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      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 1a</ReturnReference>
        <Explanation>Charter travel is provided to certain employees as necessary for business travel pursuant to approval by the Chief Administrative Officer of Sisters of Mercy after approval for charter travel has been granted in accordance with the financial justification process. Approved charter travel for business is a reimbursable expense which is not taxable to the employees. Housing benefits are provided through a relocation program in accordance with company policy. The program has tiered benefits depending upon leadership level. Such benefits are subject to tax to the board member and employee of a related organization, Michael McCurry, for purposes of this Form 990. 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.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 4a</ReturnReference>
        <Explanation>Robert Ruello received $207,866 of severance compensation from St. Johns Mercy Health Care. Francine Merenghi received $62,410 of severance compensation from St. Johns Mercy Health Care. Part I, Line 4B: Sisters of Mercy Health System, the ultimate parent company, 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 following individuals participated in the following plans. There were no payments for the fiscal year ended 6/30/2010. Supplemental Executive Retirement Plan (SERP) Combs, Randy; DeNarvaez, Denny; McCurry, Michael Supplemental Management Retirement Plan (SMRP) Hermann, John; Howard, John S; Matejka, Cheryl L; Hale, Thomas; Ruello, Robert; Kalicak, Donald; Eoloff, Eric; Hurst, Lyn The amount of all accrued benefits is included in compensation amounts provided in Schedule J, Part II, Column (C).</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 7</ReturnReference>
        <Explanation>The filing organization provides a non-fixed bonus plan for which certain tiers of its employees are eligible. For fiscal year 2009 (July 1, 2008-June 30, 2009), payment of all or part of the bonus is contingent upon percentage attainment of (I) personal goals and (II) certain financial targets. For fiscal year 2010 (July 1, 2009-June 30, 2010), payment of all or part of the bonus is contingent upon attainment of certain financial targets. Payments are made annually in October following (I) the conclusion of the fiscal year and (II) determination of goal achievement (applicable only for fiscal year 2009). Bonus opportunities are tiered percentages and are dependent upon the leadership level and attainment percentage. Mercy's attainment of financial goals are validated by an external consulting firm and are then taken into account by the executive compensation committee of Mercy when analyzing executive compensation for reasonableness.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental Information</Identifier>
        <ReturnReference>Part III</ReturnReference>
        <Explanation>Part I, Line 3: Sisters of Mercy Health System (parent company) is responsible for establishing the compensation of the organization's CEO/Executive Director. The following methods were used by Sisters of Mercy to establish compensation: -Independent compensation consultant -compensation survey or study -approval by the board or compensation committee Mercy Medical Group uses a written employment contract, as indicated on Schedule J, Part I, Line 3.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 6</Identifier>
        <Explanation>The member of Mercy Medical Group is St. Johns Mercy Health Care, a supporting organization under Section 509(a)(3). The member of St. Johns Mercy Health Care is Sisters of Mercy Health System.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 7a</Identifier>
        <Explanation>St. Johns Mercy Health Care has reserve powers to: -Appoint Directors pursuant to the process set forth in the bylaws; -Remove up to two Directors during any fiscal year without Cause and otherwise remove Directors for Cause; and -Remove the President and Chief Executive Officer of the Corporation with or without cause, after consultation with the Board.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 7b</Identifier>
        <Explanation>St. Johns Mercy Health Care has reserve powers to: -Adopt or amend the Corporation's mission and philosophy; -Adopt or amend the Corporation's strategic plans, goals, and objectives; -Adopt or amend the Corporation's budgets; -Authorize or approve the assignment, transfer, sale or lease of any of the Corporation's assets or interest therein in excess of $1,000,000; -Authorize or approve the grant of any pledge, lien, encumbrance, mortgage, deed of trust or other security interest in any or all of the Corporation's assets; -Authorize or approve the incurrence of debt (other than debt incurred for the acquisition of goods that are acquired in the ordinary course of business) by the Corporation and 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; -Merge, dissolve or abandon the Corporation; -Amend the Articles of Incorporation and Bylaws of the Corporation, subject to the approval of the SJMHC Board; -Establish compensation and benefit terms for physicians and other medical professionals employed or otherwise retained by the Corporation.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 11</Identifier>
        <Explanation>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 finance leadership. The draft Form 990 is also reviewed by the Sisters of Mercy Health System'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 for review. Once reviewed and approved by the filing organization's leadership team, it is then signed and filed with the IRS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 12c</Identifier>
        <Explanation>Annually, the business risk assessment and compliance team distributes a link to a conflict of interest survey, which must be completed by all covered individuals, including members of the Board of Directors, senior and executive leaders and persons with substantial influence by title (supervisors and above) or function. All disclosures of potential conflicts of interest reported by co-workers are reviewed by Business Risk and the Director of Corporate Compliance. If necessary, the Chief Financial Officer, General Counsel, and/or Chief Executive Officer may be involved in the review. Corporate Compliance coordinates the review and conflict resolution with the appropriate administrative vice president and with the advice of the General Counsel. All reported disclosures of potential conflicts by the Board of Directors are screened by the General Counsel and reviewed by the Board Chairperson and the CEO of St. Johns Mercy Health Care (Parent Company). All material conflicts requiring conflict resolution are reported at least annually to the Finance, Audit, and Compliance Committee of the St. Johns Mercy Health Care Board.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 15a</Identifier>
        <Explanation>For those classified as officers (and thus Disqualified Persons), Sisters of Mercy Health System (ultimate parent company) 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 Sisters of Mercy Board. For those classified as key employees, the following are used to establish the compensation: external market salary surveys, external market salary studies, and review/approval of executive management of St. Johns Mercy Health Care. Compensation reviews are completed on an annual basis, and a review was completed during the reporting year.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section C, line 19</Identifier>
        <Explanation>Governing documents and financial statements have been made available from time to time but are not published publicly; we are not required to make these documents available to the public. Financial results are available via request of copy of Form 990.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Part XI, Line 2</Identifier>
        <ReturnReference>Audited Financial Statements</ReturnReference>
        <Explanation>The filing organization's financial statements were included in the Sisters of Mercy Health System, Inc. and Subsidiaries annual financial statement audit. The Sisters of Mercy Health System, Inc. and Subsidiaries received an unqualified opinion from the external auditors for fiscal 2010 (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 Sisters of Mercy Health System Board of Directors. Audit results are communicated to this committee.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Part XI, Line 3</Identifier>
        <ReturnReference>Single Audit Act and OMB Circular A-133</ReturnReference>
        <Explanation>The Consolidated Group of Sisters of Mercy Health System is required to undergo an audit as set forth in the single audit act and OMB Circular A-133. The single audit was conducted on a consolidated basis.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, SCHEDULE R, PART V</Identifier>
        <ReturnReference>SYSTEM LIMITATIONS</ReturnReference>
        <Explanation>LAWSON ERP SOFTWARE IS THE PRIMARY ACCOUNTING SOFTWARE USED BY SISTERS OF MERCY HEALTH SYSTEM, INC. AND 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 O AND P.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Part VII, Section A, Column B</Identifier>
        <ReturnReference>Hours Per Week</ReturnReference>
        <Explanation>Several individuals are disclosed as officers, directors, trustees, and key employees on multiple Form 990s that are filed by organizations included in the St. Johns Mercy Health Care system. The average hours per week reported includes hours worked for all of these organizations.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART V, Question 1a</Identifier>
        <ReturnReference>Independent contractors</ReturnReference>
        <Explanation>Independent contractors for the filing organization are paid by the Sisters of Mercy Health System (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 SMHS EIN.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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        </NameOfDisregardedEntity>
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          <AddressLine1>645 Maryville Ctr Dr Ste 100</AddressLine1>
          <City>St Louis</City>
          <State>MO</State>
          <ZIPCode>63141</ZIPCode>
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          <City>St Louis</City>
          <State>MO</State>
          <ZIPCode>63141</ZIPCode>
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        <EIN>272252716</EIN>
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          <City>St Louis</City>
          <State>MO</State>
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          <BusinessNameLine1>St John's Mercy Health Care</BusinessNameLine1>
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          <BusinessNameLine1>Southern Oklahoma Diag Ctr LLC</BusinessNameLine1>
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          <AddressLine1>1011 Fourteenth Avenue NW</AddressLine1>
          <City>ARDMORE</City>
          <State>OK</State>
          <ZIPCode>73401</ZIPCode>
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        <PrimaryActivity>MRI Services</PrimaryActivity>
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          <BusinessNameLine1>Resource Optimiz &amp; InnovLLC</BusinessNameLine1>
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          <AddressLine1>645 Maryville Ctr DrSte 200</AddressLine1>
          <City>ST LOUIS</City>
          <State>MO</State>
          <ZIPCode>63141</ZIPCode>
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          <BusinessNameLine1>Mercy Ambulatory Surgery Center LLC</BusinessNameLine1>
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          <AddressLine1>7301 Rogers Avenue</AddressLine1>
          <City>FORT SMITH</City>
          <State>AR</State>
          <ZIPCode>72917</ZIPCode>
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        <PrimaryActivity>Ambulatory Surgery Center</PrimaryActivity>
        <LegalDomicileState>AR</LegalDomicileState>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>Hot Springs Equip Leasing LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>300 Werner Street</AddressLine1>
          <City>HOT SPRINGS</City>
          <State>AR</State>
          <ZIPCode>71913</ZIPCode>
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        <EIN>204340915</EIN>
        <PrimaryActivity>Inactive,dissolved 9/30/09</PrimaryActivity>
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          <BusinessNameLine1>Hot Springs MRI Partnership</BusinessNameLine1>
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          <AddressLine1>100 Ridgeway Place</AddressLine1>
          <City>HOT SPRINGS</City>
          <State>AR</State>
          <ZIPCode>72901</ZIPCode>
        </AddressUS>
        <EIN>710675196</EIN>
        <PrimaryActivity>Inactive,dissolved 8/5/09</PrimaryActivity>
        <LegalDomicileState>AR</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>N/A</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
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      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>FORT SMITH EMERGENCY MEDICAL SERVICES</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>1701 SOUTH GREENWOOD</AddressLine1>
          <City>FORT SMITH</City>
          <State>AR</State>
          <ZIPCode>72901</ZIPCode>
        </AddressUS>
        <EIN>710416615</EIN>
        <PrimaryActivity>Emergency Medical Services</PrimaryActivity>
        <LegalDomicileState>AR</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>N/A</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>SOUTHern Oklahoma PHO LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>1011 Fourteenth Avenue NW</AddressLine1>
          <City>ARDMORE</City>
          <State>OK</State>
          <ZIPCode>73401</ZIPCode>
        </AddressUS>
        <EIN>731462104</EIN>
        <PrimaryActivity>Inactive,dissolved 12/31/09</PrimaryActivity>
        <LegalDomicileState>OK</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>N/A</PredominantIncomeType>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
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      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>St Edward Mercy Med Ctr M-P Office Bldg</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>7301 Rogers Avenue</AddressLine1>
          <City>FORT SMITH</City>
          <State>AR</State>
          <ZIPCode>72903</ZIPCode>
        </AddressUS>
        <EIN>710554050</EIN>
        <PrimaryActivity>Office Building</PrimaryActivity>
        <LegalDomicileState>AR</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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        <DisproportionateAllocations>0</DisproportionateAllocations>
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      <Form990ScheduleRPartIV>
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          <BusinessNameLine1>St Edward Medical Services Inc</BusinessNameLine1>
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          <AddressLine1>7301 Rogers Avenue</AddressLine1>
          <City>Fort Smith</City>
          <State>AR</State>
          <ZIPCode>72903</ZIPCode>
        </AddressUS>
        <EIN>202965518</EIN>
        <PrimaryActivity>Inactive dissolved 5/5/10</PrimaryActivity>
        <LegalDomicileState>AR</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
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          <BusinessNameLine1>Consolidated Logistics Inc</BusinessNameLine1>
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          <City>Rogers</City>
          <State>AR</State>
          <ZIPCode>72758</ZIPCode>
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        <EIN>710474406</EIN>
        <PrimaryActivity>Inactive dissolved 8/4/09</PrimaryActivity>
        <LegalDomicileState>AR</LegalDomicileState>
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          <City>Fort Scott</City>
          <State>KS</State>
          <ZIPCode>66701</ZIPCode>
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        <PrimaryActivity>Catering operations</PrimaryActivity>
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          <City>Chesterfield</City>
          <State>MO</State>
          <ZIPCode>63017</ZIPCode>
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        <EIN>521914421</EIN>
        <PrimaryActivity>Holds ancillary assets &amp; owns aircraft</PrimaryActivity>
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          <AddressLine1>14528 S Outer Forty Suite 300</AddressLine1>
          <City>Chesterfield</City>
          <State>MO</State>
          <ZIPCode>63017</ZIPCode>
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          <BusinessNameLine1>Mercy Medical Services Inc</BusinessNameLine1>
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          <AddressLine1>14528 S Outer Forty Suite 100</AddressLine1>
          <City>Chesterfield</City>
          <State>MO</State>
          <ZIPCode>63017</ZIPCode>
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        <PrimaryActivity>Inactive dissolved 7/1/09</PrimaryActivity>
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          <City>Springfield</City>
          <State>MO</State>
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          <State>MO</State>
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        <EIN>431797042</EIN>
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          <City>St Louis</City>
          <State>MO</State>
          <ZIPCode>63141</ZIPCode>
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</Return>