 COMET DRIVE</AddressLine1>
          <City>CENTREVILLE</City>
          <State>MD</State>
          <ZIPCode>21617</ZIPCode>
        </AddressUS>
        <EINOfRecipient>521414892</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>25000</AmountOfCashGrant>
        <PurposeOfGrant>GENERAL SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>SHEPHERD'S CLINIC INC</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>2800 KIRK AVENUE</AddressLine1>
          <City>BALTIMORE</City>
          <State>MD</State>
          <ZIPCode>21218</ZIPCode>
        </AddressUS>
        <EINOfRecipient>521739001</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>30000</AmountOfCashGrant>
        <PurposeOfGrant>GENERAL SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>WILLIAM HILL MANOR</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>501 DUTCHMANS LANE</AddressLine1>
          <City>EASTON</City>
          <State>MD</State>
          <ZIPCode>21601</ZIPCode>
        </AddressUS>
        <EINOfRecipient>200495182</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>25000</AmountOfCashGrant>
        <PurposeOfGrant>GENERAL SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>WOMEN SUPPORTING WOMEN</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1320 BELMONT AVE NO 402</AddressLine1>
          <City>SALISBURY</City>
          <State>MD</State>
          <ZIPCode>21804</ZIPCode>
        </AddressUS>
        <EINOfRecipient>521870971</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>20000</AmountOfCashGrant>
        <PurposeOfGrant>GENERAL SUPPORT</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>10</TotalNbrOf501C3AndGovtGrants>
      <TotalNbrOfOtherOrganizations>0</TotalNbrOfOtherOrganizations>
      <Form990ScheduleIPartIV>
        <Identifier>PROCEDURE FOR MONITORING GRANTS IN THE U.S.:</Identifier>
        <ReturnReference>PART I, LINE 2:</ReturnReference>
        <Explanation>SCHEDULE I, PART I, LINE 2: UPON AWARD, 25% OF THE GRANT IS DISBURSED. IN NOVEMBER AND FEBRUARY QUARTERLY REPORTS ARE REQUIRED. AFTER REVIEW AND ACCEPTANCE, AN ADDITIONAL 25% IS DISBURSED EACH OF THESE TIMES. A QUARTERLY REPORT IS REQUIRED IN APRIL WHICH HAS NO DISBURSEMENT ATTACHED. A FINAL REPORT IS DUE IN JULY AND ONCE ACCEPTED, THE FINAL 25% IS DISBURSED.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
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      <SupplementalNonqualRetirePlan>0</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
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      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>FREDIA WADLEY</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>279963</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>28183</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>13558</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>321704</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>THOMAS SEXTON</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>132797</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>17306</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>150103</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <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>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <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 QUALITY HEALTH FOUNDATION, INC.. IN ADDITION, THE ORGANIZATION'S CEO IS ALSO THE CEO OF QUALITY HEALTH STRATEGIES, INC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 6</ReturnReference>
        <Explanation>QUALITY HEALTH STRATEGIES, INC. IS THE SOLE MEMBER OF QUALITY HEALTH FOUNDATION, 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>
      </GeneralExplanation>
      <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 QUALITY HEALTH FOUNDATION,INC.</Explanation>
      </GeneralExplanation>
      <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 AND INPUT INTO OUR INDEPENDENT AUDITOR'S TEMPLATE FOR PREPARATION OF THE 990. THE CHIEF FINANCIAL OFFICER REVIEWS THE DATA INPUT INTO THE TEMPLATE PRIOR TO BEING SENT 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 TO THE CEO AND THE BOARD OF DIRECTORS FOR THEIR REVIEW, COMMENT &amp; 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>
        <Explanation>CONSISTENT WITH SARBANES OXLEY, QUALITY HEALTH FOUNDATION'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 VICE PRESIDENT 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. QHF DOES NOT COMPENSATE IT'S CEO OR OTHER OFFICERS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABE VIA GUIDESTAR AND UPON REQUEST. ALL OTHER DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>NET UNREALIZED LOSSES ON INVESTMENTS: -65,261.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VII, SECTION A</ReturnReference>
        <Explanation>THE FOLLOWING DIRECTORS ARE ALSO OFFICERS AND DIRECTORS OF QUALITY HEALTH STRATEGIES, INC., A RELATED ORGANIZATION. HOURS DEVOTED TO QUALITY HEALTH STRATEGIES, INC. ARE LISTED BELOW: INDIVIDUAL HOURS DEVOTED TO QHS J. BRUCE WILLIAMS .2 ROGER C. MERRILL 4 RON FORSYTHE, JR. .2 TIFFANY TATE, A DIRECTOR FOR QUALITY HEALTH FOUNDATION, INC. IS ALSO A DIRECTOR OF DELMARVA FOUNDATION FOR MEDICAL CARE, INC., A RELATED ORGANIZATION. SHE DEVOTES ABOUT .2 HOURS PER WEEK TO THE RELATED ORGANIZATION. SEVERAL OFFICERS OF QUALITY HEALTH FOUNDATION, INC. ARE ALSO OFFICERS 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 24 THOMAS SEXTON 24 SEVERAL OFFICERS OF QUALITY HEALTH FOUNDATION, INC. ARE ALSO OFFICERS 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 THOMAS SEXTON 2 SEVERAL OFFICERS OF QUALITY HEALTH FOUNDATION, INC. ARE ALSO OFFICERS OF DELMARVA FOUNDATION FOR MEDICAL CARE, INC., A RELATED ORGANIZATION. HOURS DEVOTED TO DELMARVA FOUNDATION FOR MEDICAL CARE, INC. ARE LISTED BELOW: INDIVIDUAL HOURS DEVOTED TO DFMC FREDIA WADLEY 24 THOMAS SEXTON 24</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>QUALITY HEALTH STRATEGIES INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>9240 CENTREVILLE ROAD</AddressLine1>
          <City>EASTON</City>
          <State>MD</State>
          <ZIPCode>21601</ZIPCode>
        </AddressUS>
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