2026-02-13T07:08:13-06:00 2025-03-31 430352985 KERBER ECK & BRAECKEL LLP 3401 OFFICE PARK DRIVE MARION IL 62959 990 2024-04-01 431741457 PERRY COUNTY HEALTH SYSTEM PERR 5735172896 434 NORTH WEST STREET PERRYVILLE MO 63775 BETH GUTH DESIGNATED SIGNATORY OFFICER 5735172896 2026-02-12 1 1 AMBER HALSTEAD P01343727 6185291040 2026-02-04 2024 2025-03-06 01:10:19Z BETH GUTH 434 NORTH WEST STREET PERRYVILLE MO 63775 2318503 0 X N/A X 1996 MO DOING AND PERFORMING ANY ACTIVITY WHICH PROVIDES, PROMOTES, OR CONTRIBUTES TO PHYSICAL OR MENTAL HEALTH OR MEDICAL AND HEALTH CARE, OR MINIMIZES THE COST OF SUCH CARE, IN AND AROUND PERRY COUNTY, MISSOURI. 3 3 0 0 0 0 390237 19344 30716191 1982899 424575 162798 2051219 153462 33582222 2318503 0 0 0 0 18349807 -277204 0 0 0 20218213 726599 38568020 449395 -4985798 1869108 12426231 3413732 5717513 4949623 6708718 -1535891 X DOING AND PERFORMING ANY ACTIVITY WHICH PROVIDES, PROMOTES, OR CONTRIBUTES TO PHYSICAL OR MENTAL HEALTH OR MEDICAL AND HEALTH CARE, OR MINIMIZES THE COST OF SUCH CARE, IN AND AROUND PERRY COUNTY, MISSOURI. 0 1 297961 2136361 IN 1998, THE BOARD OF TRUSTEES OF PERRY COUNTY MEMORIAL HOSPITAL (BOARD OF TRUSTEES) ENTERED INTO AN AGREEMENT WITH PERRY COUNTY HEALTH SYSTEM (PCHS), WHEREBY ALL ASSETS, LIABILITIES AND OPERATIONS WERE TRANSFERRED TO PCHS (THE 1998 AGREEMENT). ON MARCH 2, 2023, THE PCHS BOARD OF DIRECTORS PASSED A RESOLUTION TO TERMINATE THE 1998 AGREEMENT EFFECTIVE OCTOBER 1, 2023. ON SEPTEMBER 30, 2023, THE BOARD OF TRUSTEES AND PCHS ENTERED INTO A LEASE TERMINATION AGREEMENT NOTING THAT THE 1998 AGREEMENT WAS TERMINATED EFFECTIVE OCTOBER 1, 2023. THE EARLY TERMINATION OF THE 1998 AGREEMENT WAS PREDICATED ON A NEW LEASE WITH MERCY HEALTH EAST COMMUNITIES. PCHS CONTINUES ITS CORPORATE AFFAIRS BEYOND PCHS'S LEASE TERMINATION IN ORDER TO CONCLUDE ANY AND ALL BUSINESS ASSOCIATED WITH ITS PRIOR HEALTHCARE OPERATIONS. SUCH BUSINESS INCLUDES THE FILING OF MEDICARE AND MEDICAID COST REPORTS, AUDITS OF PRIOR MEDICARE AND MEDICAID COST REPORTS, FINANCIAL AUDITS, COLLECTION OF ACCOUNTS RECEIVABLE, TAX RETURN COMPLIANCE AND ARCHIVE STORAGE OF PCHS DATA IN PART TO CONTINUE OR CONCLUDE BUSINESS RELATED TO ITS PRIOR HEALTHCARE ACTIVITY. 297961 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 3 3 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 MO X BETH GUTH 5735172896 434 NORTH WEST STREET PERRYVILLE MO 63775 X BETH GUTH PRESIDENT 2.00 X 0 0 0 KAY TAYLOR VICE PRESIDENT 1.00 X 0 0 0 DR LINDA BUERCK SECRETARY 1.00 X 0 0 0 0 0 0 0 0 0 0 0 19344 19344 HEALTHCARE SERVICES 621990 1982899 1982899 1982899 162798 162798 OTHER INCOME 621990 153462 153462 153462 2318503 2136361 0 162798 -113279 -99686 -13593 -163925 -144254 -19671 18445 18445 18150 14701 3449 49365 39986 9379 335 271 64 40389 32715 7674 PROFESSIONAL FEES 634048 481876 152172 REPAIRS AND MAINTENANCE 5443 4409 1034 POSTAGE -843 -683 -160 MEDICAL SUPPLIES -38733 -31374 -7359 449395 297961 151434 0 9169044 1505290 226691 -11010 260583 349539 313314 313314 20000 0 20000 20000 223 223 2436376 1236376 12426231 3413732 800246 384850 1576000 1576000 3341267 2988773 5717513 4949623 X 6708718 -1535891 6708718 -1535891 12426231 3413732 X 1869108 -10113717 X 0 0 0 X 19344 19344 1982899 1982899 2002243 2002243 0 0 0 2002243 162798 162798 162798 162798 153462 153462 2318503 2318503 0.86360 0.07020 X 20000 20000 20000 INVESTMENTS - P'VILLE HEALTH CARE 1091662 INVESTMENT - PARETO HEALTH 144714 1236376 THIRD-PARTY REIMBURSEMENT PROGRAMS 2988773 2988773 FORM 990, PART III, LINE 3 IN 1998, THE BOARD OF TURSTEES OF PERRY COUNTY MEMORIAL HOSPITAL (BOARD OF TRUSTEES) ENTERED INTO AN AGREEMENT WITH PERRY COUNTY HEALTH SYSTEM (PCHS) WHEREBY ALL ASSETS, LIABILITIES AND OPERATIONS WERE TRANSFERRED TO PCHS (THE 1998 AGREEMENT). ON MARCH 2, 2023, THE PCHS BOARD OF DIRECTORS PASSED A RESOLUTION TO TERMINATE THE 1998 AGREEMENT EFFECTIVE OCTOBER 1, 2023. ON SEPTEMBER 30, 2023, THE BOARD OF TURSTEES AND PCHS ENTERED INTO A LEASE TERMINATION AGREEMENT NOTING THAT THE 1998 AGREEMENT WAS TERMINATED EFFECTIVE OCTOBER 1, 2023. THE EARLY TERMINATION OF THE 1998 AGREEMENT WAS PREDICATED ON A NEW LEASE WITH MERCY HEALTH EAST COMMUNITIES. PCHS CONTINUES ITS CORPORATE AFFAIRS BEYOND PCHS'S LEASE TERMINATION IN ORDER TO CONCLUDE ANY AND ALL BUSINESS ASSOCIATED WITH ITS PRIOR HEALTHCARE OPERATIONS. SUCH BUSINESS INCLUDES THE FILING OF MEDICARE AND MEDICAID COST REPORTS, AUDITS OF PRIOR MEDICARE AND MEDICAID COST REPORTS, FINANCIAL AUDITS, COLLECTION OF ACCOUNTS RECEIVABLE, TAX RETURN COMPLIANCE AND ARCHIVE STORAGE OF PCHS DATA IN PART TO CONTINUE OR CONCLUDE BUSINESS RELATED TO ITS PRIOR HEALTHCARE ACTIVITY. PCHS WILL CONTINUE TO DO AND PERFORM ANY ACTIVITY WHICH PROVIDES, PROMOTES, OR CONTRIBUTES TO PHYSCIAL OR MENTAL HEALTH OR MEDICAL AND HEALTH CARE, OR MINIMIZE THE COST OF SUCH CARE, IN AND AROUND PERRY COUNTY, MISSOURI, AS DESCRIBED IN THE ORGANIZATION'S MISSION. FORM 990, PART VI, SECTION B, LINE 11B BOARD MEMBERS ARE PROVIDED A COPY OF THE FORM 990 FOR THEIR REVIEW BEFORE THE RETURN IS FILED. FORM 990, PART VI, SECTION B, LINE 12C EACH OFFICER AND DIRECTOR IS GIVEN A QUESTIONNAIRE THAT INCLUDES ASKING THEM TO DISCLOSE ANY APPLICABLE CONFLICTS OF INTEREST. THIS IS DONE ON AN ANNUAL BASIS AND ENFORCEMENT IS DONE ON A PER INCIDENT BASIS, WITH ALL ASPECTS OF THE CONFLICT TAKEN INTO CONSIDERATION. FORM 990, PART VI, SECTION C, LINE 18 THIS ORGANIZATION MAKES ITS IRS FORM 1023, 990 AND 990-T AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. THIS ORGANIZATION ALSO RELIES ON THE WEB-SITE WWW.GUIDESTAR.ORG TO MAKE READILY AVAILABLE ITS TAX RETURNS TO THE PUBLIC. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND THE FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: MAY CASH TRANSFER TO TRUSTEES -2,500,000. JULY CASH TRANSFER TO TRUSTEES -2,500,000. SEPTEMBER CASH TRANSFER TO TRUSTEES -5,113,717. PCMH AMBULANCE SERVICE LLC 434 NORTHWEST STREET PERRYVILLE MO 63775 320321807 AMBULANCE MO 0 0 PERRY COUNTY HEALTH SYSTEM PERRYVILLE HEALTHCARE CORP 212 HOSPITAL LANE PERRYVILLE MO 63775 431859823 PHARMACY MO PERRY COUNTY HEALTH SYSTEM C 1.00000 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PERRYVILLE HEALTHCARE CORPORATION A FMV