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        <ReturnReference>Form 990, Schedule C, Part II-B</ReturnReference>
        <Explanation>The filing organization is a member of and pays dues to the following hospital associations: Catholic Health Association. For the year ended June 30, 2011, dues were $42,735.36. Approximately 4.68% of Catholic Health Association dues were attributable to lobbying activities performed by these associations</Explanation>
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      <OtherLiabilities>
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      <OtherLiabilities>
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      <OtherLiabilities>
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        <Identifier>ASC 740 FOOTNOTE</Identifier>
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        <Explanation>THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF MERCY HEALTH AND SUBSIDIARIES DO NOT INCLUDE A FOOTNOTE TO REPORT THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX PROVISIONS UNDER ASC 740, AS THEY ARE DEEMED IMMATERIAL FOR DISCLOSURE.</Explanation>
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        <MethodOfValuation>FMV</MethodOfValuation>
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        <PurposeOfGrant>Medical Supplies</PurposeOfGrant>
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          <AddressLine1>615 South New Ballas Rd</AddressLine1>
          <City>ST LOUIS</City>
          <State>MO</State>
          <ZIPCode>63141</ZIPCode>
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        <EINOfRecipient>430653493</EINOfRecipient>
        <AmountOfNonCashAssistance>5700</AmountOfNonCashAssistance>
        <MethodOfValuation>FMV</MethodOfValuation>
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        <PurposeOfGrant>Medical Equipment</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>Mercy Hospital East Communities</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>615 South New Ballas Rd</AddressLine1>
          <City>ST LOUIS</City>
          <State>MO</State>
          <ZIPCode>63141</ZIPCode>
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        <EINOfRecipient>430653493</EINOfRecipient>
        <AmountOfNonCashAssistance>22187</AmountOfNonCashAssistance>
        <MethodOfValuation>FMV</MethodOfValuation>
        <DescriptionOfNonCashAssistance>SUPPLIES</DescriptionOfNonCashAssistance>
        <PurposeOfGrant>Medical Equipment</PurposeOfGrant>
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      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>GOOD SAMARITAN CARE CLINIC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>501 W Hwy 60</AddressLine1>
          <City>Mountain View</City>
          <State>MO</State>
          <ZIPCode>65548</ZIPCode>
        </AddressUS>
        <EINOfRecipient>562418664</EINOfRecipient>
        <AmountOfCashGrant>5500</AmountOfCashGrant>
        <PurposeOfGrant>DIABETIC CARE</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>KITCHEN INC</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1630 N Jefferson</AddressLine1>
          <City>Springfield</City>
          <State>MO</State>
          <ZIPCode>65803</ZIPCode>
        </AddressUS>
        <EINOfRecipient>431384531</EINOfRecipient>
        <AmountOfCashGrant>34500</AmountOfCashGrant>
        <PurposeOfGrant>DIABETIC CARE</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>MERCY HLTH CTR FOUND</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>4300 W Memorial Rd</AddressLine1>
          <City>Oklahoma City</City>
          <State>OK</State>
          <ZIPCode>73120</ZIPCode>
        </AddressUS>
        <EINOfRecipient>731593024</EINOfRecipient>
        <AmountOfCashGrant>50000</AmountOfCashGrant>
        <PurposeOfGrant>COOPERATIVE PHARMACY</PurposeOfGrant>
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          <BusinessNameLine1>MERCY HLTH CTR FOUND</BusinessNameLine1>
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          <City>Oklahoma City</City>
          <State>OK</State>
          <ZIPCode>73120</ZIPCode>
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        <EINOfRecipient>731593024</EINOfRecipient>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <PurposeOfGrant>MOMMY UNIVERSITY</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>MERCY HLTH FOUND OF INDEP</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>800 W Myrtle PO Box 388</AddressLine1>
          <City>Independence</City>
          <State>KS</State>
          <ZIPCode>67301</ZIPCode>
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        <EINOfRecipient>481079981</EINOfRecipient>
        <AmountOfCashGrant>23000</AmountOfCashGrant>
        <PurposeOfGrant>REFERRAL PROGRAM</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>MERCY HLTH FOUND STL</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>615 South New Ballas Rd</AddressLine1>
          <City>St Louis</City>
          <State>MO</State>
          <ZIPCode>63141</ZIPCode>
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        <EINOfRecipient>562410020</EINOfRecipient>
        <AmountOfCashGrant>20000</AmountOfCashGrant>
        <PurposeOfGrant>MERCY ROAD TO HOME</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>MERCY HOSP JOPLIN</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>2727 McClelland Blvd</AddressLine1>
          <City>Joplin</City>
          <State>MO</State>
          <ZIPCode>64804</ZIPCode>
        </AddressUS>
        <EINOfRecipient>270814858</EINOfRecipient>
        <AmountOfCashGrant>48604</AmountOfCashGrant>
        <PurposeOfGrant>NUTRITION PROGRAM</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>MERCY HOSPITAL EAST COMMUNITIES</BusinessNameLine1>
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          <AddressLine1>615 South New Ballas Rd</AddressLine1>
          <City>St Louis</City>
          <State>MO</State>
          <ZIPCode>63141</ZIPCode>
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        <EINOfRecipient>430653493</EINOfRecipient>
        <AmountOfCashGrant>20000</AmountOfCashGrant>
        <PurposeOfGrant>MERCY ROAD TO HOME</PurposeOfGrant>
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      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>MERCY MINISTRIES OF LAREDO</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>2500 Zacatecas</AddressLine1>
          <City>Laredo</City>
          <State>TX</State>
          <ZIPCode>78046</ZIPCode>
        </AddressUS>
        <EINOfRecipient>200198462</EINOfRecipient>
        <AmountOfCashGrant>50000</AmountOfCashGrant>
        <PurposeOfGrant>REPRODUCTIVE HEALTH</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>MERCY HOSPITAL HOT SPRINGS</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>210 Woodbine</AddressLine1>
          <City>Hot Springs</City>
          <State>AR</State>
          <ZIPCode>71901</ZIPCode>
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        <EINOfRecipient>710236913</EINOfRecipient>
        <AmountOfCashGrant>49000</AmountOfCashGrant>
        <PurposeOfGrant>SENIOR CARE</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>MERCY CLINIC SPRINGFIELD COMMUNITIES</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>3265 South National Ste 100</AddressLine1>
          <City>Springfield</City>
          <State>MO</State>
          <ZIPCode>65807</ZIPCode>
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        <AmountOfCashGrant>166500</AmountOfCashGrant>
        <PurposeOfGrant>MERCY PROJECT ACCESS</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>ST EDWARD FOUND</BusinessNameLine1>
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          <AddressLine1>5401 Ellsworth Road</AddressLine1>
          <City>Fort Smith</City>
          <State>AR</State>
          <ZIPCode>72903</ZIPCode>
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        <EINOfRecipient>237330425</EINOfRecipient>
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        <PurposeOfGrant>CHILD &amp; FAMILY SAFETY CTR</PurposeOfGrant>
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          <City>Fort Smith</City>
          <State>AR</State>
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          <City>Fort Smith</City>
          <State>AR</State>
          <ZIPCode>72903</ZIPCode>
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        <PurposeOfGrant>DENTAL CLINIC</PurposeOfGrant>
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          <BusinessNameLine1>WHOLE KIDS OUTREACH</BusinessNameLine1>
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          <City>Ellington</City>
          <State>MO</State>
          <ZIPCode>63638</ZIPCode>
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        <EINOfRecipient>431393700</EINOfRecipient>
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        <PurposeOfGrant>MOTHER/FAMILY ENHANCEMENT</PurposeOfGrant>
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      <TotalNbrOf501C3AndGovtGrants>16</TotalNbrOf501C3AndGovtGrants>
      <Form990ScheduleIPartIII>
        <TypeOfGrant>SCHOLARSHIP AMERICA</TypeOfGrant>
        <NumberOfRecipients>20</NumberOfRecipients>
        <AmountOfCashGrant>20000</AmountOfCashGrant>
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        <Identifier>Description of Organization's Procedures for Monitoring the Use of Grants</Identifier>
        <ReturnReference>FORM 990, SCHEDULE I, PART I, QUESTION 2</ReturnReference>
        <Explanation>PART II: GRANT APPLICANTS ARE REQUIRED TO COMPLETE THE GRANT APPLICATION PROCESS TO BE CONSIDERED FOR A MERCY CARITAS GRANT. THIS INCLUDES A DESCRIPTION OF THE PROGRAM, PROGRAM ACCOMPLISHMENTS, AND FINANCIAL INFORMATION. GRANT RECIPIENTS ARE REQUIRED TO COMPLETE MID-YEAR AND END-OF-YEAR EVALUATION REPORTS DETAILING THE USE OF ALL FUNDS AND REPORTING PROGRESS MADE TOWARD ACHIEVING PROGRAM OBJECTIVES. CONTINUED FUNDING WILL NOT BE CONSIDERED IF THE EVALUATION REPORT HAS NOT BEEN RECEIVED BY THE MERCY CARITAS COMMITTEE. PART III: MHM SUPPORT SERVICES PROVIDES $1,000 SCHOLARSHIPS TO 18 DIFFERENT CHILDREN OF CO-WORKERS EACH YEAR, PLUS 2 HIGH SCHOOL SENIORS SELECTED FROM ST MARY'S ACADEMIES IN OKLAHOMA CITY AND LITTLE ROCK, FOR A TOTAL 20 SCHOLARSHIPS. FOR THE CHILDREN OF CO-WORKERS, THE CO-WORKER MUST BE EMPLOYED BY MERCY FOR A MINIMUM OF ONE YEAR AS OF THE APPLICATION DEADLINE DATE AND MUST BE EMPLOYED AT THE TIME THE AWARD IS GRANTED. APPLICANTS MUST SUBMIT A COMPLETED APPLICATION, TRANSCRIPT, COLLEGE ENTRANCE TEST SCORES (ACT, SAT), AND 2 LETTERS OF RECOMMENDATION TO BE CONSIDERED FOR A SCHOLARSHIP. RECIPIENTS MUST ENTER SCHOOL NO LATER THAN THE FALL TERM AFTER THE AWARD IS GRANTED TO MAINTAIN ELIGIBILITY. AWARDS ARE PAID VIA CHECK MADE OUT JOINTLY TO THE RECIPIENT AND THE SCHOOL; BOTH THE RECIPIENT AND THE SCHOOL MUST ENDORSE THE CHECK. MHM SUPPORT SERVICES UTILIZES THE CITIZENS SCHOLARSHIP FOUNDATION OF AMERICA TO MANAGE THE APPLICATION AND PAYMENT PROCESS; RECIPIENTS ARE SELECTED BY THE SCHOLARSHIP COMMITTEE.</Explanation>
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      <Form990ScheduleJPartII>
        <NamePerson>RANDALL J COMBS</NamePerson>
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        <NamePerson>JAMES R JAACKS</NamePerson>
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        <NamePerson>SHERI D BEEKMAN</NamePerson>
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        <NamePerson>JEFFREY T BELL</NamePerson>
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        <NamePerson>Marie Glancy</NamePerson>
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        <NamePerson>ELAINE S MOORE</NamePerson>
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        <NamePerson>JANET E PURSLEY</NamePerson>
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        <NamePerson>DONN E SORENSEN</NamePerson>
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        <NamePerson>CURTIS E THOMPSON</NamePerson>
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        <NamePerson>RON D TRULOVE</NamePerson>
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      <Form990ScheduleJPartII>
        <NamePerson>Thomas Hale MD PHD</NamePerson>
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        <NamePerson>Chris Knackstedt</NamePerson>
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        <NamePerson>Timothy Smith</NamePerson>
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        <NamePerson>Tony Waskiewicz</NamePerson>
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        <NamePerson>Christopher Veremakis</NamePerson>
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        <NamePerson>JULIE A BURKE</NamePerson>
        <BaseCompensationFilingOrg>112421</BaseCompensationFilingOrg>
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        <NamePerson>ANTHONY KINSLOW</NamePerson>
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        <NamePerson>RONALD ASHWORTH</NamePerson>
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        <CompBasedOnRelatedOrgs>240000</CompBasedOnRelatedOrgs>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental Compensation Information</Identifier>
        <Explanation>FORM 990, SCHEDULE J, PART I, QUESTION 1A CHARTER TRAVEL IS PROVIDED TO ALL EMPLOYEES AS DEEMED NECESSARY FOR BUSINESS TRAVEL AND PURSUANT TO THE APPROVAL BY THE FINANCE DEPARTMENT. AFTER CHARTER TRAVEL APPROVAL HAS BEEN GRANTED IN ACCORDANCE WITH THE FINANCIAL JUSTIFICATION PROCESS, THE APPROVED CHARTER TRAVEL FOR BUSINESS IS A REIMBURSABLE EXPENSE WHICH IS NOT TAXABLE TO THE EMPLOYEES. TRAVEL FOR COMPANIONS IS PROVIDED UNDER LIMITED CIRCUMSTANCES IN ACCORDANCE WITH THE CO-WORKER TRAVEL AND OTHER EXPENSE POLICY AND PROCEDURES. WHERE COMPANION TRAVEL HAS RESULTED IN A TAXABLE EVENT, THE EMPLOYEES ARE TAXED FOR SUCH TRAVEL. LIMITED INSTANCES OF TAX GROSS-UPS MAY HAVE OCCURRED WITH RESPECT TO EXECUTIVES. HOUSING BENEFITS ARE PROVIDED THROUGH A RELOCATION PROGRAM IN ACCORDANCE WITH COMPANY POLICY. SUCH BENEFITS ARE SUBJECT TO TAX TO THE EMPLOYEE. FOR THE 2010 TAX YEAR, TWO EXECUTIVES HAVE BEEN PROVIDED WITH THIS BENEFIT. PAYMENT BY THE COMPANY OF COSTS FOR TEMPORARY HOUSING BY EMPLOYEES FOR THE CONVENIENCE OF THE COMPANY IS MADE IN ACCORDANCE WITH THE CO-WORKER TRAVEL AND OTHER EXPENSE POLICY AND PROCEDURES. AS A REIMBURSABLE EXPENSE, THIS TYPE OF LODGING IS NOT TAXABLE TO THE EMPLOYEE. FORM 990, SCHEDULE J, PART I, QUESTION 3 MHM SUPPORT SERVICES RELIES ON A RELATED ORGANIZATION; REFER TO SCHEDULE O, PART VI, QUESTION 15A AND 15B FOR THE PROCESS THE RELATED ORGANZATION FOLLOWS. FORM 990, SCHEDULE J, PART I, QUESTION 4A THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT DURING CALENDAR 2010: JULIE BURKE, $128,351, AND ANTHONY KINSLOW, $291,312 FORM 990, SCHEDULE J, PART I, QUESTION 4B MHM SUPPORT SERVICES OFFERS SUPPLEMENTAL RETIREMENT PLANS TO CERTAIN EXECUTIVES WHICH PROVIDE BENEFITS UPON RETIREMENT BASED ON COMPENSATION, AGE AT THE TIME OF BENEFIT COMMENCEMENT, LENGTH OF SERVICE WITH THE COMPANY AND/OR ITS AFFILIATES, AND LENGTH OF TENURE IN THE PLAN. THE INDIVIDUALS REPORTABLE ON THIS RETURN WHO PARTICIPATE IN THE SUPPLEMENTAL RETIREMENT PLANS INCLUDE JULIA AKINS, RANDALL COMBS, BRADLEY DAY, GEORGE FLYNN, MARIE GLANCY, THOMAS HALE, CHRIS KNACKSTEDT, CHRISTOPHER VEREMAKIS, FRED FORD, JOLENE GOEDKEN, JAMES JAACKS, MICHAEL MCCURRY, DR. GLENN MITCHELL, ELAINE MOORE, BRIAN O'TOOLE, JANET PURSLEY, WILLIAM SHOWALTER, SHANNON SOCK, PHILIP WHEELER, SHERI BEEKMAN, RON TRULOVE, DONN SORENSEN AND CURTIS THOMPSON. THE AMOUNT OF ALL ACCRUED BENEFITS IS INCLUDED IN COMPENSATION AMOUNTS PROVIDED IN SCHEDULE J, PART II, COLUMN (C). FORM 990, SCHEDULE J, PART I, QUESTION 7 MHM SUPPORT SERVICES PROVIDES A NON-FIXED BONUS PLAN FOR WHICH CERTAIN TIERS OF ITS EMPLOYEES ARE ELIGIBLE. FOR FISCAL YEAR 2011 (JULY 1, 2010 - JUNE 30, 2011) PAYMENT OF ALL OR PART OF THE BONUS WAS CONTINGENT UPON ATTAINMENT OF CERTAIN FINACIAL TARGETS. PAYMENTS ARE MADE ANNUALLY IN OCTOBER FOLLOWING (I) THE CONCLUSION OF THE FISCAL YEAR AND (II) DETERMINATION OF GOAL ACHIEVEMENT. BONUS OPPORTUNITIES ARE TIERED PERCENTAGES AND ARE DEPENDENT UPON THE LEADERSHIP LEVEL AND ATTAINMENT PERCENTAGE. MERCY'S ATTAINMENT OF FINANCIAL GOALS ARE REVIEWED BY THE EXECUTIVE COMPENSATION COMMITTEE OF MERCY HEALTH AND ARE THEN TAKEN INTO ACCOUNT WHEN ANALYZING EXECUTIVE COMPENSATION FOR REASONABLENESS. REASONABLENESS.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>BRAD BEEKMAN</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>FAMILY MEMBER OF KEY EMP</Relationship>
        <AmountOfTransaction>67524</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYMENT</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>LISA BEEKMAN</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>FAMILY MEMBER OF KEY EMP</Relationship>
        <AmountOfTransaction>79758</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYMENT</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>BROOKE SHULTE</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>FAMILY MEMBER OF KEY EMP</Relationship>
        <AmountOfTransaction>70045</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYMENT</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>BRIAN DAY</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>FAMILY MEMBER OF DIRECTOR</Relationship>
        <AmountOfTransaction>103695</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYMENT</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>SUPPLEMENTAL INFORMATION</Identifier>
        <Explanation>FORM 990, HEADING, BOX B DURING THE TAX YEAR ENDED JUNE 30, 2012, SISTERS OF MERCY HEALTH SYSTEM ("MERCY HEALTH") BEGAN A SYSTEM-WIDE REBRANDING INITIATIVE TO HELP PATIENTS, PHYSICIANS, CO-WORKERS, AND THE PUBLIC BETTER UNDERSTAND THE FULL SCOPE AND LOCATIONS OF MERCY HEALTH'S SERVICES. SEVERAL OF THE MERCY HEALTH AFFILIATES HAVE CHANGED OR ARE IN THE PROCESS OF CHANGING LEGAL NAMES. PRIOR TO FILING THE 2010 FORMS 990 (DUE MAY 15, 2012), MERCY HEALTH NOTIFIED THE IRS OF THESE NAME CHANGES, THEREFORE BOX B "NAME CHANGE" HAS NOT BEEN CHECKED ON THIS FORM 990. REFER TO SCHEDULE R, PART VII FOR A LIST OF THE NAME CHANGES. FORM 1096 FILING FORM 990, PART V, QUESTION 1A VENDORS FOR THE FILING ORGANIZATION ARE PAID BY MERCY HEALTH (EIN 43-1423050). AS SUCH, ALL REQUIRED FORM 1099 AND FORM 1096 REPORTING IS MADE FOR THE ENTIRE HEALTH SYSTEM (WITH LIMITED EXCEPTIONS) UNDER THE MERCY HEALTH EIN. DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PART VI, QUESTION 6, 7A AND 7B THE FILING ORGANIZATION HAS A SOLE CORPORATE MEMBER, MERCY HEALTH. THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES ARE RESERVED SOLELY TO THE SOLE CORPORATE MEMBER: -TO APPROVE AND ESTABLISH THE MISSION AND PHILOSOPHY ACCORDING TO WHICH THE CORPORATION AND ALL ORGANIZATIONS CONTROLLED BY THE CORPORATION SHALL OPERATE; -TO ADOPT OR AMEND THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION IN ACCORDANCE WITH ARTICLES IX AND X OF THESE BYLAWS AND TO AMEND THE ORGANIZATIONAL DOCUMENTS OF ANY ORGANIZATION CONTROLLED BY THE CORPORATION; -TO APPOINT OR REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF DIRECTORS OF THE CORPORATION; -TO APPOINT OR REMOVE, WITH OR WITHOUT CAUSE, THE CEO OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; -TO APPROVE OR AMEND THE OVERALL STRATEGIC, LONG RANGE, BUSINESS PLANS, GOALS, AND OBJECTIVES OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; -TO APPROVE OR AMEND THE CONSOLIDATED OPERATING AND CAPITAL BUDGETS FOR THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION AND CHANGES IN BUDGETS IN EXCESS OF AN AMOUNT ESTABLISHED FROM TIME TO TIME BY MERCY HEALTH; -TO AUTHORIZE AND APPROVE THE LEASE OR SALE OF ANY OF THE ASSETS OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION IN EXCESS OF ANY AMOUNT ESTABLISHED FROM TIME TO TIME BY MERCY HEALTH; -TO ENCUMBER ANY OR ALL OF THE ASSETS OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; -TO AUTHORIZE AND APPROVE THE INCURRENCE OF DEBT BY THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS IN THE ORDINARY COURSE OF BUSINESS) AND TO GRANT ANY SECURITY INTERESTS, PLACE ANY ENCUMBRANCES, ENTER INTO ANY COVENANTS, AND EXECUTE ANY DOCUMENTS AND TAKE ANY ACTIONS NECESSARY OR APPROPRIATE IN CONNECTION WITH THE INCURRENCE OF SUCH DEBT; AND -TO MERGE, DISSOLVE, OR ABANDON THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION, SUBJECT TO APPROVAL BY THE BOARD AS REQUIRED PURSUANT TO THE MISSOURI NONPROFIT CORPORATION ACT. DSCR THE PRCESS USED BY MANAGEMENT &amp;/OR GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, QUESTION 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM, USING INFORMATION PROVIDED BY THE FILING ORGANIZATION. A DRAFT FORM 990 IS REVIEWED BY THE FILING ORGANIZATION'S TAX COMPLIANCE TEAM. MEMBERS OF THIS TEAM ARE FROM VARIOUS DEPARTMENTS INCLUDING FINANCE, LEGAL, HUMAN RESOURCES, AND TAX. THE DRAFT FORM 990 IS ALSO REVIEWED BY MERCY HEALTH'S TAX DEPARTMENT, TO ENSURE ACCURACY AND CONSISTENCY WITH OTHER RELATED ORGANIZATIONS' FORM 990S. AFTER QUESTIONS ARISING FROM THE VARIOUS REVIEWS ARE ADDRESSED AND INCORPORATED INTO THE FORM 990, A REVISED DRAFT IS PROVIDED TO THE FILING ORGANIZATION'S LEADERSHIP TEAM, INCLUDING THE CFO, CEO, AND GENERAL COUNSEL FOR REVIEW. ONCE REVIEWED AND APPROVED BY THE FILING ORGANIZATION'S LEADERSHIP TEAM, THE FORM 990 IS THEN SIGNED AND FILED WITH THE IRS. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, QUESTION 12C CONSISTENT WITH THE CONFLICT OF INTEREST POLICY, OFFICERS, DIRECTORS, KEY EMPLOYEES AND OTHER DISQUALIFIED PERSONS WERE REQUESTED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE FOR THE FISCAL YEAR 2011. QUESTIONNAIRES ARE REVIEWED BY THE LEGAL, HUMAN RESOURCES, INTERNAL AUDIT, FINANCE, AND TAX DEPARTMENTS. POTENTIAL CONFLICTS ARE ADDRESSED AND RESOLVED. OFFICES &amp; POSITIONS FOR WHICH PROCESS WAS USED, &amp; YEAR PROCESS WAS BEGUN FORM 990, PART VI, QUESTIONS 15A &amp; 15B FOR THOSE CLASSIFIED AS OFFICERS (AND THUS DISQUALIFIED PERSONS), THE ORGANIZATION RELIES UPON MERCY HEALTH, WHICH USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, ENGAGEMENT OF AN INDEPENDENT COMPENSATION CONSULTANT, AND REVIEW/APPROVAL OF COMPENSATION BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF MERCY HEALTH. FOR THOSE CLASSIFIED AS KEY EMPLOYEES, THE ORGANIZATION USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, AND REVIEW/APPROVAL OF EXECUTIVE MANAGEMENT. COMPENSATION REVIEWS ARE COMPLETED ON AN ANNUAL BASIS, AND A REVIEW WAS COMPLETED DURING THE REPORTING YEAR. AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY &amp; FIN STMT TO GEN PUBLIC FORM 990, PART VI, QUESTION 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS HAVE BEEN MADE AVAILABLE UPON REQUEST BUT ARE NOT PUBLISHED PUBLICLY. AVERAGE HOURS PER WEEK FORM 990, PART VII, SECTION A, COLUMN B SEVERAL INDIVIDUALS LISTED IN PART VII ARE DISCLOSED AS TRUSTEES, DIRECTORS, OFFICERS, AND KEY EMPLOYEES ON MULTIPLE FORM 990S OF ENTITIES INCLUDED WITHIN MERCY HEALTH. THE AVERAGE HOURS PER WEEK DISCLOSED IN PART VII IS AN ESTIMATE OF THE HOURS PER WEEK THAT THE LISTED INDIVIDUAL SPENDS ON BOTH THE FILING ORGANIZATION AND ALL RELATED ORGANIZATIONS. PART VII SUPPLEMENTAL INFORMATION Cynthia Mercer was hired as Senior Vice President of Human Resources for Mercy Health in January 2011. Therefore, she has no reportable compensation from the filing organization or related organization for calendar year 2010. OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 5 Unrealized Losses (916,187) Net Assets Released From Restriction (39,024,718) Net transfers from Affiliates 90,557,691 Other changes in Net Assets from Net Income 39,816,251 Total 90,433,036 OVERSIGHT OR SELECTION PROCESS FORM 990, PART XII, QUESTION 2C THE FILING ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED IN MERCY HEALTH AND SUBSIDIARIES ANNUAL FINANCIAL STATEMENT AUDIT. MERCY HEALTH AND SUBSIDIARIES RECEIVED AN UNQUALIFIED OPINION FROM THE EXTERNAL AUDITORS FOR FISCAL 2011 (THE TAX YEAR CURRENTLY BEING REPORTED). HOWEVER, NO SEPARATE AUDIT OPINION IS ISSUED ON THE FINANCIAL STATEMENTS OF THE FILING ORGANIZATION. THE ULTIMATE RESPONSIBILITY FOR OVERSIGHT OF THE FINANCIAL STATEMENT AUDIT AND SELECTION OF THE EXTERNAL AUDITOR LIES WITH THE FINANCE, AUDIT, AND COMPLIANCE COMMITTEE OF THE MERCY HEALTH BOARD OF DIRECTORS. AUDIT RESULTS ARE COMMUNICATED TO THIS COMMITTEE.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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          <BusinessNameLine1>Valarity</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>14528 South Outer Forty Road</AddressLine1>
          <City>Chesterfield</City>
          <State>MO</State>
          <ZIPCode>63017</ZIPCode>
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        <AddressUS>
          <AddressLine1>300 Werner St 3rd Floor</AddressLine1>
          <City>Hot Springs</City>
          <State>AR</State>
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          <BusinessNameLine1>Mercy Health</BusinessNameLine1>
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          <BusinessNameLine1>Mercy Hospital Lebanon</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>100 Hospital Drive</AddressLine1>
          <City>Lebanon</City>
          <State>MO</State>
          <ZIPCode>65536</ZIPCode>
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          <BusinessNameLine1>Mercy Health Foundation Berryville</BusinessNameLine1>
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          <AddressLine1>214 Carter Street</AddressLine1>
          <City>Berryville</City>
          <State>AR</State>
          <ZIPCode>72616</ZIPCode>
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        <LegalDomicileState>AR</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11a</PublicCharityStatus>
        <DirectControllingEntityName>
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          <BusinessNameLine1>Casa de Misericordia</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>1000 Mier Street</AddressLine1>
          <City>Laredo</City>
          <State>TX</State>
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        <EIN>742912461</EIN>
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        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
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          <BusinessNameLine1>Mercy Hospital Healdton</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>918 South Street</AddressLine1>
          <City>Healdton</City>
          <State>OK</State>
          <ZIPCode>73438</ZIPCode>
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        <EIN>263173902</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>OK</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MH Ardmore</BusinessNameLine1>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Laredo Medical Group</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>14528 S Outer Forty Ste 100</AddressLine1>
          <City>Chesterfield</City>
          <State>MO</State>
          <ZIPCode>63017</ZIPCode>
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        <PrimaryActivities>Inactive</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MHS-TX</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>McAuley Portfolio Management Company</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>14528 S Outer Forty Ste 100</AddressLine1>
          <City>Chesterfield</City>
          <State>MO</State>
          <ZIPCode>63017</ZIPCode>
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        <EIN>261708048</EIN>
        <PrimaryActivities>Port Mgmt</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11b</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Mercy Health</BusinessNameLine1>
        </DirectControllingEntityName>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Mercy Hospital El Reno</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>2115 Parkview Drive</AddressLine1>
          <City>El Reno</City>
          <State>OK</State>
          <ZIPCode>73036</ZIPCode>
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        <EIN>736617948</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>OK</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Mercy Health</BusinessNameLine1>
        </DirectControllingEntityName>
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      <Form990ScheduleRPartII>
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          <BusinessNameLine1>Mercy Emergency Medical Services Inc</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>4300 W Memorial Road</AddressLine1>
          <City>Oklahoma City</City>
          <State>OK</State>
          <ZIPCode>73120</ZIPCode>
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        <EIN>810627035</EIN>
        <PrimaryActivities>Inactive</PrimaryActivities>
        <LegalDomicileState>OK</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MHOC</BusinessNameLine1>
        </DirectControllingEntityName>
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          <BusinessNameLine1>Mercy Foundation for Health Innovation</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>14528 S Outer Forty Ste 100</AddressLine1>
          <City>Chesterfield</City>
          <State>MO</State>
          <ZIPCode>63017</ZIPCode>
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        <PublicCharityStatus>11b</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Mercy Health</BusinessNameLine1>
        </DirectControllingEntityName>
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          <AddressLine1>401 Woodland Hills Blvd</AddressLine1>
          <City>Fort Scott</City>
          <State>KS</State>
          <ZIPCode>66701</ZIPCode>
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        <EIN>481077073</EIN>
        <PrimaryActivities>Foundation</PrimaryActivities>
        <LegalDomicileState>KS</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11c</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Mercy KS Com</BusinessNameLine1>
        </DirectControllingEntityName>
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          <BusinessNameLine1>Mercy Health Foundation OK City</BusinessNameLine1>
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          <AddressLine1>4300 W Memorial Road</AddressLine1>
          <City>Oklahoma City</City>
          <State>OK</State>
          <ZIPCode>73120</ZIPCode>
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        <EIN>731593024</EIN>
        <PrimaryActivities>Foundation</PrimaryActivities>
        <LegalDomicileState>OK</LegalDomicileState>
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        <DirectControllingEntityName>
          <BusinessNameLine1>MHOC</BusinessNameLine1>
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          <BusinessNameLine1>Mercy Hospital Oklahoma City</BusinessNameLine1>
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          <AddressLine1>4300 W Memorial Road</AddressLine1>
          <City>Oklahoma City</City>
          <State>OK</State>
          <ZIPCode>73120</ZIPCode>
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        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>OK</LegalDomicileState>
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        <DirectControllingEntityName>
          <BusinessNameLine1>MHOC</BusinessNameLine1>
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          <AddressLine1>220 Pennsylvania Avenue</AddressLine1>
          <City>Columbus</City>
          <State>KS</State>
          <ZIPCode>66725</ZIPCode>
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        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MHSMKC</BusinessNameLine1>
        </DirectControllingEntityName>
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          <BusinessNameLine1>Mercy Health Foundation Joplin</BusinessNameLine1>
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          <AddressLine1>2727 McClelland Blvd</AddressLine1>
          <City>Joplin</City>
          <State>MO</State>
          <ZIPCode>64804</ZIPCode>
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        <EIN>270906136</EIN>
        <PrimaryActivities>Foundation</PrimaryActivities>
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        <DirectControllingEntityName>
          <BusinessNameLine1>MHSMKC</BusinessNameLine1>
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          <BusinessNameLine1>Mercy Hospital Joplin</BusinessNameLine1>
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          <AddressLine1>2727 McClelland Blvd</AddressLine1>
          <City>Joplin</City>
          <State>MO</State>
          <ZIPCode>64804</ZIPCode>
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        <PrimaryActivities>Hospital</PrimaryActivities>
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        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MHSMKC</BusinessNameLine1>
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          <BusinessNameLine1>Mercy Health SW MOKS Communitites</BusinessNameLine1>
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          <AddressLine1>2727 McClelland Blvd</AddressLine1>
          <City>Joplin</City>
          <State>MO</State>
          <ZIPCode>64804</ZIPCode>
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        <EIN>300584463</EIN>
        <PrimaryActivities>Hlth System</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11b</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Mercy Health</BusinessNameLine1>
        </DirectControllingEntityName>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>Mercy Kansas Communities Inc</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>401 Woodland Hills Blvd</AddressLine1>
          <City>Ft Scott</City>
          <State>KS</State>
          <ZIPCode>66701</ZIPCode>
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        <EIN>480956045</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>KS</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MHSMKC</BusinessNameLine1>
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          <BusinessNameLine1>Mercy Health NW Arkansas Communities</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2710 Rife Medical Drive</AddressLine1>
          <City>Rogers</City>
          <State>AR</State>
          <ZIPCode>72758</ZIPCode>
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        <EIN>621684203</EIN>
        <PrimaryActivities>Phys Group</PrimaryActivities>
        <LegalDomicileState>AR</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11b</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Mercy Health</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Mercy Health System of Texas Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>14528 S Outer Forty Ste 100</AddressLine1>
          <City>Chesterfield</City>
          <State>MO</State>
          <ZIPCode>63017</ZIPCode>
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        <EIN>742764727</EIN>
        <PrimaryActivities>Inactive</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11b</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Mercy Health</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Mercy Health Oklahoma Communities</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4300 W Memorial Road</AddressLine1>
          <City>Oklahoma City</City>
          <State>OK</State>
          <ZIPCode>73120</ZIPCode>
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        <EIN>731453048</EIN>
        <PrimaryActivities>Holding co.</PrimaryActivities>
        <LegalDomicileState>OK</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11b</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Mercy Health</BusinessNameLine1>
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      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
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          <BusinessNameLine1>Mercy Health Foundation Independence</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>800 W Myrtle</AddressLine1>
          <City>Independence</City>
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          <BusinessNameLine1>Mercy Hospital Berryville</BusinessNameLine1>
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      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>Resource Optimization &amp; Innovation LLC</BusinessNameLine1>
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        <AmountInvolved>1733348</AmountInvolved>
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      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>MERCY FAMILY CENTER</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>o</TransactionType>
        <AmountInvolved>603713</AmountInvolved>
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          <BusinessNameLine1>Mercy Hospital Ozark</BusinessNameLine1>
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        <AmountInvolved>825206</AmountInvolved>
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          <BusinessNameLine1>Mercy Hospital Paris</BusinessNameLine1>
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          <BusinessNameLine1>Mercy Hospital Waldron</BusinessNameLine1>
        </NameOfOtherOrganization>
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        <AmountInvolved>1079170</AmountInvolved>
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          <BusinessNameLine1>Mercy Clinic Fort Smith Communities</BusinessNameLine1>
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      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>Mercy Hospital Fort Smith</BusinessNameLine1>
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          <BusinessNameLine1>Mercy St Francis Hospital</BusinessNameLine1>
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        <AmountInvolved>1180054</AmountInvolved>
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          <BusinessNameLine1>Mercy Hospital Aurora</BusinessNameLine1>
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        <TransactionType>p</TransactionType>
        <AmountInvolved>1223327</AmountInvolved>
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          <BusinessNameLine1>Mercy Hospital Cassville</BusinessNameLine1>
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          <BusinessNameLine1>Mercy Clinic Springfield Communities</BusinessNameLine1>
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          <BusinessNameLine1>Mercy Health Springfield Communities</BusinessNameLine1>
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          <BusinessNameLine1>Mercy Clinic Hot Springs Communities</BusinessNameLine1>
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          <BusinessNameLine1>Mercy Hospital Hot Springs</BusinessNameLine1>
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          <BusinessNameLine1>Mercy Health Hot Springs Communities</BusinessNameLine1>
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          <BusinessNameLine1>Mercy Hospital Rogers</BusinessNameLine1>
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          <BusinessNameLine1>Mercy Ministries of Laredo</BusinessNameLine1>
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          <BusinessNameLine1>Mercy Health Springfield Communities</BusinessNameLine1>
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        <NameOfOtherOrganization>
          <BusinessNameLine1>Mercy Hospital Fort Smith</BusinessNameLine1>
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          <BusinessNameLine1>Mercy Hospital Oklahoma City</BusinessNameLine1>
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      <Form990ScheduleRPartVII>
        <Identifier>FORM 990, SCHEDULE R, PART II</Identifier>
        <Explanation>*MERCY MEDICAL GROUP IS NOW MERCY CLINIC EAST COMMUNITIES *ST. EDWARD MERCY CLINIC, INC. IS NOW MERCY CLINIC FORT SMITH COMMUNITIES *ST. JOSEPH'S MERCY CLINIC, INC. IS NOW MERCY CLINIC HOT SPRINGS COMMUNITIES *MERCY PHYSICIANS OF OKLAHOMA, INC. IS NOW MERCY CLINIC OKLAHOMA COMMUNITIES *ST. JOHN'S CLINIC, INC. IS NOW MERCY CLINIC SPRINGFIELD COMMUNITIES *SISTERS OF MERCY HEALTH SYSTEM IS NOW MERCY HEALTH *ST. JOHN'S MERCY HEALTH CARE IS NOW MERCY HEALTH EAST COMMUNITIES *ST. EDWARD MERCY HEALTH SYSTEM, INC. IS NOW MERCY HEALTH FORT SMITH COMMUNITIES *MERCY MEMORIAL HEALTH CENTER FOUNDATION IS NOW MERCY HEALTH FOUNDATION ARDMORE *CARROLL HEALTH FOUNDATION IS NOW MERCY HEALTH FOUNDATION BERRYVILLE *MERCY HEALTH CENTER FOUNDATION IS NOW MERCY HEALTH FOUNDATION FORT SCOTT *ST. JOSEPH'S MERCY HEALTH FOUNDATION IS NOW MERCY HEALTH FOUNDATION HOT SPRINGS *MERCY HOSPITAL FOUNDATION OF INDEPENDENCE, INC. IS NOW MERCY HEALTH FOUNDATION INDEPENDENCE *MERCY HEALTH OF JOPLIN FOUNDATION IS NOW MERCY HEALTH FOUNDATION JOPLIN *ST. MARY'S HOSPITAL FOUNDATION IS NOW MERCY HEALTH FOUNDATION NORTHWEST ARKANSAS *MERCY HEALTH CENTER FOUNDATION, INC. IS NOW MERCY HEALTH FOUNDATION OKLAHOMA CITY *ST. JOHN'S FOUNDATION FOR COMMUNITY HEALTH INC. IS NOW MERCY HEALTH FOUNDATION SPRINGFIELD *ST. JOHN'S MERCY FOUNDATION IS NOW MERCY HEALTH FOUNDATION ST. LOUIS *ST. JOHN'S MERCY HOSPITAL FOUNDATION IS NOW MERCY HEALTH FOUNDATION WASHINGTON *ST. JOSEPH'S MERCY HEALTH SYSTEM, INC. IS NOW MERCY HEALTH HOT SPRINGS COMMUNITIES *MERCY HEALTH SYSTEM OF NORTHWEST ARKANSAS, INC. IS NOW MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES *MERCY HEALTH SYSTEM, INC. IS NOW MERCY HEALTH OKLAHOMA COMMUNITIES *MERCY HEALTH SYSTEM-JOPLIN, INC. IS NOW MERCY HEALTH SOUTHWEST MISSOURI/KANSAS COMMUNITIES *ST. JOHN'S HEALTH SYSTEM, INC. IS NOW MERCY HEALTH SPRINGFIELD COMMUNITIES *ST. JOHN'S HOME CARE OF BERRYVILLE, INC. IS NOW MERCY HOME HEALTH BERRYVILLE *MERCY MEMORIAL HEALTH CENTER, INC. IS NOW MERCY HOSPITAL ARDMORE *ST. JOHN'S AURORA, INC. IS NOW MERCY HOSPITAL AURORA *OZARKS REGIONS HEALTH SYSTEM, INC. IS NOW MERCY HOSPITAL BERRYVILLE *ST. JOHN'S CASSVILLE, INC. IS NOW MERCY HOSPITAL CASSVILLE *MERCY HEALTH MHMCH, INC. IS NOW MERCY HOSPITAL COLUMBUS *MERCY EL RENO HOSPITAL CORPORATION IS NOW MERCY HOSPITAL EL RENO *ST. EDWARD MERCY MEDICAL CENTER IS NOW MERCY HOSPITAL FORT SMITH *HEALDTON MERCY HOSPITAL CORPORATION IS NOW MERCY HOSPITAL HEALDTON *ST. JOSEPH'S MERCY HEALTH CENTER IS NOW MERCY HOSPITAL HOT SPRINGS *MERCY HEALTH OF JOPLIN, INC. IS NOW MERCY HOSPITAL JOPLIN *BREECH REGIONAL MEDICAL CENTER IS NOW MERCY HOSPITAL LEBANON *MERCY HEALTH CENTER, INC. IS NOW MERCY HOSPITAL OKLAHOMA CITY *ST. EDWARD HEALTH FACILITIES OF FRANKLIN COUNTY IS NOW MERCY HOSPITAL OZARK *ST. EDWARD HEALTH FACILITIES OF LOGAN COUNTY IS NOW MERCY HOSPITAL PARIS *ST. EDWARD HEALTH FACILITIES OF SCOTT COUNTY IS NOW MERCY HOSPITAL WALDRON *ST. MARY-ROGERS MEMORIAL HOSPITAL, INC. IS NOW MERCY HOSPITAL ROGERS *ST. JOHN'S REGIONAL HEALTH CENTER IS NOW MERCY HOSPITAL SPRINGFIELD *MERCY TISHOMINGO HOSPITAL CORPORATION IS NOW MERCY HOSPITAL TISHOMINGO *ST. JOHN'S MERCY HEALTH SYSTEM IS NOW MERCY HOSPITALS EAST COMMUNITIES *ST. JOHN'S MERCY MEDICAL CENTER IS NOW MERCY HOSPITAL ST LOUIS *ST. JOHN'S MERCY HOSPITAL IS NOW MERCY HOSPITAL SPRINGFIELD *MERCY HEALTH SYSTEM OF KANSAS, INC. IS NOW MERCY KANSAS COMMUNITIES *MERCY HEALTH CENTER, INC. IS NOW MERCY HOSPITAL FORT SCOTT *MERCY HOSPITAL IS NOW MERCY HOSPITAL INDEPENDENCE *ST. JOHN'S MEDICAL RESEARCH INSTITUTE, INC. IS NOW MERCY MEDICAL RESEARCH INSTITUTE *ST. FRANCIS HOSPITAL, MOUNTAIN VIEW, MISSOURI IS NOW MERCY ST. FRANCIS HOSPITAL *ST. JOHN'S MERCY SUPPORT SERVICES IS NOW MERCY SUPPORT SERVICES FORM 990, SCHEDULE R, PART V LAWSON ERP SOFTWARE IS THE PRIMARY ACCOUNTING SOFTWARE USED BY MERCY HEALTH ITS SUBSIDIARIES. THE MAJORITY OF THE INTERCOMPANY/RELATED ORGANIZATION TRANSACTIONS ARE PROCESSED THROUGH LAWSON VIA INTERCOMPANY JOURNAL ENTRIES. WITH THE CURRENT DESIGN OF THE ERP SYSTEM, THERE ARE VARIOUS LIMITATIONS ON THE RELATED ORGANIZATION INFORMATION THAT CAN BE EXTRACTED FROM LAWSON. DUE TO THESE LIMITATIONS, MOST OF THE RELATED ORGANIZATION ACTIVITY FOR THE FILING ORGANIZATION HAS BEEN CLASSIFIED ON SCHEDULE R, PART V, IN LINES B, O AND P.</Explanation>
      </Form990ScheduleRPartVII>
    </IRS990ScheduleR>
  </ReturnData>
</Return>