Tri-State Ambulance Inc

SEE SCHEDULE O

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 SEPTEMBER 2011, TRI-STATE AMBULANCE PURCHASED A NEWLY RENOVATED 23,400 SQUARE FOOT FACILITY IN LA CROSSE, WI. THE SIZE OF THE NEW BUILDING HAS ALLOWED TRI-STATE AMBULANCE TO INCREASE TRAINING OPPORTUNITIES FOR BOTH EMERGENCY MEDICAL SERVICE PROVIDERS AND COMMUNITY MEMBERS, PROVIDE PROPER SERVICE AND MAINTENANCE TO THEIR FLEET VEHICLES, AND CONSOLIDATE CENTRAL SUPPLY OF MEDICAL SUPPLIES AND EQUIPMENT FOR DISBURSEMENT TO OUTLYING TRI-STATE AMBULANCE LOCATIONS. OPERATIONS BEGAN IN THE NEW FACILITY IN THE EARLY PART OF 2012. IN THE SPRING OF 2012, TRI-STATE AMBULANCE TOOK DELIVERY OF TWO NEW AMBULANCES AS PART OF A FOUR YEAR COMPREHENSIVE AMBULANCE FLEET REPLACEMENT PLAN. NOT ONLY ARE THE NEW AMBULANCES MARKED WITH HIGHLY VISIBLE LIGHTING AND REFLECTIVE STRIPING, BUT THEY ARE DESIGNED TO OFFER BOTH PATIENTS AND STAFF A SAFER, SMOOTHER, AND MORE SECURE AMBULANCE RIDE. THE SLIGHTLY SMALLER SIZE AND SWITCH FROM DIESEL MOTORS TO GASOLINE HAS MADE OUR FLEET 20 TO 30 PERCENT LESS EXPENSIVE TO PURCHASE AND 30 TO 40 PERCENT LESS COSTLY TO MAINTAIN AND SERVICE. IN ADDITION TO THE HIGHER VISIBILITY AMBULANCES, ALL PARAMEDICS AND EMT'S NOW HAVE HIGH-VISIBILITY OUTERWEAR THAT WILL HELP PROTECT THEM WHILE AT DANGEROUS SCENES. IN 2014, TRI-STATE AMBULANCE DEDICATED ONE OF THEIR AMBULANCES AS A CRITICAL CARE AMBULANCE. THIS ALLOWED FOR THE EXPANSION OF THEIR CRITICAL CARE AMBULANCE SERVICES TO BE ABLE TO RESPOND TO SMALL REGIONAL HOSPITALS. THIS PROGRAM ALLOWS TRI-STATE AMBULANCE TO PROVIDE LIFE SAVING ADVANCED CARE FOR THE SMALL REGIONAL HOSPITALS WHICH ARE UNDERSERVED BY ADVANCED PARAMEDICS. IN 2014, TRISTATE AMBULANCE ALSO INVESTED IN THE PURCHASE OF PULSEPOINT CITIZEN RESPONDER TECHNOLOGY. THE INVESTMENT IN THE PULSEPOINT CITIZEN RESPONDER TECHNOLOGY ASSISTS IN ALERTING USERS OF A SUDDEN CARDIAC ARREST IN A PUBLIC PLACE AND THE LOCATION OF THE NEARBY AUTOMATED EXTERNAL DEFIBRILLATORS (AEDS). IN 2016, TRI-STATE AMBULANCE BEGAN TO INSTALL POWER STRETCHER LIFTS IN THE AMBULANCES ALLOWING FOR INCREASED LEVEL OF SAFETY FOR PARAMEDICS, EMTS, AND PATIENTS. TRI-STATE AMBULANCE CONTINUES TO MEET AND EXCEED CONTRACTUAL RESPONSE TIME. IN 2016, TRI-STATE AMBULANCE SAW A RECORD YEAR IN THE SERVICE AREA OF CARDIAC ARREST SURVIVAL AND CONTINUES TO WORK WITH HOSPITALS THROUGHOUT THE SERVICE AREA TO INCREASE PATIENT SURVIVAL FROM MEDICAL EMERGENCIES. IN 2017, TRI-STATE AMBULANCE BEGAN A PARTNERSHIP WITH THE LA CROSSE FIRE DEPARTMENT IN WHICH FIREFIGHTER PARAMEDICS WILL BE ABLE TO WORK AS EMPLOYEES OF TRI-STATE AMBULANCE. THIS ARRANGEMENT WILL ASSIST TRI-STATE AMBULANCE WITH MUCH NEEDED STAFF AND ALSO HELP THE FIRE DEPARTMENT LOWER THEIR TURNOVER. IN 2018, THE RELATIONSHIP WITH LA CROSSE FIRE DEPARTMENT CONTINUED TO GROW AND THE USE OF SHARED STAFFING HAS BEEN WORKING WELL. IN ADDITION, DURING THE LATTER PART OF 2018 TRI-STATE AMBULANCE DONATED BLEEDING CONTROL KITS TO NEARLY 50 BUSINESSES IN THE LA CROSSE AREA TO PLACE IN THE AED ENCLOSURES. TRI-STATE AMBULANCE ALSO PARTNERED WITH WESTERN TECHNICAL COLLEGE AS A GRANT RECIPIENT TO TRAIN ADDITIONAL PARAMEDICS. TRI-STATE AMBULANCE PROVIDES PRIMARY EMERGENCY 911 RESPONSE AS WELL AS EMERGENCY AND NON-EMERGENCY INTERFACILITY TRANSPORT AND INTERCEPT SERVICES. IN 2019, TRI-STATE AMBULANCE CONTINUED TO EXCEED RESPONSE TIMES AND IMPROVED CLINICAL QUALITY BY JOINING PROGRAMS OF COVERDALE STROKE, CARES REGISTRY. IN ADDITION, TRI-STATE AMBULANCE APPLIED FOR AND WERE CHOSEN TO PARTICIPATE IN A CMS INITIAIVE CALLED THE ET3 PROGRAM WHICH WILL DRASTICALLY CHANGE HOW PATIENT CARE IS PROVIDED. TRI-STATE AMBULANCE SPENT MUCH OF 2019 PREPARING FOR CAAS ACCREDITATION AND COMPLETED A RE-WRITE OF POLICIES AND PROCEDURES. TRI-STATE AMBULANCE ALSO BEGAN TESTING TELEMEDICINE IN THE AMBULANCES AND EXPANDED CLINICAL TREATMENT PROTOCOLS TO INCLUDE ADDITIONAL MEDICATIONS. TRI-STATE AMBULANCE ALSO WORKED CLOSELY WITH AREA HOSPITALS TO STREAMLINE PROCESSES FOR HEART ATTACK AND STROKE PATIENTS. IN 2019 TRI-STATE AMBULANCE HAD A GREATER THAN 90% FIRST PASS INTUBATION SUCCESS AND ALSO PAID OFF ALL LONG TERM DEBT WHICH HAS BEEN ON THE BOOKS FOR MANY YEARS. IN 2019, USING ADVANCED MEDICAL PROTOCOLS WE SEND ECGS OR ELECTROCARDIOGRAMS TO THE HOSPITALS VIA THE INTERNET TO SPEED UP THE TREATMENT OF HEART ATTACK VICTIMS. 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 2021, TRI-STATE AMBULANCE HAD 11,299 TRANSPORTS, 271 STANDBYS, 6,721 NON-TRANSPORTS, AND 18,291 TOTAL CALLS.