Tri State Ambulance Inc

“The compensation of the operations manager is determined annually by the tristate ambulance, inc. 39-1965415 president of the board. The determination is made after a review of the market data is obtained from several organizations. The compensation amounts are not effective until the board approves them. Meeting minutes are taken and kept at the meetings where the board reviews and approves the compensation of the key employees.”

“Gundersen lutheran health system, inc. Is the sole corporate member of this organization.”

“The sole corporate member, gundersen luthern health system, inc. May elect the governing body.”

“Gundersen lutheran health system, inc. Has the ability to provide, by resolution, for more than the designated six directors. Upon dissolution, the distribution of assets shall be determined by the board of governors and the board of trustees of gundersen lutheran health system, inc.”

“Prior to filing the form 990, it is reviewed for completeness and accuracy by management. For this purpose, management is the accounting manager, the director of finance for the gundersen lutheran health system., and the principal office of the organization. A copy of the form 990 is made available to all board members.”

“Each member of the tri-state ambulance, inc. Governing board signs a conflict of interest statement each year. Members are asked to disclose conflicts as appropriate and abstain from voting when applicable.”

“Requests for form 990 and certain other information is available for public inspection and copying through the gundersen lutheran health system, inc.'s legal department.”

“The mission of tri-state ambulance, inc. Is to be a primary provider of pre-hospital emergency care and transportation in the tri-state region. The company utilizes a team environment where all members work toward the shared goal of providing the highest level of patient care to the largest number of people in an efficient manner. With 37 experienced paramedics, 40 emts, and 17 ambulances we continuously set the standard for emergency medical services. Since 1970, tri-state ambulance has served as the sole 911 advance life support provider for the region covering nearly 2,200 square miles and serving a population of approximately 150,000. Tristate ambulance offers its residents and visitors unsurpassed pre-hospital care.”

“The auditor is selected by gundersen lutheran health system, inc.”

“The mission of tri-state ambulance, inc. Is to be a primary provider of pre-hospital emergency care and transportation in the tri-state region. The company utilizes a team environment where all members work toward the shared goal of providing the highest level of patient care to the largest number of people in an efficient manner. With 37 experienced paramedics, 40 emts, and 17 ambulances we continuously set the standard for emergency medical services. Since 1970, tri-state ambulance has served as the sole 911 advance life support provider for the region covering nearly 2,200 square miles and serving a population of approximately 150,000. Tristate ambulance offers its residents and visitors unsurpassed pre-hospital care.”

“TRI-STATE AMBULANCE HAS PROUDLY SERVED SOUTHWEST WISCONSIN, SOUTHEAST MINNESOTA, AND NORTHEAST IOWA SINCE 1970, WITH THE MOST ADVANCED PRE-HOSPITAL PATIENT CARE AVAILABLE TO THOUSANDS OF PATIENTS EVERY YEAR. PRIMARY EMERGENCY 911 RESPONSE AS WELL AS EMERGENCY AND NON-EMERGENCY INTERFACILITY TRANSPORT AND INTERCEPT SERVICES ARE PROVIDED 24 HOURS A DAY. ANOTHER MEASURE OF TRI-STATE AMBULANCES' SUCCESS IS DESCRIBED IN A RECENT COMPREHENSIVE STUDY ANALYZING THE PERCENTAGE OF PATIENTS WHO WERE DISCHARGED FROM A HOSPITAL AFTER SUFFERING A CARDIAC ARREST IN WHICH THE EVENT WAS WITNESSED AND THE VICTIM WAS IN A SHOCKABLE HEART RHYTHM (WHERE A DEFIBRILLATOR COULD BE USED). IN 2020, TRI-STATE AMBULANCE RESPONDED TO COVID PANDEMIC WHILE ENCOUNTERING LARGE PPE EXPENSES AND STAFFING EVEN THOUGH REVENUE DROPPED. TRI-STATE AMBULANCE, INC UTILIZED TELEHEALTH INTEGRATION TO ALLOW SPECIALISTS TO PARTICIPATE IN VIRTUAL CARE IN MOVING AMBULANCE. THEY WERE ONE OF LESS THAN 200 AMBULANCE SERVICES IN THE NATION CHOSEN TO PARTICIPATE IN ET3 - EMERGENCY TRIAGE, TREATMENT, AND TRANSPORT. THEY ARE PARTNERING WITH OTHER GUNDERSEN DEPARTMENTS TO INCREASE STAFF FLEXIBILITY AND ARE EXPANDING PULSEPOINT COMMUNITY APP. IN 2021, TRI-STATE AMBULANCE, INC WAS ACCREDITED BY THE COMMISSION ON ACCREDITATION OF AMBULANCE SERVICES (CAAS). IN 2022, TRI-STATE AMBULANCE HAD 11,590 TRANSPORTS, 221 STANDBYS, 6,203 NON-TRANSPORTS, AND 18,014 TOTAL CALLS. TSA HAS LAUNCHED A PROGRAM WHICH ALLOWS ALTERNATE DESTINATION TRANSPORTS AS WELL AS TELEHEALTH USE FOR 911 PATIENTS. IN 2022, TSA BECAME ACCREDITED WITH THE COMMISSION ON ACCREDITATION FOR AMBULANCE SERVIES (CAAS). THIS IS A THREE YEAR ACCREDITATION AND WILL BE UP FOR RENEWAL IN 2024. IN ADDITION, IN PARTNERSHIP WITH GUNDERSEN HEALTH SYSTEM, TSA LAUNCHED A "PARAMEDIC TRAINEE" PROGRAM WHICH IS AN "EARN WHILE YOU LEARN" OPPORTUNITY. TSA HIRED 7 EMTS IN FULL-TIME CAPACITY WHO WILL RECEIVE PAY AND BENEFITS WHILE THEY ATTEND PARAMEDIC SCHOOL. IN 2023, TRI-STATE AMBULANCE HAD 8,517 TRANSPORTS, 54 STANDBYS, 3,149 NON-TRANSPORTS, AND 11,720 TOTAL CALLS. TSA HAS LAUNCHED A PROGRAM WHICH ALLOWS ALTERNATE DESTINATION TRANSPORTS AS WELL AS TELEHEALTH USE FOR 911 PATIENTS. WE WERE ABLE TO MAINTAIN A POSITIVE FISCAL MARGIN DESPITE HIGHER OVERTIMES COSTS WITH STAFFING SHORTAGES. WE CONTINUE TO BE ACCREDITED BY THE COMMISSION ON ACCREDITATION OF AMBULANCE SERVICES (CAAS). A SIGNIFICANT AREA OF EXPENSE THIS YEAR WAS THE CREATION OF A PARAMEDIC TRAINEE PROGRAM. WITH THIS PROGRAM, WE HAVE HIRED EMTS INTO FULLTIME POSITIONS AND PAID FOR THEIR FULL-TIME PARAMEDIC SCHOOLING. WHILE THIS PROGRAM WAS COSTLY, THE INDUSTRY SHORTAGE OF PARAMEDICS MADE IT A NECESSITY. ADDITIONALLY, THE CMS FEDERAL PROGRAM ENDED THEIR ET3 TELEHEALTH AND ALTERNATE DESTINATION PROGRAM AT THE END OF THIS CALENDAR YEAR. WE WILL CONTINUE TO FIND WAY TO TREAT PATIENTS WITHOUT COSTLY EMERGENCY DEPARTMENT VISITS. IN 2024, TRI-STATE AMBULANCE HAD 12,030 TRANSPORTS, 104 STANDBYS, 264 NON-TRANSPORTS, AND 16,322 TOTAL CALLS. TRI-STATE AMBULANCE, INC completed our second year of offering the paramedic trainee program, this program contracted with the local technical college to provide full-time paramedic education to 8-10 of our EMTs. These EMTs were hired into these roles with their main function to be full-time students and complete their education. The program was very successful, but costly. TRI-STATE AMBULANCE has completed the CAAS Reaccreditation, high staff 12-month retention rates in the low 90%s and a successful partnership with local fire department.”