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      <GrantsToDomesticIndividuals>
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      <BenefitsToMembers>
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      <FeesForServicesLegal>
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      <FeesForServicesAccounting>
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        <Explanation>SUPPLEMENTAL LOBBYING INFORMATION LOBBYING ACTIVITIES INCLUDED MAILINGS AND DIRECT CONTACT WITH FEDERAL, STATE AND LOCAL LEGISLATORS AND OFFICIALS AND/OR STAFF MEMBERS AND OFFICIALS AND/OR STAFF MEMBERS OF THE DEPARTMENT OF HEALTH AND HUMAN SERVICES, CENTERS FOR MEDICARE AND MEDICAID SERVICES. LOBBYING ISSUES WERE RELATED TO OUR MISSION TO EXPAND CARE AND SERVICES TO THE UNINSURED AND UNINSURED. TOTAL EXPENDITURES WERE APPROXIMATELY $317,175 AND INCLUDED SALARIES FOR EMPLOYEES IN MERCY HEALTH'S ADVOCACY DEPARTMENT, OFFICE EXPENSES, TRAVEL, OFFICE OCCUPANCY AND PROFESSIONAL SERVICES. MERCY HEALTH DOES NOT PARTICIPATE OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTING OF STATEMENTS), IN ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE. IN ADDITION, MHM SUPPORT SERVICES, THROUGH ONE OF ITS DIVISIONS IN MISSISSIPPI, COMBINES RESEARCH, ANALYSIS, GRASS-ROOTS ORGANIZING AND ADVOCACY TO IMPROVE HEALTH POLICIES, PRACTICES AND FUNDING IN MISSISSIPPI, ESPECIALLY IN SUPPORT OF THE STATE'S POOR AND UNDERSERVED PEOPLE. THE DIVISION IS A RESOURCE FOR CHURCH GROUPS, CONCERNED CITIZENS AND PROFESSIONALS WHO ARE WORKING TOWARD COMPREHENSIVE SOLUTIONS TO HEALTH PROBLEMS IN MISSISSIPPI. ADDITIONALLY, THE DIVISION WORKS WITH COMMUNITIES TO IDENTIFY HEALTH NEEDS AND FORMULATE STRATEGIES FOR CHANGE AND WILL RESEARCH, ANALYZE, PROPOSE AND PROMOTE POLICIES THAT ENHANCE THE STATUS OF EVERY PERSON, REGARDLESS OF FINANCIAL STATUS. ONLY A SMALL PERCENTAGE OF THE ORGANIZATION'S ACTIVITIES ARE DIRECTLY RELATED TO LOBBYING. THE MISSISSIPPI LEGISLATURE MEETS FOR FOUR MONTHS DURING THE CALENDAR YEAR. DURING THESE FOUR MONTHS OF THE 2012 FISCAL YEAR, APPROXIMATELY 20 PERCENT OF THE DIVISION'S ACTIVITIES WERE RELATED TO LOBBYING. THE DIVISION EMPLOYS A FULL TIME DIRECTOR AND A PROGRAM MANAGER, WHO ARE REGISTERED AS LOBBYISTS WITH THE MISSISSIPPI SECRETARY OF STATE'S OFFICE. APPROXIMATELY 20 PERCENT OF THEIR TIME FOR THESE FOUR MONTHS WAS SPENT ENGAGED IN DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS OR A LEGISLATIVE BODY, WITH TOTAL ESTIMATED AMOUNT OF EXPENDITURES THAT INCLUDE SALARIES OF $10,933.</Explanation>
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          <State>AR</State>
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          <City>Springfield</City>
          <State>MO</State>
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          <State>MO</State>
          <ZIPCode>63141</ZIPCode>
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          <City>Laredo</City>
          <State>TX</State>
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        <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 ELIGIBILTY. 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>Ronald Ashworth</NamePerson>
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        <NamePerson>Janet Pursley</NamePerson>
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        <NamePerson>Bradley Kim Day</NamePerson>
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        <NamePerson>VANCE MOORE</NamePerson>
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        <NamePerson>TONY WASKIEWICZ</NamePerson>
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        <NamePerson>SUSAN HANNASCH</NamePerson>
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      <Form990ScheduleJPartIII>
        <Identifier>FORM 990, Schedule J, Part I, Question 1</Identifier>
        <Explanation>Charter travel is provided to certain employees as and when appropriate, and as deemed necessary for business travel. After charter travel approval has been granted in accordance with the financial justification process, the approved charter travel for business is a reimbursable expense which is not taxable to the employees. TRAVEL FOR COMPANIONS IS PROVIDED IN RARE INSTANCES AND IN ACCORDANCE WITH THE CO-WORKER TRAVEL AND OTHER EXPENSE POLICY AND PROCEDURES. WHERE COMPANION TRAVEL HAS RESULTED IN A TAXABLE EVENT, THE EMPLOYEES ARE TAXED FOR SUCH TRAVEL. Limited instances of tax gross-ups may have occurred with respect to executives. HOUSING BENEFITS ARE PROVIDED THROUGH A RELOCATION PROGRAM IN ACCORDANCE WITH COMPANY POLICY. SUCH BENEFITS ARE SUBJECT TO TAX TO THE EMPLOYEE. PAYMENT BY THE COMPANY OF COSTS FOR TEMPORARY HOUSING BY EMPLOYEES FOR THE CONVENIENCE OF THE COMPANY IS MADE IN ACCORDANCE WITH THE CO-WORKER TRAVEL AND OTHER EXPENSE POLICY AND PROCEDURES. AS A REIMBURSABLE EXPENSE, THIS TYPE OF LODGING IS NOT TAXABLE TO THE EMPLOYEE. FORM 990, Schedule J, Part I, Question 3 MHM Support Services relies on a related organization; refer to Schedule O, Part VI, Question 15a and 15b for the process the related organization follows. FORM 990, Schedule J, Part I, Question 4a The following individual received a severance payment during calendar 2011: Julie Burke, $176,134. FORM 990, Schedule J, Part I, Question 4b MHM Support Services offers supplemental retirement plans to certain executives which provide benefits upon retirement based on compensation, age at the time of benefit commencement, length of service with the company and/or its affiliates, and length of tenure in the plan. The individuals reportable on this return who participate in the supplemental retirement plans include: Bradley (Kim) Day, George Flynn, Fred Ford, Jolene Goedken, Michael McCurry, Cynthia Mercer, Dr. Glenn Mitchell, Brian O'Toole, William Showalter, Shannon Sock, Randall Combs, James Jaacks, Philip Wheeler, Sheri Beekman, Marie Glancy, Curtis Thompson, Ron Trulove, Thomas Hale, Christopher Knackstedt, Donn Sorensen, Christopher Veremakis, Elaine Moore, Janet Pursley, AND VANCE MOORE. 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 2012 (July 1, 2011 - June 30, 2012), payment of all or part of the bonus was 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. Bonus opportunities are tiered percentages and are dependent upon the leadership level and attainment percentage. Mercy's attainment of financial goals is reviewed by the Executive Compensation Committee of Mercy Health and is then taken into account when analyzing executive compensation for reasonableness.</Explanation>
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    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>BRAD BEEKMAN</NamePerson>
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        <Relationship>FAMILY MEMBER OF KEY EMP</Relationship>
        <AmountOfTransaction>78582</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYMENT</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
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        <NameOfInterestedPerson>
          <NamePerson>LISA BEEKMAN</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>FAMILY MEMBER OF KEY EMP</Relationship>
        <AmountOfTransaction>88276</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYMENT</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
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        <NameOfInterestedPerson>
          <NamePerson>BROOKE SHULTE</NamePerson>
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        <Relationship>FAMILY MEMBER OF KEY EMP</Relationship>
        <AmountOfTransaction>65086</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYMENT</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
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      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>BRIAN DAY</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>FAMILY MEMBER OF DIRECTOR</Relationship>
        <AmountOfTransaction>138712</AmountOfTransaction>
        <DescriptionOfTransaction>EMPLOYMENT</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>FORM 990, PART V, QUESTION 1A</Identifier>
        <ReturnReference>FORM 1096 FILING</ReturnReference>
        <Explanation>VENDORS FOR THE FILING ORGANIZATION ARE PAID BY MERCY HEALTH (EIN 43-1423050). AS SUCH, ALL REQUIRED FORM 1099 AND FORM 1096 REPORTING IS MADE FOR THE ENTIRE HEALTH SYSTEM (WITH LIMITED EXCEPTIONS) UNDER THE MERCY HEALTH EIN. FORM 990, PART VI, QUESTION 6, 7A AND 7B DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS THE FILING ORGANIZATION HAS A SOLE CORPORATE MEMBER, MERCY HEALTH. THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES ARE RESERVED SOLELY TO THE SOLE CORPORATE MEMBER: -TO APPROVE AND ESTABLISH THE MISSION AND PHILOSOPHY ACCORDING TO WHICH THE CORPORATION AND ALL ORGANIZATIONS CONTROLLED BY THE CORPORATION SHALL OPERATE; -TO ADOPT OR AMEND THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION IN ACCORDANCE WITH ARTICLES IX AND X OF THESE BYLAWS AND TO AMEND THE ORGANIZATIONAL DOCUMENTS OF ANY ORGANIZATION CONTROLLED BY THE CORPORATION; -TO APPOINT OR REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF DIRECTORS OF THE CORPORATION; -TO APPOINT OR REMOVE, WITH OR WITHOUT CAUSE, THE CEO OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; -TO APPROVE OR AMEND THE OVERALL STRATEGIC, LONG RANGE, BUSINESS PLANS, GOALS, AND OBJECTIVES OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; -TO APPROVE OR AMEND THE CONSOLIDATED OPERATING AND CAPITAL BUDGETS FOR THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION AND CHANGES IN BUDGETS IN EXCESS OF AN AMOUNT ESTABLISHED FROM TIME TO TIME BY MERCY HEALTH; -TO AUTHORIZE AND APPROVE THE LEASE OR SALE OF ANY OF THE ASSETS OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION IN EXCESS OF ANY AMOUNT ESTABLISHED FROM TIME TO TIME BY MERCY HEALTH; -TO ENCUMBER ANY OR ALL OF THE ASSETS OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; -TO AUTHORIZE AND APPROVE THE INCURRENCE OF DEBT BY THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS IN THE ORDINARY COURSE OF BUSINESS) AND TO GRANT ANY SECURITY INTERESTS, PLACE ANY ENCUMBRANCES, ENTER INTO ANY COVENANTS, AND EXECUTE ANY DOCUMENTS AND TAKE ANY ACTIONS NECESSARY OR APPROPRIATE IN CONNECTION WITH THE INCURRENCE OF SUCH DEBT; AND -TO MERGE, DISSOLVE, OR ABANDON THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION, SUBJECT TO APPROVAL BY THE BOARD AS REQUIRED PURSUANT TO THE MISSOURI NONPROFIT CORPORATION ACT. FORM 990, PART VI, QUESTION 11B DSCR THE PROCESS USED BY MANAGEMENT &amp;/OR GOVERNING BODY TO REVIEW 990 THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM, USING INFORMATION PROVIDED BY THE FILING ORGANIZATION. A DRAFT FORM 990 IS REVIEWED BY THE FILING ORGANIZATION'S TAX COMPLIANCE TEAM; MEMBERS OF THIS TEAM ARE FROM VARIOUS DEPARTMENTS, INCLUDING FINANCE, LEGAL, AND TAX. AFTER QUESTIONS ARISING FROM THE VARIOUS REVIEWS ARE ADDRESSED AND INCORPORATED INTO THE FORM 990, A REVISED DRAFT IS PROVIDED TO THE FILING ORGANIZATION'S LEADERSHIP TEAM, INCLUDING THE CEO, CFO, AND GENERAL COUNSEL FOR REVIEW. ONCE REVIEWED AND APPROVED BY THE FILING ORGANIZATION'S LEADERSHIP TEAM, THE FORM 990 IS THEN SIGNED AND FILED WITH THE IRS. FORM 990, PART VI, QUESTION 12C DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST OFFICERS, DIRECTORS, KEY EMPLOYEES AND OTHER DISQUALIFIED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY AND DID SO IN THE NORMAL COURSE FOR THE YEAR ENDED JUNE 30, 2012. THIS PROCESS IS ADMINISTERED AT THE MERCY HEALTH LEVEL BY MERCY'S BUSINESS RISK (INTERNAL AUDIT) DEPARTMENT. THE QUESTIONNAIRES ARE REVIEWED WITH LEADERSHIP AT THE LOCAL LEVEL AND POTENTIAL CONFLICTS DISCUSSED AND RESOLVED. THE CONFLICTS AND THEIR RESPECTIVE RESOLUTIONS ARE SHARED AT THE MERCY LEVEL WITH A TEAM INCLUDING MERCY'S CHIEF FINANCIAL OFFICER, CHIEF COMPLIANCE OFFICER AND OTHER MEMBERS OF FINANCE, LEGAL AND HR. SUMMARY RESULTS ARE REVIEWED WITH MERCY'S FINANCE, AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS. FORM 990, PART VI, QUESTIONS 15A &amp; 15B OFFICES &amp; POSITIONS FOR WHICH PROCESS WAS USED, &amp; YEAR PROCESS WAS BEGUN FOR THOSE CLASSIFIED AS OFFICERS (AND THUS DISQUALIFIED PERSONS), THE ORGANIZATION RELIES UPON MERCY HEALTH, WHICH USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, ENGAGEMENT OF AN INDEPENDENT COMPENSATION CONSULTANT, AND REVIEW/APPROVAL OF COMPENSATION BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF MERCY HEALTH. FOR THOSE CLASSIFIED AS KEY EMPLOYEES, THE ORGANIZATION USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, AND REVIEW/APPROVAL OF EXECUTIVE MANAGEMENT. COMPENSATION REVIEWS ARE COMPLETED ON AN ANNUAL BASIS, AND A REVIEW WAS COMPLETED DURING THE REPORTING YEAR. FORM 990, PART VI, QUESTION 19 AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY &amp; FIN STMT TO GEN PUBLIC Governing documents, conflict of interest policy, and financial statements are made available upon request but are not published publicly. FORM 990, PART VII, SECTION A, COLUMN A AS OF JUNE 30, 2012, THE FOLLOWING OFFICERS AND KEY EMPLOYEES WERE NO LONGER EMPLOYED BY MERCY HEALTH: JAMES JAACKS- TREASURER AND EXECUTIVE VICE PRESIDENT/CHIEF ADMINISTRATIVE OFFICER (EMPLOYED THROUGH JANUARY 20, 2012) DR. GLENN MITCHELL- CHIEF MEDICAL OFFICER (EMPLOYED THROUGH JANUARY 18, 2012) GEORGE FLYNN- SENIOR VICE PRESIDENT- PERFORMANCE IMPROVEMENT (EMPLOYED THROUGH JANUARY 18, 2012) FORM 990, PART VII, SECTION A, COLUMN B AVERAGE HOURS PER WEEK SEVERAL INDIVIDUALS LISTED IN PART VII ARE DISCLOSED AS TRUSTEES, DIRECTORS, OFFICERS, AND KEY EMPLOYEES ON MULTIPLE FORM 990S OF ENTITIES INCLUDED WITHIN MERCY HEALTH. THE AVERAGE HOURS PER WEEK DISCLOSED IN PART VII IS AN ESTIMATE OF THE HOURS PER WEEK THAT THE LISTED INDIVIDUAL SPENDS ON BOTH THE FILING ORGANIZATION AND ALL RELATED ORGANIZATIONS. FORM 990, PART XI, LINE 5 OTHER CHANGES IN NET ASSETS TRANSFERS TO/FROM AFFILIATES ($45,609,533) Nonoperating investment returns - unrealized ($965,553) Transfers from affiliates (MHAP) $829,317 Total other changes in net assets ($45,745,769) FORM 990, PART XII, QUESTION 2C OVERSIGHT OR SELECTION PROCESS THE FILING ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED IN MERCY HEALTH AND SUBSIDIARIES ANNUAL FINANCIAL STATEMENT AUDIT. MERCY HEALTH AND SUBSIDIARIES RECEIVED AN UNQUALIFIED OPINION FROM THE EXTERNAL AUDITORS FOR FISCAL 2012 (THE TAX YEAR CURRENTLY BEING REPORTED). HOWEVER, NO SEPARATE AUDIT OPINION IS ISSUED ON THE FINANCIAL STATEMENTS OF THE FILING ORGANIZATION. THE ULTIMATE RESPONSIBILITY FOR OVERSIGHT OF THE FINANCIAL STATEMENT AUDIT AND SELECTION OF THE EXTERNAL AUDITOR LIES WITH THE FINANCE, AUDIT, AND COMPLIANCE COMMITTEE OF THE MERCY HEALTH BOARD OF DIRECTORS. AUDIT RESULTS ARE COMMUNICATED TO THIS COMMITTEE.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Valarity</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>14528 South Outer Forty Road</AddressLine1>
          <City>Chesterfield</City>
          <State>MO</State>
          <ZIPCode>63017</ZIPCode>
        </AddressUS>
        <EIN>272439247</EIN>
        <PrimaryActivities>COLLECTIONS</PrimaryActivities>
        <LegalDomicileState>MO</LegalDomicileState>
        <TotalIncome>1008475</TotalIncome>
        <EOYAssets>2525592</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>MHM SUPPORT</BusinessNameLine1>
        </DirectControllingEntityName>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>Advance Care Hospital</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>300 Werner Street</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>Mercy Health</BusinessNameLine1>
        </DirectControllingEntityName>
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        <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>
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          <BusinessNameLine1>Mercy Hospital Joplin</BusinessNameLine1>
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        <TransactionType>p</TransactionType>
        <AmountInvolved>54210244</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
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        <NameOfOtherOrganization>
          <BusinessNameLine1>Mercy Hospital Lebanon</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>p</TransactionType>
        <AmountInvolved>5105042</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
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        <NameOfOtherOrganization>
          <BusinessNameLine1>Mercy Hospital Logan County Inc</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>p</TransactionType>
        <AmountInvolved>476683</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
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        <NameOfOtherOrganization>
          <BusinessNameLine1>Mercy Hospital of Laredo</BusinessNameLine1>
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        <TransactionType>p</TransactionType>
        <AmountInvolved>68921</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
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          <BusinessNameLine1>Mercy Hospital Oklahoma City Inc</BusinessNameLine1>
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        <TransactionType>p</TransactionType>
        <AmountInvolved>39766293</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Mercy Hospital Ozark</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>p</TransactionType>
        <AmountInvolved>1139801</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Mercy Hospital Paris</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>p</TransactionType>
        <AmountInvolved>817785</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
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        <NameOfOtherOrganization>
          <BusinessNameLine1>Mercy Hospital Rogers</BusinessNameLine1>
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        <TransactionType>O</TransactionType>
        <AmountInvolved>27710092</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
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        <NameOfOtherOrganization>
          <BusinessNameLine1>Mercy Hospital Springfield</BusinessNameLine1>
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        <TransactionType>P</TransactionType>
        <AmountInvolved>32431772</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
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        <NameOfOtherOrganization>
          <BusinessNameLine1>Mercy Hospital Tishomingo Inc</BusinessNameLine1>
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        <TransactionType>P</TransactionType>
        <AmountInvolved>215888</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
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          <BusinessNameLine1>Mercy Hospital Waldron</BusinessNameLine1>
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        <TransactionType>P</TransactionType>
        <AmountInvolved>1308561</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
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        <NameOfOtherOrganization>
          <BusinessNameLine1>Mercy Hospitals East Communities</BusinessNameLine1>
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        <TransactionType>P</TransactionType>
        <AmountInvolved>147304395</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
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          <BusinessNameLine1>Mercy Kansas Communities Inc</BusinessNameLine1>
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        <TransactionType>P</TransactionType>
        <AmountInvolved>24635145</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Mercy Ministries of Laredo</BusinessNameLine1>
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        <NameOfOtherOrganization>
          <BusinessNameLine1>Mercy St Francis Hospital</BusinessNameLine1>
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        <TransactionType>p</TransactionType>
        <AmountInvolved>738676</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Resource Optimization &amp; Innovation LLC</BusinessNameLine1>
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        <TransactionType>o</TransactionType>
        <AmountInvolved>102579</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Resource Optimization &amp; Innovation LLC</BusinessNameLine1>
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        <TransactionType>p</TransactionType>
        <AmountInvolved>8234821</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
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        <NameOfOtherOrganization>
          <BusinessNameLine1>St Edward Mercy Foundation</BusinessNameLine1>
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        <TransactionType>p</TransactionType>
        <AmountInvolved>65432</AmountInvolved>
        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
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      <Form990ScheduleRPartVII>
        <Identifier>FORM 990, SCHEDULE R, PART V</Identifier>
        <Explanation>LAWSON ERP SOFTWARE IS THE PRIMARY ACCOUNTING SOFTWARE USED BY MERCY HEALTH ITS SUBSIDIARIES. THE MAJORITY OF THE INTERCOMPANY/RELATED ORGANIZATION TRANSACTIONS ARE PROCESSED THROUGH LAWSON VIA INTERCOMPANY JOURNAL ENTRIES. WITH THE CURRENT DESIGN OF THE ERP SYSTEM, THERE ARE VARIOUS LIMITATIONS ON THE RELATED ORGANIZATION INFORMATION THAT CAN BE EXTRACTED FROM LAWSON. DUE TO THESE LIMITATIONS, MOST OF THE RELATED ORGANIZATION ACTIVITY FOR THE FILING ORGANIZATION HAS BEEN CLASSIFIED ON SCHEDULE R, PART V, IN LINES B, O AND P.</Explanation>
      </Form990ScheduleRPartVII>
    </IRS990ScheduleR>
  </ReturnData>
</Return>