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        <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, 2010 DUES WERE $51,364. APPROXIMATELY 5.46% OF CATHOLIC HEALTH ASSOCIATION DUES WERE ATTRIBUTABLE TO LOBBYING ACTIVITIES PERFORMED BY THESE ASSOCIATIONS.</Explanation>
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        <PurposeOfGrant>GYNCA assists women facing gynecologic cancer with non-medical needs. Intake assessment identifies need; GYNCA provides funding to members' service provider for utilities, rent/mortgage, auto repairs, fuel cards, and groceries.</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
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          <BusinessNameLine1>Mercy Family Center</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>110 Veterans Memorial Blvd Suite 4</AddressLine1>
          <City>Metarie</City>
          <State>LA</State>
          <ZIPCode>70005</ZIPCode>
        </AddressUS>
        <EINOfRecipient>721069468</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>40000</AmountOfCashGrant>
        <PurposeOfGrant>Project Fleur-de-lis is a school-based mental health service model for children who have been exposed to traumatic events.</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Mercy Health System of Kansas</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>401 Woodland Hills Blvd</AddressLine1>
          <City>Fort Scott</City>
          <State>KS</State>
          <ZIPCode>66701</ZIPCode>
        </AddressUS>
        <EINOfRecipient>480956045</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>26891</AmountOfCashGrant>
        <PurposeOfGrant>Adding telehealth services to our home health program will support our mission to provide high quality health care and to foster independence in the least restrictive environment, while safely, efficiently, and cost effectively meeting each person's needs with particular attention for peopel who are economically poor.</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Mercy Hospital Foundation of Independence Inc</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>800 W Myrtle</AddressLine1>
          <City>Independence</City>
          <State>KS</State>
          <ZIPCode>67301</ZIPCode>
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        <EINOfRecipient>481079981</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>49891</AmountOfCashGrant>
        <PurposeOfGrant>The Diagnostic Referreal Program will be a collaborative new program initiated to cover the costs of specialty physician care and subsequent diagnostic testing/procedures for uninsured patients, as identified and referred by Montgomery County Community Clinic to the Mercy Physician Group and Mercy Hospital.</PurposeOfGrant>
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          <BusinessNameLine1>Mercy Ministries of Laredo</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>2500 Zacatecas</AddressLine1>
          <City>Laredo</City>
          <State>TX</State>
          <ZIPCode>78043</ZIPCode>
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        <EINOfRecipient>200198462</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>50000</AmountOfCashGrant>
        <PurposeOfGrant>Mercy Ministries provides neighborhood-based services to eliminate barriers to healthcare access by becoming part of their communities and everyday lives. Currently, the Mercy Mobile Clinic offers services 4 days each week visiting 10 colonias and 4 inner-city ;ocations monthly. MML seeks expansion of this program. members, is also provided.</PurposeOfGrant>
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          <BusinessNameLine1>St Edward Mercy Foundation</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>3736 Rogers Ave</AddressLine1>
          <City>Fort Smith</City>
          <State>AR</State>
          <ZIPCode>72901</ZIPCode>
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        <EINOfRecipient>237330425</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>108250</AmountOfCashGrant>
        <PurposeOfGrant>Hamilton House is a child advocacy center which provides assistance to sexually abused children. Hamilton House provides a safe place for victims to undergo sexual assault exams, forensic interviews, and counseling. Assistance finding other medcal, legal, and financial services, as well as counseliong for non-offending family members, is also provided.</PurposeOfGrant>
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          <BusinessNameLine1>St Johns Foundation for Community Health</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>1235 E Cherokee</AddressLine1>
          <City>Springfield</City>
          <State>MO</State>
          <ZIPCode>65804</ZIPCode>
        </AddressUS>
        <EINOfRecipient>320795818</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>105000</AmountOfCashGrant>
        <PurposeOfGrant>Nurses for Newborns provides safety-net programs for infants with medical problems, teen mothers, and mothers with disabilities. Enhancing Access to Medical Care in regional Free Clinincs: St. Johns partners with four free clinics in our region that provide medical care to low income, uninsured individuals. Project Access: identifies and provides medical interventions for 100 uninsured people between 18 and 64 with heart disease, diabetes, and/or asthma whi use St. John's Emergency Department for non-emergency care.</PurposeOfGrant>
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          <BusinessNameLine1>St Johns Mercy Foundation</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>615 S Ballas Rd</AddressLine1>
          <City>St Louis</City>
          <State>MO</State>
          <ZIPCode>63141</ZIPCode>
        </AddressUS>
        <EINOfRecipient>562410020</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>50000</AmountOfCashGrant>
        <PurposeOfGrant>The John F Kennedy Clinic serves as a community resource to those who are uninsured, underinsured, and those in financial need by providing comprehensive medical care and low-cost prescriptions to more than 31,000 patients each year St. John's Mercy Neighborhood Ministry Mercy Outreach in Action: the purpose of which is to provide medical and social service expertise and build capacity with partnering agencies.</PurposeOfGrant>
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          <BusinessNameLine1>ST JOHNS MERCY HOSPITAL FOUNDATION</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>901 E FIFTH STREET</AddressLine1>
          <City>WASHINGTON</City>
          <State>MO</State>
          <ZIPCode>63090</ZIPCode>
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        <EINOfRecipient>562410022</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>466632</AmountOfCashGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>LEADERSHIP CONF OF WOMEN RELIGIOUS</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>8808 CAMERON STREET</AddressLine1>
          <City>SILVER SPRING</City>
          <State>MD</State>
          <ZIPCode>20910</ZIPCode>
        </AddressUS>
        <EINOfRecipient>436033728</EINOfRecipient>
        <AmountOfCashGrant>7500</AmountOfCashGrant>
        <PurposeOfGrant>DONATION</PurposeOfGrant>
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          <BusinessNameLine1>SLU SCHOOL OF PUBLIC HEALTH</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>3545 LINDELL BLVD</AddressLine1>
          <City>ST LOUIS</City>
          <State>MO</State>
          <ZIPCode>63103</ZIPCode>
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        <EINOfRecipient>430654872</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
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          <BusinessNameLine1>ST VINCENT DEPAUL-BELLEVILLE</BusinessNameLine1>
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          <AddressLine1>PO BOX 3310</AddressLine1>
          <City>EAST ST LOUIS</City>
          <State>IL</State>
          <ZIPCode>62203</ZIPCode>
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        <AmountOfCashGrant>10000</AmountOfCashGrant>
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          <BusinessNameLine1>CATHOLIC RELIEF SERVICES</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>228 W LEXINGTON ST</AddressLine1>
          <City>BALTIMORE</City>
          <State>MD</State>
          <ZIPCode>21201</ZIPCode>
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        <MethodOfValuation>BOOK</MethodOfValuation>
        <DescriptionOfNonCashAssistance>SUPPLIES</DescriptionOfNonCashAssistance>
        <PurposeOfGrant>HAITI RELIEF</PurposeOfGrant>
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      <TotalNbrOfOtherOrganizations>0</TotalNbrOfOtherOrganizations>
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        <TypeOfGrant>Scholarships</TypeOfGrant>
        <NumberOfRecipients>20</NumberOfRecipients>
        <AmountOfCashGrant>20000</AmountOfCashGrant>
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      <Form990ScheduleIPartIV>
        <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 OF 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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        <NamePerson>WILLIAM SHOWALTER</NamePerson>
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        <NamePerson>JAMES A BEST</NamePerson>
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        <NamePerson>SHERYL A BUSHMAN</NamePerson>
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        <NamePerson>JAY D GUFFEY</NamePerson>
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        <NamePerson>MICHAEL R MCCREARY</NamePerson>
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        <NamePerson>RONALD B ASHWORTH</NamePerson>
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        <NamePerson>JOHN SULLIVAN</NamePerson>
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      <Form990ScheduleJPartIII>
        <Identifier>SUPPLEMENTAL COMPENSATION INFORMATION</Identifier>
        <Explanation>FORM 990, SCHEDULE J, PART I, QUESTION 1A CHARTER TRAVEL IS PROVIDED TO ALL EMPLOYEES AS NECESSARY FOR BUSINESS TRAVEL PURSUANT TO APPROVAL BY THE FINANCE DEPARTMENT 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. TRAVEL FOR COMPANIONS IS PROVIDED UNDER LIMITED CIRCUMSTANCES IN ACCORDANCE WITH THE CO-WORKER TRAVEL AND OTHER EXPENSE POLICY AND PROCEDURES. IT IS GENERALLY AVAILABLE ONLY TO SENIOR EXECUTIVES AND SUPPORT STAFF NECESSARY FOR AN APPROVED EVENT. IN THE INSTANCES WHERE COMPANIONS TRAVEL BY CHARTER AND SUCH TRAVEL IS OF A PERSONAL NATURE, THE EMPLOYEES ARE TAXED FOR SUCH TRAVEL. IN THE LIMITED CIRCUMSTANCES WHEN COMPANION TRAVEL IS REQUIRED FOR BUSINESS PURPOSES, WHETHER BY CHARTER OR COMMERCIAL TRAVEL, THE VALUE IS NOT TAXED TO THE EMPLOYEES WITH ONE EXCEPTION. FOR PURPOSES OF A MISSION FORMATION RETREAT FOR SENIOR LEADERSHIP, COMPANION TRAVEL WAS TAXABLE TO THE EMPLOYEES BUT BECAUSE THE COMPANIONS WERE DEEMED AN INTEGRAL PART OF THE RETREAT, THE EMPLOYEES TRAVEL EXPENSES WERE GROSSED UP TO COVER THE TAXES. OTHER INSTANCES OF TAX GROSS-UPS MAY HAVE OCCURRED WITH RESPECT TO EXECUTIVES. THESE INSTANCES ARE VERY RARE AND ARE HANDLED ON A CASE BY CASE BASIS WITHOUT REFERENCE TO A SPECIFIC POLICY. 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 EMPLOYEE. 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. SOCIAL CLUB DUES WERE PAID BY THE COMPANY FOR CERTAIN PERSONS LISTED IN PART VII, SECTION A, LINE 1, ON A CASE BY CASE BASIS, WITH THE INTENTION THAT THEY BE USED TO FURTHER THE MISSION OF THE ORGANIZATION THROUGH ACTIVITIES RELATING TO THE RECRUITMENT OF PHYSICIANS, AS WELL AS DONOR AND LOCAL BUSINESS LEADER RELATIONS. AMOUNTS PAID FOR PERSONAL USE OF THE CLUBS WERE TAXED TO THE EMPLOYEES. FINANCIAL PLANNING ASSISTANCE WAS A TAXABLE FRINGE BENEFIT PROVIDED ONLY TO SENIOR EXECUTIVES (WHICH INCLUDES CERTAIN PERSONS LISTED IN PART VII, SECTION A, LINE 1); THE BENEFIT WAS UP TO $2,500 PER YEAR FOR FINANCIAL, TAX, OR LEGAL PURPOSES. THERE IS NO POLICY WITH RESPECT TO FINANCIAL PLANNING ASSISTANCE; HOWEVER, THIS BENEFIT WAS DISCONTINUED AS OF JULY 1, 2009. TELEPHONE STIPENDS ARE PAID BY THE COMPANY TO LEADERS OF THE ORGANIZATION IN ACCORDANCE WITH COMPANY POLICY. THIS PROGRAM HAS TIERED BENEFITS DEPENDING UPON LEADERSHIP LEVEL, AMOUNT OF TRAVEL, MEETING ATTENDANCE REQUIREMENTS AND/OR NATURE OF WORK. THIS BENEFIT IS 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 ORGANIZATION FOLLOWS. FORM 990, SCHEDULE J, PART I, QUESTION 4A THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT DURING CALENDAR 2009: JOHN SULLIVAN, $1,266,957. FORM 990, SCHEDULE J, PART I, QUESTION 4B SISTERS OF MERCY HEALTH SYSTEM 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, MYRA AUBUCHON, RANDALL COMBS, FRED FORD, JOLENE GOEDKEN, JAMES JAACKS, ANTHONY KINSLOW, MICHAEL MCCURRY, DR. GLENN MITCHELL, ELAINE MOORE, BRIAN O'TOOLE, JANET PURSLEY, ROBERT SCHIMMEL, WILLIAM SHOWALTER, SHANNON SOCK, PHILIP WHEELER, JULIE BURKE, SHERI BEEKMAN, RON TRULOVE, DONN SORENSEN, AND CURTIS THOMPSON. ROBERT SCHIMMEL RECEIVED PAYMENT OF $2,612 UNDER THE PLANS DURING CALENDAR YEAR ENDING WITHIN THE TAX YEAR. 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 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>
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    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>SUPPLEMENTAL INFORMATION</Identifier>
        <Explanation>FORM 1096 FORM 990, PART V, QUESTION 1A VENDORS 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. DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PART VI, QUESTION 6, 7A AND 7B THE FILING ORGANIZATION HAS A SOLE CORPORATE MEMBER, THE SISTERS OF MERCY HEALTH SYSTEM. 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; -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; -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 11A THE FORM 990 IS PREPARED BY 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, AND HUMAN RESOURCES. 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 990. AFTER QUESTIONS ARISING FROM THE VARIOUS REVIEWS ARE ADDRESSED AND INCORPORATED INTO THE FORM 990, A REVISED DRAFT IS PROVIDED TO CERTAIN MEMBERS OF THE FILING ORGANIZATION'S GOVERNING BODY CONSTITUTING THE EXECUTIVE COMMITTEE FOR REVIEW. ONCE REVIEWED AND APPROVED BY THE FILING ORGANIZATION'S EXECUTIVE COMMITTEE, THE FORM 990 IS 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 TAX YEAR 2010. DIRECTORS, OFFICERS AND MEMBERS OF COMMITTEES ARE REQUIRED TO REMOVE THEMSELVES FROM THAT PORTION OF ANY MEETING WHERIN A DISCUSSION IS TAKING PLACE ABOUT A TRANSACTION OR ARRANGEMENT IN WHICH THEY HAVE A FINANCIAL INTEREST. 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 SISTERS OF MERCY HEALTH SYSTEM, 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 THE SISTERS OF MERCY HEALTH SYSTEM. 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 FROM TIME TO TIME 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 the Sisters of Mercy Health System. 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. OVERSIGHT OR SELECTION PROCESS FORM 990, PART XI, QUESTION 2C 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. FORM 990, SCHEDULE R, PART V LAWSON ERP SOFTWARE IS THE PRIMARY ACCOUNTING SOFTWARE USED BY THE 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>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Advance Care Hospital</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>300 Werner St 3rd Floor</AddressLine1>
          <City>Hot Springs</City>
          <State>AR</State>
          <ZIPCode>71913</ZIPCode>
        </AddressUS>
        <EIN>710816634</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>AR</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SMHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Breech Regional Medical Center</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>100 Hospital Drive</AddressLine1>
          <City>Lebanon</City>
          <State>MO</State>
          <ZIPCode>65536</ZIPCode>
        </AddressUS>
        <EIN>431767432</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>St Johns HS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Carroll Health Foundation</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>214 Carter Street</AddressLine1>
          <City>Berryville</City>
          <State>AR</State>
          <ZIPCode>72616</ZIPCode>
        </AddressUS>
        <EIN>710759301</EIN>
        <PrimaryActivities>Foundation</PrimaryActivities>
        <LegalDomicileState>AR</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11a</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Ozark RG HS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Casa de Misericordia</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1602 McClelland Street</AddressLine1>
          <City>Laredo</City>
          <State>TX</State>
          <ZIPCode>78044</ZIPCode>
        </AddressUS>
        <EIN>742912461</EIN>
        <PrimaryActivities>Shelter</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MM Laredo</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Healdton Mercy Hospital Corporation</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>918 South Street</AddressLine1>
          <City>Healdton</City>
          <State>OK</State>
          <ZIPCode>73438</ZIPCode>
        </AddressUS>
        <EIN>263173902</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>OK</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MMHC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Laredo Medical Group</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>14528 S Outer Forty Ste 100</AddressLine1>
          <City>Chesterfield</City>
          <State>MO</State>
          <ZIPCode>63017</ZIPCode>
        </AddressUS>
        <EIN>742764726</EIN>
        <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>
        </AddressUS>
        <EIN>261708048</EIN>
        <PrimaryActivities>Invst Mgmt</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11b</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SMHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Mercy El Reno Hospital Corporation</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2115 Parkview Drive</AddressLine1>
          <City>El Reno</City>
          <State>OK</State>
          <ZIPCode>73036</ZIPCode>
        </AddressUS>
        <EIN>736617948</EIN>
        <PrimaryActivities>LEASED HOSP.</PrimaryActivities>
        <LegalDomicileState>OK</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Mercy Emergency Medical Services Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4300 W Memorial Road</AddressLine1>
          <City>Oklahoma City</City>
          <State>OK</State>
          <ZIPCode>73120</ZIPCode>
        </AddressUS>
        <EIN>810627035</EIN>
        <PrimaryActivities>Inactive</PrimaryActivities>
        <LegalDomicileState>OK</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MHC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Mercy Foundation for Health Innovation</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>14528 S Outer Forty Ste 100</AddressLine1>
          <City>Chesterfield</City>
          <State>MO</State>
          <ZIPCode>63017</ZIPCode>
        </AddressUS>
        <EIN>200901499</EIN>
        <PrimaryActivities>Foundation</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11b</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SMHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Mercy Health Center Foundation</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>401 Woodland Hills Blvd</AddressLine1>
          <City>Fort Scott</City>
          <State>KS</State>
          <ZIPCode>66701</ZIPCode>
        </AddressUS>
        <EIN>481077073</EIN>
        <PrimaryActivities>Foundation</PrimaryActivities>
        <LegalDomicileState>KS</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11c</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MHS-KS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Mercy Health Center Foundation Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4300 W Memorial Road</AddressLine1>
          <City>Oklahoma City</City>
          <State>OK</State>
          <ZIPCode>73120</ZIPCode>
        </AddressUS>
        <EIN>731593024</EIN>
        <PrimaryActivities>Foundation</PrimaryActivities>
        <LegalDomicileState>OK</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11a</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MHC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Mercy Health Center Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4300 W Memorial Road</AddressLine1>
          <City>Oklahoma City</City>
          <State>OK</State>
          <ZIPCode>73120</ZIPCode>
        </AddressUS>
        <EIN>730579285</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>OK</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Mercy Health MHMCH Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>220 Pennsylvania Avenue</AddressLine1>
          <City>Columbus</City>
          <State>KS</State>
          <ZIPCode>66725</ZIPCode>
        </AddressUS>
        <EIN>270842031</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MHS-Joplin</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Mercy Health of Joplin Foundation</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2727 McClelland Blvd</AddressLine1>
          <City>Joplin</City>
          <State>MO</State>
          <ZIPCode>64804</ZIPCode>
        </AddressUS>
        <EIN>270906136</EIN>
        <PrimaryActivities>Foundation</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11a</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MHS-Joplin</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Mercy Health of Joplin Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2727 McClelland Blvd</AddressLine1>
          <City>Joplin</City>
          <State>MO</State>
          <ZIPCode>64804</ZIPCode>
        </AddressUS>
        <EIN>270814858</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MHS-Joplin</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Mercy Health Services Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4300 W Memorial Road</AddressLine1>
          <City>Oklahoma City</City>
          <State>OK</State>
          <ZIPCode>73120</ZIPCode>
        </AddressUS>
        <EIN>141838609</EIN>
        <PrimaryActivities>DISV 6/30/10</PrimaryActivities>
        <LegalDomicileState>OK</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MHC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Mercy Health System-Joplin Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2727 McClelland Blvd</AddressLine1>
          <City>Joplin</City>
          <State>MO</State>
          <ZIPCode>64804</ZIPCode>
        </AddressUS>
        <EIN>300584463</EIN>
        <PrimaryActivities>Hlth System</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11b</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SMHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Mercy Health System of Kansas Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>401 Woodland Hills Blvd</AddressLine1>
          <City>Ft Scott</City>
          <State>KS</State>
          <ZIPCode>66701</ZIPCode>
        </AddressUS>
        <EIN>480956045</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>KS</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MHS-JOPLIN</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Mercy Health System Northwest Arkansas</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2710 Rife Medical Drive</AddressLine1>
          <City>Rogers</City>
          <State>AR</State>
          <ZIPCode>72758</ZIPCode>
        </AddressUS>
        <EIN>621684203</EIN>
        <PrimaryActivities>Phys Group</PrimaryActivities>
        <LegalDomicileState>AR</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11b</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SMHS</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>
        </AddressUS>
        <EIN>742764727</EIN>
        <PrimaryActivities>Inactive</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11b</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SMHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Mercy Health System Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>4300 W Memorial Road</AddressLine1>
          <City>Oklahoma City</City>
          <State>OK</State>
          <ZIPCode>73120</ZIPCode>
        </AddressUS>
        <EIN>731453048</EIN>
        <PrimaryActivities>Holding co.</PrimaryActivities>
        <LegalDomicileState>OK</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11b</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SMHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Mercy Hosp Foundation of Independence</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>800 W Myrtle</AddressLine1>
          <City>Independence</City>
          <State>KS</State>
          <ZIPCode>67301</ZIPCode>
        </AddressUS>
        <EIN>481079981</EIN>
        <PrimaryActivities>Foundation</PrimaryActivities>
        <LegalDomicileState>KS</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11a</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MHS-KS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
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          <State>AR</State>
          <ZIPCode>72616</ZIPCode>
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          <BusinessNameLine1>ST EDWARD MERCY FOUNDATION</BusinessNameLine1>
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      <TransactionsRelatedOrgsTable>
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          <BusinessNameLine1>ST JOHN'S MERCY FOUNDATION</BusinessNameLine1>
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    </IRS990ScheduleR>
  </ReturnData>
</Return>