By 1857, it was evident the Board of Supervisors would not honor their obligations to reimburse the Sister for their expenses in caring for the indigent. The Sisters reluctantly had to terminate the Mercy management of the County Hospital. On July 19, the County patients were moved, and on July 27, the Sisters opened the Stockton Street building as St. Mary's Hospital, the first Catholic Hospital in San Francisco—beginning a new chapter in their ongoing story of providing health care and community services to the city of San Francisco.