TRI-COUNTY MEMORIAL HOSPITAL INC
18601 LINCOLN STREET, WHITEHALL, WI 54773 www.gundersenhealth.org

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Organizations Filed Purposes: WE WILL DISTINGUISH OURSELVES THROUGH EXCELLENCE IN PATIENT CARE, EDUCATION, AND IMPROVED HEALTH IN THE COMMUNITIES WE SERVE.

TRI-COUNTY MEMORIAL HOSPITAL, INC. ("TRI-COUNTY") PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY HEALTH CARE SERVICES AND OTHER FINANCIAL SUPPORT THROUGH VARIOUS PROGRAMS THAT ARE DESIGNED, AMONG OTHER MATTERS, TO ENHANCE THE HEALTH OF THE COMMUNITY INCLUDING THE HEALTH OF LOW INCOME PATIENTS. THE ORGANIZATION OPERATES A CRITICAL ACCESS HOSPITAL AND PROVIDES INPATIENT ACUTE CARE AND SWING BED SERVICES, ALONG WITH AN EMERGENCY DEPARTMENT, WHICH IS OPEN TWENTY-FOUR HOURS PER DAY, AND OTHER OUTPATIENT SERVICES. VISITING SPECIALISTS FROM AN AFFILIATED ORGANIZATION, GUNDERSEN CLINIC, LTD., PERFORM OUTPATIENT GASTROENTEROLOGY, ORTHOPEDIC, AND OPHTHALMIC SURGICAL PROCEDURES AT THE FACILITY AS WELL. TRI-COUNTY ALSO OPERATES A SKILLED NURSING FACILITY, AN ASSISTED LIVING FACILITY, THREE RURAL HEALTH CLINICS, AND AN AMBULANCE SERVICE. THE CRITICAL ACCESS HOSPITAL HAD 721 INPATIENT ACUTE DAYS, 121 RESPITE DAYS, 1,513 SWING BED DAYS, 284 SURGICAL OPERATIONS, AND 5,042 ER VISITS IN THE PERIOD JANUARY 1 THROUGH DECEMBER 31, 2019.CONSISTENT WITH THE MISSION OF TRI-COUNTY, CARE IS PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY, INCLUDING PROVIDING SERVICES TO THOSE PERSONS WHO ARE EITHER UNDERINSURED OR CANNOT AFFORD HEALTH INSURANCE BECAUSE OF INADEQUATE RESOURCES. HEALTH CARE SERVICES TO PATIENTS UNDER GOVERNMENT PROGRAMS, SUCH AS MEDICAID HOSPITAL SERVICES, ARE ALSO CONSIDERED PART OF TRI-COUNTY'S BENEFIT PROVIDED TO THE COMMUNITY, SINCE A SUBSTANTIAL PORTION OF SUCH SERVICES ARE REIMBURSED AT AMOUNTS LESS THAN THE COSTS OF PROVIDING CARE.PATIENTS WHO MEET CERTAIN CRITERIA FOR CHARITY CARE, GENERALLY BASED ON FEDERAL POVERTY GUIDELINES, ARE PROVIDED CARE AT A SIGNIFICANTLY REDUCED RATE, DETERMINED BASED ON QUALIFYING CRITERIA AS DEFINED IN TRI-COUNTY'S CHARITY CARE POLICY, AND FROM APPLICATIONS COMPLETED BY PATIENTS AND THEIR FAMILIES. THE AMOUNT OF HOSPITAL AND CLINIC CHARGES FOREGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER THIS POLICY DURING 2019 TOTALED $441,175. IN ADDITION, DISCOUNTS TO THE MEDICAID PROGRAM FOR HOSPITAL AND CLINIC SERVICES AMOUNTED TO $2,623,504.BENEFITS FOR SERVING THE COMMUNITY ALSO INCLUDE UNPAID COSTS OF TREATING THE ELDERLY, HEALTH SCREENINGS, COMMUNITY EDUCATION THROUGH SEMINARS AND CLASSES, AND OTHER HEALTH-RELATED SERVICES.

TRI-COUNTY'S NURSING HOME PROVIDES LONG-TERM CARE AND SHORT-TERM REHABILITATIVE SERVICES FOR THE AGED AND DISABLED MEMBERS OF THE COMMUNITY. HEALTH CARE SERVICES TO MEDICAID NURSING HOME RESIDENTS ARE CONSIDERED PART OF TRI-COUNTY'S BENEFIT PROVIDED TO THE COMMUNITY, SINCE A SUBSTANTIAL PORTION OF SUCH SERVICES ARE REIMBURSED AT AMOUNTS LESS THAN THE COSTS OF PROVIDING CARE. THE NURSING HOME OFFERS SKILLED NURSING CARE IN BOTH SHORT-TERM REHABILITATION PROGRAMS AND LONG-TERM CARE RESIDENT PROGRAMS. SOME OF THE SPECIALIZED CARE SERVICES OFFERED INCLUDE IV THERAPY CARE, WOUND CARE, PAIN MANAGEMENT, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, AND SPEECH THERAPY AMONG MANY OTHER CARE PROGRAMS PROVIDED. THE NURSING HOME OPERATES IN CONJUNCTION WITH THE HOSPITAL TO PROVIDE A SMOOTH TRANSITION FOR PATIENTS NEEDING EXTENDED REHABILITATION OR LONG-TERM CARE SERVICES. THE COORDINATION OF SERVICES IN THE COMBINED HOSPITAL AND NURSING HOME FACILITIES ALSO ALLOWS THE ORGANIZATION TO SHARE MANY DEPARTMENTS AND SERVICES IN TRI-COUNTY'S CONTINUED EFFORT TO PROVIDE HIGH QUALITY AND LOW-COST CARE TO THE COMMUNITY. TRI-COUNTY PROVIDED 11,789 DAYS OF NURSING HOME RESIDENT CARE BETWEEN JANUARY 1 AND DECEMBER 31, 2019. INCLUDED IN THIS TOTAL WAS 7,558 DAYS FOR RESIDENTS COVERED UNDER THE MEDICAID PROGRAM.

TRI-COUNTY ALSO OPERATES AN ASSISTED LIVING FACILITY LOCATED DIRECTLY EAST ACROSS THE STREET OF TRI-COUNTY HOSPITAL. THIS CARE IS PROVIDED TO RESIDENTS IN AN EFFORT BY TRI-COUNTY TO PROVIDE A CONTINUUM OF CARE FOR PATIENTS OF THE SURROUNDING COMMUNITIES. SERVICES OFFERED AND PROVIDED TO RESIDENTS INCLUDE ASSISTANCE WITH THE ACTIVITIES OF DAILY LIVING, MEAL PREPARATION, LAUNDRY SERVICES, APARTMENT MAINTENANCE SERVICES, DAILY RECREATIONAL ACTIVITIES, AMONG MANY SERVICE OFFERINGS. RESIDENTS OF THE ASSISTED LIVING FACILITY ALSO HAVE ACCESS TO NURSING STAFF IN THE EVENT OF AN EMERGENCY TWENTY-FOUR HOURS A DAY PROVIDED BY TRI-COUNTY'S NURSING SERVICES STAFF. SOME OF THE RESIDENTS SERVED ARE LOW-INCOME PATIENTS, WHICH ARE SUBSIDIZED THROUGH THE WISCONSIN FAMILY CARE PROGRAM, WHICH OFTEN REIMBURSES TRI-COUNTY AT COST OR BELOW THE TRUE COST OF CARING FOR THESE RESIDENTS. DESPITE RECEIVING REIMBURSEMENT AT AMOUNTS BELOW COST, TRI-COUNTY CONTINUES THIS SERVICE AS IT FURTHERS IT'S MISSION IN THE COMMUNITY.

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