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    <Timestamp>2012-03-01T15:01:14-06:00</Timestamp>
    <TaxPeriodEndDate>2011-06-30</TaxPeriodEndDate>
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        <BusinessNameLine1>BKD LLP</BusinessNameLine1>
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        <City>SPRINGFIELD</City>
        <State>MO</State>
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        <BusinessNameLine1>MERCY RETIREMENT AND CARE CENTER</BusinessNameLine1>
      </Name>
      <NameControl>MERC</NameControl>
      <Phone>5107692700</Phone>
      <USAddress>
        <AddressLine1>1301 MARINA VILLAGE PARKWAY</AddressLine1>
        <City>ALAMEDA</City>
        <State>CA</State>
        <ZIPCode>94501</ZIPCode>
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    <Officer>
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      <AuthorizeThirdParty>true</AuthorizeThirdParty>
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    <Preparer>
      <Name>Brian D Todd</Name>
      <Phone>4178658701</Phone>
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        <State>CA</State>
        <ZIPCode>94501</ZIPCode>
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      <Organization501c3>X</Organization501c3>
      <WebSite>WWW.MERCYRETIREMENTCENTER.COM</WebSite>
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      <StateLegalDomicile>CA</StateLegalDomicile>
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      <TotalNbrVolunteers>460</TotalNbrVolunteers>
      <TotalGrossUBI>0</TotalGrossUBI>
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        <Revenue>1522706</Revenue>
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          <State>CA</State>
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      <NetGainOrLossInvestments>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetGainOrLossInvestments>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromFundraisingEvents>
      <NetIncomeFromGaming>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeOrLoss>
      <OtherRevenueMisc>
        <Description>GAIN FROM INVESTMENT POOLS</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>340499</TotalRevenueColumn>
        <ExclusionAmount>340499</ExclusionAmount>
      </OtherRevenueMisc>
      <TotalOtherRevenue>340499</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>13526133</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>12268031</RelatedOrExemptFunctionIncome>
        <ExclusionAmount>603400</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>1499</Total>
        <ProgramServices>1499</ProgramServices>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>181126</Total>
        <ManagementAndGeneral>181126</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>5676688</Total>
        <ProgramServices>5181265</ProgramServices>
        <ManagementAndGeneral>374219</ManagementAndGeneral>
        <Fundraising>121204</Fundraising>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>203984</Total>
        <ProgramServices>185546</ProgramServices>
        <ManagementAndGeneral>14992</ManagementAndGeneral>
        <Fundraising>3446</Fundraising>
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      <OtherEmployeeBenefits>
        <Total>828731</Total>
        <ProgramServices>747721</ProgramServices>
        <ManagementAndGeneral>67114</ManagementAndGeneral>
        <Fundraising>13896</Fundraising>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>399061</Total>
        <ProgramServices>353199</ProgramServices>
        <ManagementAndGeneral>36411</ManagementAndGeneral>
        <Fundraising>9451</Fundraising>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>940020</Total>
        <ManagementAndGeneral>940020</ManagementAndGeneral>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>42002</Total>
        <ManagementAndGeneral>42002</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>42005</Total>
        <ManagementAndGeneral>42005</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>9333</Total>
        <Fundraising>9333</Fundraising>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>44753</Total>
        <ManagementAndGeneral>44753</ManagementAndGeneral>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>998859</Total>
        <ProgramServices>989512</ProgramServices>
        <ManagementAndGeneral>9347</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>117462</Total>
        <ManagementAndGeneral>80531</ManagementAndGeneral>
        <Fundraising>36931</Fundraising>
      </Advertising>
      <OfficeExpenses>
        <Total>1006238</Total>
        <ProgramServices>846260</ProgramServices>
        <ManagementAndGeneral>159978</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>2257</Total>
        <ManagementAndGeneral>2257</ManagementAndGeneral>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>422221</Total>
        <ProgramServices>394444</ProgramServices>
        <ManagementAndGeneral>27777</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>37797</Total>
        <ProgramServices>23063</ProgramServices>
        <ManagementAndGeneral>14734</ManagementAndGeneral>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>40244</Total>
        <ProgramServices>10556</ProgramServices>
        <ManagementAndGeneral>29688</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>0</Total>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>840731</Total>
        <ProgramServices>660448</ProgramServices>
        <ManagementAndGeneral>180283</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>100030</Total>
        <ProgramServices>78580</ProgramServices>
        <ManagementAndGeneral>21450</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>LICENSES, DUES &amp; SUBSCRIPTIONS</Description>
        <Total>306531</Total>
        <ProgramServices>270469</ProgramServices>
        <ManagementAndGeneral>36062</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MEDICAL SUPPLIES &amp; DRUGS</Description>
        <Total>261552</Total>
        <ProgramServices>261552</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>REPAIRS &amp; MAINTENANCE</Description>
        <Total>208798</Total>
        <ProgramServices>177294</ProgramServices>
        <ManagementAndGeneral>31484</ManagementAndGeneral>
        <Fundraising>20</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>EMPLOYEE EXPENSES</Description>
        <Total>67000</Total>
        <ProgramServices>9500</ProgramServices>
        <ManagementAndGeneral>57500</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>BAD DEBT</Description>
        <Total>31945</Total>
        <ProgramServices>31945</ProgramServices>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>17503</Total>
        <ProgramServices>17503</ProgramServices>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>12828370</Total>
        <ProgramServices>10240356</ProgramServices>
        <ManagementAndGeneral>2393733</ManagementAndGeneral>
        <Fundraising>194281</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>115318</BOY>
        <EOY>123559</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>2319810</BOY>
        <EOY>1800469</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>628442</BOY>
        <EOY>827030</EOY>
      </AccountsReceivable>
      <InventoriesForSaleOrUse>
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        <EOY>94</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>83355</BOY>
        <EOY>35486</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>17175433</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>11950537</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>4580128</BOY>
        <EOY>5224896</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>8325230</BOY>
        <EOY>9647464</EOY>
      </InvestmentsPubTradedSecurities>
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        <BOY>28812</BOY>
        <EOY>0</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>16081189</BOY>
        <EOY>17658998</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>927928</BOY>
        <EOY>857758</EOY>
      </AccountsPayableAccruedExpenses>
      <EscrowAccountLiability>
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        <EOY>29153</EOY>
      </EscrowAccountLiability>
      <OtherLiabilities>
        <BOY>540196</BOY>
        <EOY>568387</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>1497277</BOY>
        <EOY>1455298</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>10902906</BOY>
        <EOY>12194169</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>1338723</BOY>
        <EOY>1667248</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>2342283</BOY>
        <EOY>2342283</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>14583912</BOY>
        <EOY>16203700</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>16081189</BOY>
        <EOY>17658998</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>697763</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>922025</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <PubliclySupportedOrg509a2>X</PubliclySupportedOrg509a2>
      <GiftsGrantsContribReceived509>
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        <CurrentTaxYearMinus3Years>2366763</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>1004557</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>713930</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>654702</CurrentTaxYear>
        <Total>5606286</Total>
      </GiftsGrantsContribReceived509>
      <GrossReceiptsFromAdmissions>
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        <CurrentTaxYearMinus3Years>10094297</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>10825687</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>11396695</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>12268031</CurrentTaxYear>
        <Total>54269057</Total>
      </GrossReceiptsFromAdmissions>
      <Total509>
        <CurrentTaxYearMinus4Years>10550681</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>12461060</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>11830244</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>12110625</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>12922733</CurrentTaxYear>
        <Total>59875343</Total>
      </Total509>
      <AmtsFromSubstContributors>
        <CurrentTaxYearMinus4Years>47354</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>154484</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>194813</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>130548</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>84071</CurrentTaxYear>
        <Total>611270</Total>
      </AmtsFromSubstContributors>
      <SupportFromDQPsEtc>
        <CurrentTaxYearMinus4Years>47354</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>154484</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>194813</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>130548</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>84071</CurrentTaxYear>
        <Total>611270</Total>
      </SupportFromDQPsEtc>
      <PublicSupportTotal509>59264073</PublicSupportTotal509>
      <GrossInvestmentIncome509>
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        <CurrentTaxYearMinus3Years>129814</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>13507</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>171171</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>262901</CurrentTaxYear>
        <Total>685449</Total>
      </GrossInvestmentIncome509>
      <InvestmentIncomeAndUBTI>
        <CurrentTaxYearMinus4Years>108056</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>129814</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>13507</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>171171</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>262901</CurrentTaxYear>
        <Total>685449</Total>
      </InvestmentIncomeAndUBTI>
      <TotalSupportTotal>
        <CurrentTaxYearMinus4Years>10658737</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>12590874</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>11843751</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>12281796</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>13185634</CurrentTaxYear>
        <Total>60560792</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.97859</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.98064</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.01132</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.00897</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
      <TotalGrassrootsLobbying />
      <TotalDirectLobbying />
      <TotalLobbyingExpenditures />
      <OtherExemptPurposeExpenditures />
      <TotalExemptPurposeExpenditures />
      <LobbyingNontaxableAmount />
      <GrassrootsNontaxableAmount />
      <TotLobbyingGrassrootMinusNonTx />
      <TotLobbyExpendMnsLobbyingNontx />
      <Volunteers>false</Volunteers>
      <PaidStaffOrManagement>false</PaidStaffOrManagement>
      <MediaAdvertisements>false</MediaAdvertisements>
      <MailingsMembers>false</MailingsMembers>
      <PublicationsOrBroadcast>false</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>false</GrantsOtherOrganizations>
      <DirectContactLegislators>false</DirectContactLegislators>
      <RalliesDemonstrations>false</RalliesDemonstrations>
      <OtherActivities>true</OtherActivities>
      <NotDescribedIn501c3>false</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
        <Identifier>LOBBYING ACTIVITIES</Identifier>
        <ReturnReference>SCHEDULE C, PART II-B, LINE 1I</ReturnReference>
        <Explanation>THE ORGANIZATION IS A MEMBER OF SEVERAL ORGANIZATIONS WHOSE PURPOSE IS TO DIRECT, DEVELOP, OR AFFECT PUBLIC POLICY AND LEGISLATION WITH REGARDS TO HEALTHCARE ISSUES. THE AMOUNT SPENT ON DUES ALLOCABLE TO LOBBYING ACTIVITIES IS NOT SPECIFICALLY KNOWN; HOWEVER, SUCH AMOUNTS ARE INSUBSTANTIAL.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmts />
      <HeldWorksOfArtAmts />
      <AgentTrusteeEtc>false</AgentTrusteeEtc>
      <IncludedOnFS>true</IncludedOnFS>
      <CurrentYear>
        <BeginningOfYearBalance>2897352</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>506726</InvestmentEarningsOrLosses>
        <EndOfYearBalance>3404078</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>2626863</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>270489</InvestmentEarningsOrLosses>
        <EndOfYearBalance>2897352</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <CurrentYearMinus2Years>
        <BeginningOfYearBalance>2941907</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>-315044</InvestmentEarningsOrLosses>
        <EndOfYearBalance>2626863</EndOfYearBalance>
      </CurrentYearMinus2Years>
      <BoardDesignatedEOYBalance>0.31190</BoardDesignatedEOYBalance>
      <PermanentEndowmentEOYBalance>0.68810</PermanentEndowmentEOYBalance>
      <TermEndowmentEOYBalance>0.00000</TermEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>false</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>false</EndowmentsHeldByRelatedOrgs>
      <Land>
        <OtherCostOrOtherBasis>201489</OtherCostOrOtherBasis>
        <BookValue>201489</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>12044876</OtherCostOrOtherBasis>
        <Depreciation>8540589</Depreciation>
        <BookValue>3504287</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>800396</OtherCostOrOtherBasis>
        <Depreciation>692172</Depreciation>
        <BookValue>108224</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>2257595</OtherCostOrOtherBasis>
        <Depreciation>1716707</Depreciation>
        <BookValue>540888</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>1871077</OtherCostOrOtherBasis>
        <Depreciation>1001069</Depreciation>
        <BookValue>870008</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>5224896</TotalOfBookValueLandBuildings>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>ASSET RETIREMENT OBLIGATION</Description>
        <Amount>508433</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DUE TO RELATED PARTY</Description>
        <Amount>59954</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>568387</TotalOfAmounts>
      <TotalRevenue>13526133</TotalRevenue>
      <TotalExpenses>12828370</TotalExpenses>
      <ExcessOrDeficitForYear>697763</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>922025</NetUnrealizedGLOnInvestments>
      <TotalAdjustments>922025</TotalAdjustments>
      <ExcessOrDeficitPerFS>1619788</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>14403405</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>922025</NetUnrealizedGainsInvestments>
      <RevenueNotRptdF990>922025</RevenueNotRptdF990>
      <RevenueSubtotal>13481380</RevenueSubtotal>
      <InvestmentExpensesNotIncluded>44753</InvestmentExpensesNotIncluded>
      <RevenueNotRptdOnFinStmt>44753</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>13526133</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>12783617</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>12783617</ExpensesSubtotal>
      <InvestmentExpensesNotIncluded2>44753</InvestmentExpensesNotIncluded2>
      <ExpensesNotRptdOnFinStmt>44753</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>12828370</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>ESCROW ACCOUNT LIABILITY</Identifier>
        <ReturnReference>SCHEDULE D, PART IV, LINE 2B</ReturnReference>
        <Explanation>THE ORGANIZATION HAS A SMALL SEPARATE TRUST BANK ACCOUNT AND CASH BOX HELD FOR RESIDENTS.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>ENDOWMENT PURPOSE</Identifier>
        <ReturnReference>SCHEDULE D, PART V, LINE 4</ReturnReference>
        <Explanation>THERE ARE SIX ENDOWMENT FUNDS, ALL OF WHICH REQUIRE THE INCOME FROM THE FUNDS TO BE USED FOR CHARITY CARE OF RESIDENTS.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>UNCERTAIN TAX POSITIONS</Identifier>
        <ReturnReference>SCHEDULE D, PART X, LINE 2</ReturnReference>
        <Explanation>ECA-CORPORATE AND ITS SUBORDINATE ORGANIZATIONS ARE EACH EXEMPT FROM INCOME TAXES UNDER THE INTERNAL REVENUE CODE SECTION 501(C)(3) AND THE LAWS OF THE STATE IN WHICH THEY OPERATE. HOWEVER, ECA IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. EFFECTIVE IN FISCAL YEAR ENDED JUNE 30, 2010, ECA BEGAN TO DETERMINE WHETHER ANY UNCERTAIN TAX POSITIONS EXISTED IN ACCORDANCE WITH ASC TOPIC 740. UNDER ECA'S POLICY, IF AN UNCERTAIN TAX POSITION IS IDENTIFIED, ECA FIRST EVALUATES THE TAX POSITION FOR RECOGNITION BY DETERMINING IF THE WEIGHT OF AVAILABLE EVIDENCE INDICATED THAT IT IS MORE-LIKELY-THAN-NOT THAT THE POSITION WOULD BE SUSTAINED UPON AUDIT, INCLUDING RESOLUTION OF RELATED APPEALS OR LITIGATIONS PROCESSES, IF ANY. ECA THEN MEASURES THE TAX BENEFIT OR LIABILITY AS THE LARGEST AMOUNT THAT IS MORE THAN 50% LIKELY TO BE REALIZED OR INCURRED UPON SETTLEMENT. COMPLIANCE WITH THIS GUIDANCE HAD NO EFFECT ON ECA'S CONSOLIDATED FINANCIAL STATEMENTS.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
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        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>10657</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>1282</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>9537</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>1687</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>176707</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>OTHER PROGRAM SERVICE ACCOMPLISHMENTS</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 4D</ReturnReference>
        <Explanation>THE BROWN BAG PROGRAM PROVIDES APPROXIMATELY 4,110 ELDERLY PERSONS WITH A BAG OF GROCERIES EVERY WEEK IN OAKLAND. APPROXIMATELY 400 VOLUNTEERS ASSISTED WITH THIS PROGRAM.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DELEGATION OF MANAGEMENT DUTIES</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 3</ReturnReference>
        <Explanation>MERCY HAS A MANAGEMENT CONTRACT WITH ELDER CARE ALLIANCE, A NON-PROFIT PUBLIC BENEFIT CORPORATION THAT IS THE SOLE CORPORATE MEMBER OF MERCY, TO PROVIDE MANAGEMENT SERVICES INCLUDING, BUT NOT LIMITED TO, MARKETING, HUMAN RESOURCES, ACCOUNTING, INFORMATION TECHNOLOGY SERVICES, CLINICAL OVERSIGHT AND INSURANCE. SIGNIFICANT CHANGES TO ORGANIZATIONAL DOCUMENTS FORM 990, PART VI, SECTION A, LINE 4 THE BYLAWS OF THE ORGANIZATION WERE AMENDED ON SEPTEMBER 28,2010, TO REMOVE THE CEO AS AN EX OFFICIO VOTING MEMBER OF THE BOARD OF DIRECTORS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>MEMBERS</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION A, LINE 6, 7A, &amp; 7B</ReturnReference>
        <Explanation>THE ORGANIZATION'S SOLE CORPORATE MEMBER IS ELDER CARE ALLIANCE. APPOINTED DIRECTORS: (A) THE BOARD OF DIRECTORS OF THE CORPORATION SHALL INCLUDE NO GREATER THAN TWELVE (12) INDIVIDUALS APPOINTED IN ACCORDANCE WITH THE FOLLOWING: (I) FIVE (5) INDIVIDUALS APPOINTED BY THE FACILITY AND PROGRAM SPONSOR, THE BURLINGAME REGIONAL COMMUNITY OF THE SISTERS OF MERCY OF THE AMERICAS, WEST MIDWEST COMMUNITY, INC., A DIVISION OF THE SISTERS OF MERCY OF THE AMERICAS, A RELIGIOUS INSTITUTE AND PUBLIC JURIDIC PERSON OF THE ROMAN CATHOLIC CHURCH; (II) FIVE (5) INDIVIDUALS APPOINTED BY THE CO-SPONSOR OF THE CORPORATE MEMBER, THE SIERRA PACIFIC SYNOD OF THE EVANGELICAL LUTHERAN CHURCH IN AMERICA; (III) A MAXIMUM OF TWO (2) INDIVIDUALS JOINTLY APPOINTED BY THE FACILITY AND PROGRAM SPONSOR AND BY THE CO-SPONSOR OF THE CORPORATE MEMBER; AND THE BOARD OF DIRECTORS SHALL FURTHER INCLUDE THE EX OFFICIO DIRECTOR. NOMINATION OF DIRECTORS: THE BOARD DEVELOPMENT COMMITTEE OF THE CORPORATE MEMBER SHALL IDENTIFY AND EVALUATE QUALIFIED INDIVIDUALS TO SERVE AS DIRECTORS OF THE CORPORATION AND SHALL RECOMMEND THEM TO THE FACILITY AND PROGRAM SPONSOR AND THE CO-SPONSOR OF THE CORPORATE MEMBER FOR APPOINTMENT. THE FOLLOWING ACTIONS REGARDING MERCY RETIREMENT AND CARE CENTER ("MRCC") SHALL NOT BE IMPLEMENTED WITHOUT THE SPECIFIC APPROVAL OF ELDER CARE ALLIANCE'S CORPORATE MEMBER, THE SISTERS OF MERCY OF THE AMERICAS, WEST MIDWEST COMMUNITY, INC., A DIVISION OF THE SISTERS OF MERCY OF THE AMERICAS, A RELIGIOUS INSTITUTE AND PUBLIC JURIDIC PERSON OF THE ROMAN CATHOLIC CHURCH: (A) THE SALE, PURCHASE LEASE OR ENCUMBRANCE OF THE REAL PROPERTY OF MRCC; (B) ANY INCREMENT OR ADDITIONS TO THE CAPITAL DEBT LIMITATION OF MRCC OR ANY OTHER NEGOTIATION, MODIFICATION OR OTHER CHANGE IN THE EXISTING CAPITAL DEBT OF MRCC; (C) ANY ACTION SEEKING BANKRUPTCY OR OTHER DEBTOR PROTECTION FOR MRCC; AND (D) ANY OTHER MATTERS WHICH MAY BE REQUIRED BY CIVIL OR ROMAN CATHOLIC CANON LAW TO BE SUBMITTED TO THE THE SISTERS OF MERCY OF THE AMERICAS, WEST MIDWEST COMMUNITY, INC., A DIVISION OF THE SISTERS OF MERCY OF THE AMERICAS, A RELIGIOUS INSTITUTE AND PUBLIC JURIDIC PERSON OF THE ROMAN CATHOLIC CHURCH, OR WHICH THE BOARD OF DIRECTORS MAY REQUEST BE SUBMITTED.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990 REVIEW PROCESS</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11B</ReturnReference>
        <Explanation>THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. ELDER CARE ALLIANCE, MERCY'S SOLE CORPORATE MEMBER AND MANAGEMENT COMPANY, HAS AN AUDIT COMMITTEE ON ITS BOARD OF DIRECTORS THAT REVIEWS THE FORM 990 BEFORE FILING. ALSO, THE EXECUTIVE DIRECTOR, CEO, AND CFO ALL REVIEW THE FORM 990 BEFORE FILING. THE FINAL FORM 990 IS THEN PROVIDED BY E-MAIL TO ALL MEMBERS OF THE BOARD OF DIRECTORS BEFORE FILING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CONFLICT OF INTEREST POLICY COMPLIANCE</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>ANNUALLY, THE ASSISTANT SECRETARY OF ELDER CARE ALLIANCE REQUESTS UPDATED CONFLICT OF INTEREST DISCLOSURE FORMS FROM THE BOARD OF DIRECTORS, OFFICERS, KEY EMPLOYEES, AND MEMBERS OF COMMITTEES WITH BOARD-DELEGATED AUTHORITY. THE ASSISTANT SECRETARY PREPARES A TABLE SUMMARIZING THE DISCLOSURES MADE AND PRESENTS THE TABLE TO THE BOARD OF DIRECTORS FOR THEIR INFORMATION. IF AN APPARENT CONFLICT OF INTEREST IS IDENTIFIED, THE MATTER IS REFERRED TO A COMMITTEE OF THE BOARD FOR REVIEW AND ACTION, IF DEEMED NECESSARY, SUCH AS REQUIRING AN INTERESTED DIRECTOR TO RECUSE HIMSELF OR HERSELF FROM A VOTE ON THE MATTER, OR TERMINATING A BUSINESS RELATIONSHIP ENTERED INTO IN VIOLATION OF THE POLICY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION DETERMINATION</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINES 15A &amp; 15B</ReturnReference>
        <Explanation>MERCY HAS A MANAGEMENT CONTRACT WITH ELDER CARE ALLIANCE. INCLUDED IN THE SERVICES PROVIDED UNDER THIS MANAGEMENT CONTRACT ARE THE SERVICES OF THE CEO AND CFO. THE COMPENSATION REVIEW OF THE EXECUTIVE DIRECTORS AND KEY EMPLOYEES WAS DONE IN FY 2011 BY THE FINANCE COMMITTEE OF ELDER CARE ALLIANCE AS PART OF THE BUDGET REVIEW PROCESS. THE COMPENSATION FOR THE CEO AND CFO WAS REVIEWED AGAINST COMPARABLES PROVIDED BY THE VICE PRESIDENT OF HUMAN RESOURCES OF LIFE CARE SERVICES, ELDER CARE ALLIANCE'S MANAGEMENT COMPANY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>GOVERNING DOCUMENT AVAILABILITY</Identifier>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>FINANCIAL HIGHLIGHTS ARE DISCUSSED AND ACCESS TO ANY GOVERNING DOCUMENT, POLICY, AND FINANCIAL STATEMENTS IS OFFERED AT RESIDENT COUNCIL MEETINGS AND FAMILY NIGHTS. THE FINANCIAL STATEMENTS ARE ALSO PROVIDED TO ANY PROSPECTIVE RESIDENT OR RESPONSIBLE PARTY THAT REQUEST THEM. ALL REQUESTS MUST BE IN WRITING TO ELDER CARE ALLIANCE, MERCY'S MANAGEMENT COMPANY, AND WILL BE PROVIDED VIA EMAIL, US MAIL, OR BY FAX IF SO REQUESTED.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER CHANGES IN NET ASSETS</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5</ReturnReference>
        <Explanation>922,025 NET UNREALIZED GAINS ON INVESTMENTS</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ELDER CARE ALLIANCE</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1301 MARINA VILLAGE PKWY 210</AddressLine1>
          <City>ALAMEDA</City>
          <State>CA</State>
          <ZIPCode>94501</ZIPCode>
        </AddressUS>
        <EIN>943260975</EIN>
        <PrimaryActivities>MANAGEMENT</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11 B II</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SALEM LUTHERAN HOME ASSOC OF THE BAY CIT</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1301 MARINA VILLAGE PKWY 210</AddressLine1>
          <City>ALAMEDA</City>
          <State>CA</State>
          <ZIPCode>94501</ZIPCode>
        </AddressUS>
        <EIN>940831870</EIN>
        <PrimaryActivities>ELDERLY CARE</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ELDER CARE ALLIANCE OF CAMARILLO</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1301 MARINA VILLAGE PKWY 210</AddressLine1>
          <City>ALAMEDA</City>
          <State>CA</State>
          <ZIPCode>94501</ZIPCode>
        </AddressUS>
        <EIN>943351613</EIN>
        <PrimaryActivities>ELDERLY CARE</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ELDER CARE ALLIANCE OF SAN FRANCISCO</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1301 MARINA VILLAGE PKWY 210</AddressLine1>
          <City>ALAMEDA</City>
          <State>CA</State>
          <ZIPCode>94501</ZIPCode>
        </AddressUS>
        <EIN>943351615</EIN>
        <PrimaryActivities>ELDERLY CARE</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ELDER CARE ALLIANCE OF UNION CITY</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1301 MARINA VILLAGE PKWY 210</AddressLine1>
          <City>ALAMEDA</City>
          <State>CA</State>
          <ZIPCode>94501</ZIPCode>
        </AddressUS>
        <EIN>943377985</EIN>
        <PrimaryActivities>ELDERLY CARE</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ELDER CARE ALLIANCE OF SAN RAFAEL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1301 MARINA VILLAGE PKWY 210</AddressLine1>
          <City>ALAMEDA</City>
          <State>CA</State>
          <ZIPCode>94501</ZIPCode>
        </AddressUS>
        <EIN>760730971</EIN>
        <PrimaryActivities>ELDERLY CARE</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <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>true</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>true</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>