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        <Description>COPYING FEES</Description>
        <BusinessCode>561110</BusinessCode>
        <TotalRevenueColumn>189</TotalRevenueColumn>
        <ExclusionAmount>189</ExclusionAmount>
      </OtherRevenueMisc>
      <TotalOtherRevenue>189</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>4611180</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>300962</RelatedOrExemptFunctionIncome>
        <ExclusionAmount>3001535</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticIndividuals>
        <Total>109974</Total>
        <ProgramServices>109974</ProgramServices>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>533568</Total>
        <ProgramServices>177529</ProgramServices>
        <ManagementAndGeneral>325654</ManagementAndGeneral>
        <Fundraising>30385</Fundraising>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>857528</Total>
        <ProgramServices>712099</ProgramServices>
        <ManagementAndGeneral>44509</ManagementAndGeneral>
        <Fundraising>100920</Fundraising>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>30307</Total>
        <ProgramServices>24926</ProgramServices>
        <ManagementAndGeneral>1647</ManagementAndGeneral>
        <Fundraising>3734</Fundraising>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>105746</Total>
        <ProgramServices>90851</ProgramServices>
        <ManagementAndGeneral>9393</ManagementAndGeneral>
        <Fundraising>5502</Fundraising>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>58468</Total>
        <ProgramServices>47700</ProgramServices>
        <ManagementAndGeneral>3162</ManagementAndGeneral>
        <Fundraising>7606</Fundraising>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>0</Total>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>0</Total>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>23000</Total>
        <ManagementAndGeneral>23000</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>570368</Total>
        <ProgramServices>569318</ProgramServices>
        <Fundraising>1050</Fundraising>
      </FeesForServicesOther>
      <Advertising>
        <Total>0</Total>
      </Advertising>
      <OfficeExpenses>
        <Total>105625</Total>
        <ProgramServices>92610</ProgramServices>
        <ManagementAndGeneral>6835</ManagementAndGeneral>
        <Fundraising>6180</Fundraising>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>6871</Total>
        <ProgramServices>5497</ProgramServices>
        <ManagementAndGeneral>1168</ManagementAndGeneral>
        <Fundraising>206</Fundraising>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>94251</Total>
        <ProgramServices>85769</ProgramServices>
        <ManagementAndGeneral>7539</ManagementAndGeneral>
        <Fundraising>943</Fundraising>
      </Occupancy>
      <Travel>
        <Total>23031</Total>
        <ProgramServices>17360</ProgramServices>
        <ManagementAndGeneral>2261</ManagementAndGeneral>
        <Fundraising>3410</Fundraising>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>113</Total>
        <ProgramServices>113</ProgramServices>
      </ConferencesMeetings>
      <Interest>
        <Total>0</Total>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>129250</Total>
        <ProgramServices>117617</ProgramServices>
        <ManagementAndGeneral>10341</ManagementAndGeneral>
        <Fundraising>1292</Fundraising>
      </DepreciationDepletion>
      <Insurance>
        <Total>33410</Total>
        <ProgramServices>25683</ProgramServices>
        <ManagementAndGeneral>5790</ManagementAndGeneral>
        <Fundraising>1937</Fundraising>
      </Insurance>
      <OtherExpenses>
        <Description>All other expenses</Description>
        <Total>15953</Total>
        <ProgramServices>3221</ProgramServices>
        <ManagementAndGeneral>10299</ManagementAndGeneral>
        <Fundraising>2433</Fundraising>
      </OtherExpenses>
      <TotalFunctionalExpenses>
        <Total>2697463</Total>
        <ProgramServices>2080267</ProgramServices>
        <ManagementAndGeneral>451598</ManagementAndGeneral>
        <Fundraising>165598</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>335</BOY>
        <EOY>407</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>2446466</BOY>
        <EOY>408603</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <BOY>297783</BOY>
        <EOY>489671</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>41825</BOY>
        <EOY>45102</EOY>
      </AccountsReceivable>
      <LandBuildingsEquipmentBasis>3245327</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>2076710</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>1325968</BOY>
        <EOY>1168617</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>15492646</BOY>
        <EOY>20181945</EOY>
      </InvestmentsPubTradedSecurities>
      <OtherAssetsTotal>
        <BOY>300</BOY>
        <EOY>300</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>19605323</BOY>
        <EOY>22294645</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>543572</BOY>
        <EOY>360104</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>165000</BOY>
        <EOY>303409</EOY>
      </DeferredRevenue>
      <TotalLiabilities>
        <BOY>708572</BOY>
        <EOY>663513</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>18823228</BOY>
        <EOY>21515690</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>73523</BOY>
        <EOY>115442</EOY>
      </TemporarilyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>18896751</BOY>
        <EOY>21631132</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>19605323</BOY>
        <EOY>22294645</EOY>
      </TotalLiabNetAssetsFundBalances>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>true</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>true</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <PubliclySupportedOrg170b1Avi>X</PubliclySupportedOrg170b1Avi>
      <GiftsGrantsContribReceived170>
        <CurrentTaxYearMinus4Years>888277</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>630549</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>847284</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>1027117</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>1308683</CurrentTaxYear>
        <Total>4701910</Total>
      </GiftsGrantsContribReceived170>
      <Total170>
        <CurrentTaxYearMinus4Years>888277</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>630549</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>847284</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>1027117</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>1308683</CurrentTaxYear>
        <Total>4701910</Total>
      </Total170>
      <AmountsSubstContributorsTotal>166635</AmountsSubstContributorsTotal>
      <PublicSupportTotal170>4535275</PublicSupportTotal170>
      <GrossInvestmentIncome170>
        <CurrentTaxYearMinus4Years>1861894</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>1589184</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>1383562</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>585676</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>301422</CurrentTaxYear>
        <Total>5721738</Total>
      </GrossInvestmentIncome170>
      <OtherIncome170>
        <CurrentTaxYearMinus4Years>8701</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>135</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>142</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>229</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>189</CurrentTaxYear>
        <Total>9396</Total>
      </OtherIncome170>
      <TotalSupport>10433044</TotalSupport>
      <GrossReceiptsFromAdmissionsEtc>1656066</GrossReceiptsFromAdmissionsEtc>
      <PublicSupportPertcentage170>0.43470</PublicSupportPertcentage170>
      <PublicSupportPertcentPriorYear>0.35260</PublicSupportPertcentPriorYear>
      <ThirtyThreePercntTestsCY170>X</ThirtyThreePercntTestsCY170>
      <GeneralExplanation>OTHER INCOME: INCLUDES FEES RECEIVED FOR COPYING MEDICAL RECORDS.</GeneralExplanation>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmts />
      <HeldWorksOfArtAmts />
      <Land>
        <OtherCostOrOtherBasis>269235</OtherCostOrOtherBasis>
        <BookValue>269235</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>2253714</OtherCostOrOtherBasis>
        <Depreciation>1769469</Depreciation>
        <BookValue>484245</BookValue>
      </Buildings>
      <LeaseholdImprovements />
      <Equipment>
        <OtherCostOrOtherBasis>722378</OtherCostOrOtherBasis>
        <Depreciation>307241</Depreciation>
        <BookValue>415137</BookValue>
      </Equipment>
      <OtherLandBuildings />
      <TotalOfBookValueLandBuildings>1168617</TotalOfBookValueLandBuildings>
      <TotalRevenue>4611180</TotalRevenue>
      <TotalExpenses>2697463</TotalExpenses>
      <ExcessOrDeficitForYear>1913717</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>819363</NetUnrealizedGLOnInvestments>
      <PriorPeriodAdjustments>1301</PriorPeriodAdjustments>
      <TotalAdjustments>820664</TotalAdjustments>
      <ExcessOrDeficitPerFS>2734381</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>5529055</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>819363</NetUnrealizedGainsInvestments>
      <DonatedSrvcAndUseOfFacilities>98512</DonatedSrvcAndUseOfFacilities>
      <RevenueNotRptdF990>917875</RevenueNotRptdF990>
      <RevenueSubtotal>4611180</RevenueSubtotal>
      <TotalRevenuePerForm990>4611180</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>2795975</TotExpensesEtcAuditedFinclStmt>
      <DonatedServicesUseOfFacilities>98512</DonatedServicesUseOfFacilities>
      <ExpensesNotRptdF990>98512</ExpensesNotRptdF990>
      <ExpensesSubtotal>2697463</ExpensesSubtotal>
      <TotalExpensesPerForm990>2697463</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>FIN 48 FOOTNOTE</Identifier>
        <ReturnReference>SCHEDULE D, PART X, LINE 2</ReturnReference>
        <Explanation>THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF THE SISTERS OF MERCY HEALTH SYSTEM, INC. AND SUBSIDIARIES DO NOT INCLUDE A FOOTNOTE TO REPORT THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX PROVISIONS UNDER FIN 48, AS THEY ARE DEEMED IMMATERIAL FOR DISCLOSURE.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <RecordsMaintained>true</RecordsMaintained>
      <Form990ScheduleIPartIII>
        <TypeOfGrant>MEDICATION ASSISTANCE TO CLINIC PATIENTS</TypeOfGrant>
        <NumberOfRecipients>589</NumberOfRecipients>
        <AmountOfNonCashAssistance>20216</AmountOfNonCashAssistance>
        <MethodOfValuation>COST</MethodOfValuation>
        <DescriptionOfNonCashAssistance>MEDICATION</DescriptionOfNonCashAssistance>
      </Form990ScheduleIPartIII>
      <Form990ScheduleIPartIII>
        <TypeOfGrant>ASSISTANCE TO CLINIC PATIENTS - SURGERIES</TypeOfGrant>
        <NumberOfRecipients>48</NumberOfRecipients>
        <AmountOfNonCashAssistance>87750</AmountOfNonCashAssistance>
        <MethodOfValuation>COST</MethodOfValuation>
        <DescriptionOfNonCashAssistance>SURGERY FEE ASSIST.</DescriptionOfNonCashAssistance>
      </Form990ScheduleIPartIII>
      <Form990ScheduleIPartIII>
        <TypeOfGrant>ASSISTANCE TO CLINIC PATIENTS - FOOD</TypeOfGrant>
        <NumberOfRecipients>100</NumberOfRecipients>
        <AmountOfNonCashAssistance>2008</AmountOfNonCashAssistance>
        <MethodOfValuation>COST</MethodOfValuation>
        <DescriptionOfNonCashAssistance>GROCERY GIFT CARDS</DescriptionOfNonCashAssistance>
      </Form990ScheduleIPartIII>
      <Form990ScheduleIPartIV>
        <Identifier>DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS</Identifier>
        <ReturnReference>SCHEDULE I, PART I, LINE 2</ReturnReference>
        <Explanation>ASSISTANCE IS PROVIDED TO CLINIC PATIENTS FOR FOOD, MEDICATION AND SURGERIES AND RELATED PHYSICIAN FEES. GROCERY STORE GIFT CARDS ARE GIVEN TO PATIENTS BASED ON THE ASSESSMENTS OF CLINIC COMMUNITY OUTREACH WORKERS WITH THE APPROVAL OF THE DIRECTOR OF OUTREACH AND EDUCATION. ASSESSMENTS ARE BASED ON ACTUAL HOME VISITS AND PATIENT INTERVIEWS. MEDICATIONS FOR SOME CHRONIC ILLNESSES ARE PROVIDED TO CLINIC PATIENTS BASED ON THE RECOMMENDATION OF THE NURSE PRACTITIONER WITH THE APPROVAL OF THE CLINIC DIRECTOR. SOME CLINIC PATIENTS ARE ASSISTED WITH THE COST OF SPECIAL SURGERIES AND PROCEDURES. THE AMOUNT OF ASSISTANCE IS BASED ON THE RECOMMENDATION OF THE THE SOCIAL WORKER/CASE MANAGER, CLINIC DIRECTOR AND CEO OF THE CLINIC.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>ORGANIZATION'S MISSION STATEMENT</Identifier>
        <ReturnReference>FORM 990, PART I &amp; PART III, LINE 1</ReturnReference>
        <Explanation>FOUNDED IN THE TRADITION OF THE SISTERS OF MERCY AND FOLLOWING THE EXAMPLE OF JESUS, MERCY MINISTRIES OF LAREDO PROVIDES PRIMARY HEALTHCARE, HEALTHCARE EDUCATION AND SOCIAL SERVICES IN LAREDO AND THE SURROUNDING AREA. WE WILL STRIVE TO ADDRESS THE NEEDS OF ALL PERSONS, ESPECIALLY THOSE WHO ARE ECONOMICALLY POOR AND MARGINAL. MERCY MINISTRIES OF LAREDO WILL DEMONSTRATE SPECIAL CONCERN FOR THE NEEDS OF WOMEN AND CHILDREN WHILE PROMOTING FAMILY VALUES. WE WILL COLLABORATE WITH OTHER PROVIDERS AND PARTNERS WHO SHARE IN OUR MISSION AND VALUES. PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART III, LINE 4A MERCY MINISTRIES OF LAREDO'S PRIMARY EXEMPT FUNCTION IS TO PROVIDE PRIMARY HEALTHCARE SERVICE INCLUDING HEALTHCARE EDUCATION TO FAMILIES IN WEBB COUNTY WHO ARE UNINSURED, INDIGENT AND RESIDE IN MEDICALLY UNDERSERVED AREAS. THESE SERVICES ARE RENDERED THROUGH MERCY CLINIC AT 2500 ZACATECAS STREET AND THROUGH THE MERCY MEDICAL MOBILE CLINIC, WHICH DELIVERS SERVICES TO COLONIAS (UNINCORPORATED AREAS), INNER CITY AND OUTLYING AREAS WHERE MEDICAL HELP IS INACCESSIBLE. THE PRIMARY PROGRAMS ARE: GENERAL MEDICINE INCLUDING PREVENTION AND CONTROL OF DIABETES, CANCER SCREENING AND EDUCATION AND OUTREACH PROGRAM. OTHER SERVICES INCLUDE DENTAL PROGRAM, MEDICATION ASSISTANCE, AND NUTRITION PROGRAMS. GENERAL MEDICINE: GENERAL MEDICINE INCLUDES REGULAR PHYSICAL AND WELLNESS EXAMS SUCH AS SCREENINGS FOR DIABETES, BLOOD PRESSURE AND HEART DISEASE. A TOTAL OF 1,401 PATIENTS WERE SEEN THROUGH THE GENERAL MEDICINE PROGRAM. THE PROGRAM ALSO INCLUDES VISITS FROM COMPLIANT PATIENTS FOR COMMON ILLNESS SUCH AS COLDS, HEADACHES AND STOMACH AILMENTS. PATIENTS ARE SEEN BY MID LEVEL PRACTITIONERS AND ARE REFERRED TO PHYSICIANS AND OR SPECIALTY PHYSICIANS WHEN NECESSARY. CASE MANAGERS AND THE SOCIAL WORKER ALSO PLAY A CRITICAL ROLE IN THE GENERAL MEDICINE PROGRAM. THEY GUIDE PATIENTS THROUGH THE MEDICAL SYSTEM AND MAKE SPECIALTY AND FOLLOW UP REFERRALS. OVER 425 PATIENTS WERE REFERRED TO MEDICAL SPECIALISTS FOR CARE. DIABETIC AND PRE-DIABETIC PATIENTS ARE MONITORED CLOSELY BY THE CLINIC. EDUCATION, NUTRITION AND EXERCISE CLASSES ARE PROVIDED IN AN EFFORT TO AID PATIENTS CONTROL THE DISEASE. IN ADDITION, A CHRONIC ILLNESS MANAGER WORKS CLOSELY WITH PATIENTS WHO REQUIRE ONE-ON-ONE MONITORING. PATIENTS ARE ASSISTED IN ACQUIRING GLUCOSE MONITORING EQUIPMENT, SUPPLIES AND MEDICATIONS. PATIENTS ARE ALSO PROVIDED WITH EYE AND FOOT EXAMS BY SPECIALTY PHYSICIANS. A TOTAL OF 222 UNDUPLICATED DIABETIC PATIENTS WERE SEEN THROUGH THE PROGRAM.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PROGRAM SERVICE ACCOMPLISHMENTS</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 4B</ReturnReference>
        <Explanation>CANCER SCREENING AND EDUCATION: THE CANCER PROGRAM'S GOAL IS TO EDUCATE PATIENTS ON THE IMPORTANCE OF EARLY DETECETION AND REGULAR SCREENINGS FOR BREAST, CERVICAL, COLON AND PROSTATE CANCER. THE PROGRAM RESULTED IN 3,183 ENCOUNTERS AND 3,308 SCREENINGS. THE ENCOUNTERS COME IN THE FORM OF PLATICAS (INFORMAL TALKS IN PATIENTS' HOMES OR NEIGHBORHOOD RECREATION CENTERS), HEALTH FAIRS AND ONE ON ONE MEETINGS WITH PATIENTS. IN ADDITION, MERCY MINISTRIES PROMOTES A PEER-TO-PEER EDUCATION AND REFERRAL PROGRAM TO INCREASE THE NUMBER OF PATIENTS WHO COME FOR SCREENINGS. 8 PATIENTS WERE DIAGNOSED WITH SOME FORM OF CANCER AND REFERRED TO SPECIALISTS FOR TREATMENT. MERCY CLINIC COLLABORATES WITH LOCAL ONCOLOGISTS AND DIAGNOSTICIANS TO ASSIST PATIENTS WITH EXPENSES. PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART III, LINE 4C OUTREACH EFFORTS: A CRITICAL PART OF OUR PROGRAM IS REACHING OUT TO PEOPLE WHO LIVE IN REMOTE AREAS. THE OUTREACH PROGRAM SEEKS TO EDUCATE PATIENTS ON THE NEED FOR A MEDICAL HOME AND REGULAR PHYSICAL EXAMS. OUTREACH SEEKS TO TAKE SERVICES TO NEIGHBORHOODS VIA THE MERCY MEDICAL MOBILE CLINIC, TO PATIENTS' HOMES AND TO NEIGHBOORHOOD RECREATION CETNERS. THE MOBILE CLINIC VISITS 12 LOCATIONS THROUGHOUT WEBB COUNTY. COMMUNITY HEALTHCARE WORKERS PLAY THE GREATEST ROLE IN THE EDUCATION COMPONENT OF THESE EFFORTS. OUTREACH EFFORTS INCLUDED 1,318 HOME VISITS AND 245 PLATICAS IN FISCAL YEAR 2010. IN ADDITION THERE WERE 1,868 MEDICAL OUTREACH ENCOUNTERS AND 3,142 EDUCATION ENCOUNTERS. DESCRIPTION OF OTHER PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART III, LINE 4D MERCY CLINIC'S OTHER PROGRAMS INCLUDE MEDICATION ASSISTANCE, DENTAL AND NUTRITION. THE MEDICATION ASSISTANCE PROGRAM GUIDES PATIENTS THROUGH THE PROCESS OF SECURING FREE OR LOW-COST MEDICATION THROUGH THE PHARMACEUTICAL COMPANIES. THE PROGRAM PROVIDED $1,805,641 OF MEDICATION FOR PATIENTS. THE DENTAL PROGRAM PROVICES SERVICES TO ADULT PATIENTS WHO ARE COMPLIANT WITH THEIR MEDICAL REGIMEN AND SCREENINGS. REGULAR SERVICES INCLUDE CLEANINGS, FILLINGS AND EXTRACTIONS. OTHER SERVICES INCLUDE ROOT CANALS, DENTURES AND CROWNS. THE CLINIC IS STAFFED ONE DAY PER WEEK BY LOCAL VOLUNTEER DENTISTS. DURING FISCAL YEAR 2010 DENTISTS PERFORMED 1,297 PROCEDURES VALUED AT $152,370. OVER 200 PATIENTS WERE PROVIDED SERVICES ACCOUNTING FOR 514 DENTAL VISITS. THE NUTRITION PROGRAM ADDRESSES THE GENERAL WELLNESS OF PATIENTS BY TEACHING THE IMPORTANCE OF HEALTHY EATING. THE PROGRAM TEACHES PARTICIPANTS TO READ LABELS, SHOP WISELY, PORTION CONTROL, AND PROVIDES RECIPES. 429 PATIENTS PARTICIPATED IN THE NUTRITION PROGRAM. W3-FILING FORM 990, PART V, QUESTION 2A EMPLOYEES ARE PAID BY A RELATED ORGANIZATION UNDER A COMMON PAYMASTER ARRANGEMENT. AS SUCH, ALL REQUIRED PAYROLL FILING (INCLUDING W-2, W-3's) WAS REPORTED UNDER THE RELATED ORGANIZATION'S EIN. DESCRIPTION OF RELATIONSHIPS FORM 990, PART VI, LINE 2 DIRECTORS MINERVA RAMIERZ AND CARMEN RATHMELL-FAMILY RELATIONSHIP. DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PART VI, LINE 6, 7A, 7B THE FILING ORGANIZATION HAS A SOLE CORPORATE MEMBER, THE SISTERS OF MERCY HEALTH SYSTEM. THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES SHALL BE RESERVED UNTO THE CORPORATE MEMBER: APPROVAL OF THE ADOPTION OF AND ANY REVISIONS TO THE MISSION, VISION AND OPERATING VALUES PURSUANT TO WHICH THE CORPORATION WILL OPERATE; APPROVAL OF ANY AMENDMENTS TO THE ARTICLES OF INCORPORATION AND THESE BYLAWS AND ANY AMENDMENTS TO THE ARTICLES OF INCORPORATION OF THE CORPORATION AND BYLAWS OF ANY AFFILIATE OF THE CORPORATION; APPOINTMENT AND REMOVAL OF MEMBERS OF THE BOARD; APPOINTMENT AND REMOVAL OF THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION; ADOPTION OF BUDGETS FOR THE CORPORATION; TO LEAST OR SELL ANY OF THE ASSETS OF THE CORPORATION, OR ANY AFFILIATE OF THE CORPORATION, IN EXCESS OF ONE MILLION DOLLARS($1,000,000); AUTHORIZATION AND APPROVAL OF ANY INCURRENCE OF DEBT BY THE CORPORATION (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS OR SERVICES ACQUIRED IN THE ORDINARY COURSE OF BUSINESS) OR THE GRANT OF SECURITY INTERESTS, PLACEMENT OF ENCUMBRENCES, ENTERING INTO COVENANTS, EXECUTION OF ANY DOCUMENTS AND TAKING OF ANY ACTIONS NECESSARY OR APPROPRIATE IN CONNECTION WITH THE INCURRENCE OF SUCH DEBT; TO MERGE, DISSOLVE, OR ABANDON THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION. DESCRIBE THE PROCESS USED BY MANAGEMENT &amp;/OR GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, LINE 11A 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 TEAM. 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 ARISNG 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 AND CEO, FOR REVIEW. ONCE REVIEWED AND APPROVED BY THE FILING ORGANIZATION'S LEADERSHIP TEAM, THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW; IT IS THEN SIGNED AND FILED WITH THE IRS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 12</ReturnReference>
        <Explanation>OFFICERS, DIRECTORS, KEY EMPLOYEES, AND OTHER DISQUALIFIED PERSONS WERE REQUESTED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE FOR FISCAL YEAR 2010. QUESTIONNAIRES ARE REVIEWED BY THE LAREDO LEADERSHIP TEAM, AS WELL AS THE SISTERS OF MERCY HEALTH SYSTEM LEGAL DEPARTMENT, AND POTENTIAL CONFLICTS ARE ADDRESSED. DIRECTORS, OFFICERS, AND MEMBERS OF COMMITTEES ARE REQUIRED TO REMOVE THEMSELVES FROM THAT PORTION OF ANY MEETING WHEREIN 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, LINES 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 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 SISTER 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 STMTS TO GEN PUBLIC FORM 990, PART VI, LINE 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. AUDIT OF FINANCIAL STATEMENTS FORM 990, PART XI, QUESTION 2B IN ADDITION TO BEING INCLUDED IN THE CONSOLIDATED MERCY MINISTRIES OF LAREDO ANNUAL FINANCIAL STATEMENT AUDIT, 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 SEPERATE 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 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 LINE O.</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>
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        <EIN>431767432</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>St Johns HS</BusinessNameLine1>
        </DirectControllingEntityName>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Carroll Health Foundation</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>214 Carter Street</AddressLine1>
          <City>Berryville</City>
          <State>AR</State>
          <ZIPCode>72616</ZIPCode>
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        <EIN>710759301</EIN>
        <PrimaryActivities>Foundation</PrimaryActivities>
        <LegalDomicileState>AR</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11a</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Ozark RG HS</BusinessNameLine1>
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      <Form990ScheduleRPartII>
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          <BusinessNameLine1>Casa de Misericordia</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>1602 McClelland Street</AddressLine1>
          <City>Laredo</City>
          <State>TX</State>
          <ZIPCode>78044</ZIPCode>
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        <EIN>742912461</EIN>
        <PrimaryActivities>Shelter</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
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          <BusinessNameLine1>MM Laredo</BusinessNameLine1>
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      <Form990ScheduleRPartII>
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          <BusinessNameLine1>Healdton Mercy Hospital Corporation</BusinessNameLine1>
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        <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>
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      <Form990ScheduleRPartII>
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          <BusinessNameLine1>Laredo Medical Group</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>742764726</EIN>
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        <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>
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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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        <EIN>261708048</EIN>
        <PrimaryActivities>Invst Mgmt</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11b</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SMHS</BusinessNameLine1>
        </DirectControllingEntityName>
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      <Form990ScheduleRPartII>
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          <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 HOSPT</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>
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        <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>
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        <EIN>270906136</EIN>
        <PrimaryActivities>Foundation</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11a</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MHS-Joplin</BusinessNameLine1>
        </DirectControllingEntityName>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Mercy Health of Joplin Inc</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>2727 McClelland Blvd</AddressLine1>
          <City>Joplin</City>
          <State>MO</State>
          <ZIPCode>64804</ZIPCode>
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        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MHS-Joplin</BusinessNameLine1>
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      <Form990ScheduleRPartII>
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          <BusinessNameLine1>Mercy Health 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>141838609</EIN>
        <PrimaryActivities>DISV 6/30/10</PrimaryActivities>
        <LegalDomicileState>OK</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
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        <DirectControllingEntityName>
          <BusinessNameLine1>MHC</BusinessNameLine1>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>Mercy Health System-Joplin Inc</BusinessNameLine1>
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        <AddressUS>
          <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>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>
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        <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>SMHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Mercy Health System of Texas Inc</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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        <EIN>742764727</EIN>
        <PrimaryActivities>Inactive</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11b</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SMHS</BusinessNameLine1>
        </DirectControllingEntityName>
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      <Form990ScheduleRPartII>
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          <BusinessNameLine1>Mercy Health System 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>731453048</EIN>
        <PrimaryActivities>Holding co.</PrimaryActivities>
        <LegalDomicileState>OK</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11b</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SMHS</BusinessNameLine1>
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      <Form990ScheduleRPartII>
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        <AddressUS>
          <AddressLine1>800 W Myrtle</AddressLine1>
          <City>Independence</City>
          <State>KS</State>
          <ZIPCode>67301</ZIPCode>
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        <EIN>481079981</EIN>
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        <LegalDomicileState>KS</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11a</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MHS-KS</BusinessNameLine1>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
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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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        <EIN>741189682</EIN>
        <PrimaryActivities>Inactive</PrimaryActivities>
        <LegalDomicileState>TX</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MHS-TX</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
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          <BusinessNameLine1>Mercy Medical Group</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>645 Maryville Centre Dr St 100</AddressLine1>
          <City>St Louis</City>
          <State>MO</State>
          <ZIPCode>63141</ZIPCode>
        </AddressUS>
        <EIN>431771217</EIN>
        <PrimaryActivities>Phys Group</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>ST JOHN MHC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Mercy Memorial Health Center Foundation</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1011 14th Avenue NW</AddressLine1>
          <City>Ardmore</City>
          <State>OK</State>
          <ZIPCode>73401</ZIPCode>
        </AddressUS>
        <EIN>710962525</EIN>
        <PrimaryActivities>Foundation</PrimaryActivities>
        <LegalDomicileState>OK</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11a</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MMHC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Mercy Memorial Health Center Inc</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>1011 14th Avenue NW</AddressLine1>
          <City>Ardmore</City>
          <State>OK</State>
          <ZIPCode>73401</ZIPCode>
        </AddressUS>
        <EIN>731500629</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>OK</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>MHS</BusinessNameLine1>
        </DirectControllingEntityName>
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