3 locations registered under this record — data as of November 6, 2026
Critical access hospital · Whitehall, WI
Tri-County Memorial Hospital, Inc.
Taking partYesLast certifiedAugust 11, 2026
- 3Registered locations
- 1Associated locations
- 12Contract pharmacies
- 11With no end date
- July 1, 2012In 340B since
Where this record sits: among the 57 Critical access hospitals in Wisconsin, the median open contract-pharmacy count is 4; this record’s open count ranks 13.
Every Medicare cost report this hospital has filed is on its cost-report record.
Finances, as filed
From this hospital’s Medicare cost report for the year ended September 30, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $73,052,827 | CMS-2552-10 worksheet G300000 line 100 column 100 |
| Contractual allowances | $33,204,956 | CMS-2552-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $39,847,871 | CMS-2552-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $40,152,343 | CMS-2552-10 worksheet G300000 line 400 column 100 |
| Income from service to patients | −$304,472 | CMS-2552-10 worksheet G300000 line 500 column 100 |
| Charity care, at charges | $1,180,348 | CMS-2552-10 worksheet S100001 line 2000 column 300 |
| Charity care, at cost | $787,221 | CMS-2552-10 worksheet S100001 line 2300 column 300 |
| Bad debt expense | $1,091,530 | CMS-2552-10 worksheet S100001 line 2600 column 100 |
| Bad debt other than Medicare, at cost | $651,773 | CMS-2552-10 worksheet S100001 line 2900 column 100 |
| Uncompensated care, at cost | $1,438,994 | CMS-2552-10 worksheet S100001 line 3000 column 100 |
| Total facility beds | 25 | CMS-2552-10 worksheet S300001 line 1400 column 200 |
| Cost-to-charge ratio | 0.6669 | CMS-2552-10 worksheet S100001 line 100 column 100 |
Cost report filed under CMS certification number 521316 for October 1, 2024 to September 30, 2025, as submitted. The public file it was read from.
Community benefit, as filed
From IRS Form 990 Schedule H, Part I, filed by TRI-COUNTY MEMORIAL HOSPITAL INC (employer identification number 390704510) for tax year 2023. The return lists this hospital as its one hospital facility.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total community benefit expense (line 7k) | $2,704,398 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance at cost (line 7a) | $307,445 | IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt> |
| Medicaid (line 7b) | $2,018,950 | IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance and means-tested government programs (line 7d) | $2,326,395 | IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt> |
| Other benefits (line 7j) | $378,003 | IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Total, fraction of total expense (line 7k, column f) | 0.104 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct> |
E-file object id 202442279349301624. The IRS archive it was read from.
Executive and director compensation, as filed
From IRS Form 990 Part VII, Section A, filed by TRI-COUNTY MEMORIAL HOSPITAL INC (employer identification number 390704510) for tax year 2023. The return lists this hospital as its one hospital facility.
| Name | Title | Role | Reportable comp, from this organization | Reportable comp, from related organizations | Other compensation |
|---|---|---|---|---|---|
| BETH LISOWSKI | VICE-CHAIRPERSON | Trustee/director, Officer | $0 | $0 | $0 |
| DENNIS STEPHENSON | CHAIRPERSON | Trustee/director, Officer | $0 | $0 | $0 |
| GERALD OETZEL | CFO-GHS (THRU 08/23) | Officer | $0 | $0 | $0 |
| JONI OLSON | ADMINISTRATOR | Officer | $0 | $0 | $0 |
| KATHY KLOCK | SECRETARY | Trustee/director, Officer | $0 | $0 | $0 |
| KIMBERLY BREIDENBACH MD | TRUSTEE/CHIEF OF STAFF | Trustee/director, Officer | $0 | $0 | $0 |
| KRISTY MILLERING | FINANCE ADMINISTRATOR | Officer | $0 | $0 | $0 |
| MARILU BINTZ MD | TRUSTEE | Trustee/director | $0 | $0 | $0 |
| MARLYS KOLSTAD | TRUSTEE | Trustee/director | $0 | $0 | $0 |
| RANDY LUBAHN | TRUSTEE | Trustee/director | $0 | $0 | $0 |
| RON GUZA | TREASURER | Trustee/director, Officer | $0 | $0 | $0 |
| SCOTT RATHGABER | CEO-GHS | Officer | $0 | $0 | $0 |
| STEVE LITTLE | CFO-GHS (BEG 08/23) | Officer | $0 | $0 | $0 |
| VICKIE BAKALARS | TRUSTEE | Trustee/director | $0 | $0 | $0 |
E-file object id 202442279349301624. The IRS archive it was read from.
Where this hospital sits among its peers
A position, not a grade. Each line names the figure, how it is measured, and the hospitals it is placed among: critical access hospitals in the same state and the same bed-size band, each on its latest filed year. Under it, the same figure across every hospital that filed for the year — a larger set, and a different one.
- 28thpercentile of 39 hospitals in WI, same facility class, 25 to 49 bedsNet patient revenue, in dollars, as filed
Net patient revenue across every hospital that filed for 2025, in every state and of every size, with this one marked.
Net patient revenue (CMS-2552-10 worksheet G300000 line 300 column 100)
Middle half between $26,780,592 and $275,353,989, median $73,049,131, across 5,659 hospitals that filed for 2025, in every state and of every size.
- 25thpercentile of 40 hospitals in WI, same facility class, 25 to 49 bedsTotal operating expenses, in dollars, as filed
Total operating expenses across every hospital that filed for 2025, in every state and of every size, with this one marked.
Total operating expenses (CMS-2552-10 worksheet G300000 line 400 column 100)
Middle half between $27,953,478 and $268,914,289, median $72,935,955, across 5,819 hospitals that filed for 2025, in every state and of every size.
- 65thpercentile of 37 hospitals in WI, same facility class, 25 to 49 bedsCharity care, at cost, in dollars, as filed
- 61stpercentile of 38 hospitals in WI, same facility class, 25 to 49 bedsUncompensated care, at cost, in dollars, as filed
- 100thpercentile of 40 hospitals in WI, same facility class, 25 to 49 bedsTotal facility beds, a count of beds, as filed
Total facility beds across every hospital that filed for 2025, in every state and of every size, with this one marked.
Total facility beds (CMS-2552-10 worksheet S300001 line 1400 column 200)
Middle half between 25 and 168, median 64, across 5,777 hospitals that filed for 2025, in every state and of every size.
- 97thpercentile of 38 hospitals in WI, same facility class, 25 to 49 bedsCost-to-charge ratio, the ratio, as filed
Cost-to-charge ratio across every hospital that filed for 2025, in every state and of every size, with this one marked.
Cost-to-charge ratio (CMS-2552-10 worksheet S100001 line 100 column 100)
Middle half between 0.1809 and 0.4503, median 0.2651, across 4,413 hospitals that filed for 2025, in every state and of every size.
Changes recorded
Nothing on this record has moved since it was first read here on September 6, 2026.
Every Medicare cost report this hospital has filed, every change this record has shown since it was first read here, and five hospitals of its own size in Wisconsin beside it — each figure with the cell it came from — are in the report above.
Register detail and identifiers
Participation, as filed
- Participating
- TRUE
- Participation start date
- July 1, 2012
- Certification date
- August 11, 2026
- Record last edited
- August 11, 2026
Identifiers
- 340B ID
- CAH521316-00
- Entity type as filed
- CAH
- CMS certification number
- 521316
- Rural
- Yes
18601 Lincoln Street, Whitehall WI 54773
Locations registered under this record
Browse all of them as a list →
| CAH521316-01 | Independence Clinic | CAH | Independence, WI | Yes |
| CAH521316-02 | Blair Clinic | CAH | Blair, WI | Yes |
| CAH521316-03 | Whitehall Clinic | CAH | Whitehall, WI | Yes |
Associated locations
| Tri-County Memorial Hospital, Inc. | 18601 Lincoln Street | Whitehall WI 54773 |
Pharmacy contracts
No end date filed11
| ACCREDO HEALTH GROUP INC | MEMPHIS, TN | October 1, 2024 | no end date filed |
| ACCREDO HEALTH GROUP INC | TEMPE, AZ | October 1, 2024 | no end date filed |
| ACCREDO HEALTH GROUP INC | WARRENDALE, PA | October 1, 2024 | no end date filed |
| ACCREDO HEALTH GROUP, INC. | NEWARK, DE | October 1, 2024 | no end date filed |
| ACCREDO HEALTH GROUP, INC. | WHITESTOWN, IN | October 1, 2024 | no end date filed |
| ACCREDO HEALTH GROUP, INC. | ORLANDO, FL | October 1, 2024 | no end date filed |
| COLBY PHARMACY | WHITEHALL, WI | October 1, 2016 | no end date filed |
| ESI MAIL PHARMACY SERVICE | TEMPE, AZ | October 1, 2024 | no end date filed |
| EXPRESS SCRIPTS | SAINT LOUIS, MO | October 1, 2024 | no end date filed |
| EXPRESS SCRIPTS PHARMACY, INC. | BURLINGTON, NJ | October 1, 2024 | no end date filed |
| EXPRESS SCRIPTS PHARMACY, INC. | WHITESTOWN, IN | October 1, 2024 | no end date filed |
An end date is filed1
An end date still in the future is a termination already filed, not one that has happened. Both are printed here as the file carries them.
| BLAIR PHARMACY THE | BLAIR, WI | April 1, 2018 | November 20, 2024 |
How this page is built
- What is counted
- One row per registration in the register. This page is the row for this 340B ID; a figure that reads across a record and its locations counts the rows the register lists under this record as well.
- As of
- November 6, 2026 — the date of the register file this record was last listed in.
- Contract-pharmacy arrangements
- Each arrangement the register files between a covered entity and a pharmacy counts once. An arrangement counts among those with no end date where the register prints no termination date for it, and among the rest where it prints one.
Every figure on this page comes from HRSA 340B OPAIS Covered Entity Daily Report.
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261106_071011.xlsx, stamped by its publisher November 6, 2026. This record has been read here since September 6, 2026.
How this page was built: the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261106_071011.xlsx, read November 6, 2026.
The full report for Tri-County Memorial Hospital, Inc.
Every figure on this page as a document you can keep, file or send on: the finances as filed with the worksheet, line and column each one came from, five hospitals of a similar size in the same state, the contract-pharmacy network year by year, and what changed on the record.
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