Sole community hospital · WI
SSM HEALTH ST AGNES HOSPITAL - FOND DU LAC
From this hospital’s Medicare cost report for the year ended 31 December 2024. Every figure on this page names the cell it came from.
- 28Registered locations
- 7Associated locations
- 45Contract pharmacies
- 0With no end date
- 1 October 2023In 340B since
Finances, as filed
From this hospital’s Medicare cost report for the year ended 31 December 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $398,269,815 | CMS-2552-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $349,571,521 | CMS-2552-10 worksheet G300000 line 400 column 100 |
| Income from service to patients | $48,698,294 | CMS-2552-10 worksheet G300000 line 500 column 100 |
| Charity care, at charges | $10,281,367 | CMS-2552-10 worksheet S100001 line 2000 column 300 |
| Charity care, at cost | $3,642,070 | CMS-2552-10 worksheet S100001 line 2300 column 300 |
| Bad debt expense | $10,013,466 | CMS-2552-10 worksheet S100001 line 2600 column 100 |
| Uncompensated care, at cost | $6,765,636 | CMS-2552-10 worksheet S100001 line 3000 column 100 |
| Total facility beds | 105 | CMS-2552-10 worksheet S300001 line 1400 column 200 |
| Cost-to-charge ratio | 0.3100 | CMS-2552-10 worksheet S100001 line 100 column 100 |
Cost report filed under CMS certification number 520088 for 1 January 2024 to 31 December 2024, as submitted. The public file it was read from.
Where this hospital sits among its peers
Each figure’s position among sole community hospitals in Wisconsin that file a Medicare cost report. A position, not a score: the hospitals are counted, not ranked.
- 100thpercentile of 2 sole community hospitals in WisconsinCharity care
- 100thpercentile of 2 sole community hospitals in WisconsinUncompensated care
- 100thpercentile of 2 sole community hospitals in WisconsinLeft after the cost of care
- 50thpercentile of 2 sole community hospitals in WisconsinContract pharmacies
Among hospitals of the same type in Wisconsin
Only 2 hospitals of this type in Wisconsin have both figures on file. They are listed below rather than plotted.
| Hospital | Where | Charity care, share of patient revenue | Left after the cost of care | Year ended |
|---|---|---|---|---|
| MILE BLUFF MEDICAL CENTER INC. | Mauston, WI | 0.0% | -23.1% | 2024-09-30 |
| SSM HEALTH ST AGNES HOSPITAL - FOND DU LAC — this hospital | FOND DU LAC, WI | 0.9% | 12.2% | 2024-12-31 |
Earlier years
One cost report is on file for this hospital, for the year ended 31 December 2024. There is no earlier year to set beside it.
Changes recorded
Nothing on this record has moved since it was first read here on 6 September 2026.
Cite this page
Velarion Records, “SSM HEALTH ST AGNES HOSPITAL - FOND DU LAC” (340B ID SCH520088-00), citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx. https://velarionrecords.com/340b/SCH520088-00
Register detail and identifiers
Participation, as filed
- Participating
- FALSE
- Participation start date
- 1 October 2023
- Termination date
- 1 July 2026
- Termination reason
- DSH percentage below statutory minimum
- Certification date
- 18 August 2025
- Record last edited
- 1 July 2026
Identifiers
- 340B ID
- SCH520088-00
- Entity type as filed
- SCH
- CMS certification number
- 520088
- Rural
- No
430 EAST DIVISION STREET, FOND DU LAC WI 54935
Locations registered under this record
Browse all of them as a list →
| 340B ID | Name | Type | Where | Participating |
|---|---|---|---|---|
| SCH520088-01 | AGNESIAN HEALTHCARE INC - OT/Speech Therapy | SCH | FOND DU LAC, WI | FALSE |
| SCH520088-02 | AGNESIAN HEALTHCARE INC - Hand Clinic | SCH | FOND DU LAC, WI | FALSE |
| SCH520088-03 | AGNESIAN HEALTHCARE - Physical Therapy | SCH | MAYVILLE, WI | FALSE |
| SCH520088-04 | AGNESIAN HEALTHCARE INC - Physical Therapy | SCH | BEAVER DAM, WI | FALSE |
| SCH520088-05 | Agnesian Healthcare - Physical Therapy | SCH | Fond du Lac, WI | FALSE |
| SCH520088-06 | AGNESIAN HEALTHCARE INC - Sport and Spine | SCH | FOND DU LAC, WI | FALSE |
| SCH520088-07 | AGNESIAN HEALTHCARE INC - Pain Medicine | SCH | FOND DU LAC, WI | FALSE |
| SCH520088-08 | AGNESIAN HEALTHCARE INC - Radiology | SCH | FOND DU LAC, WI | FALSE |
| SCH520088-09 | AGNESIAN HEALTHCARE INC - Surgery Center | SCH | FOND DU LAC, WI | FALSE |
| SCH520088-10 | FOND DU LAC REG CLINIC - Radiation Therapy | SCH | FOND DU LAC, WI | FALSE |
| SCH520088-11 | Agnesian Healthcare - Home Health Care | SCH | Fond du Lac, WI | FALSE |
| SCH520088-12 | Hospice FDL - Hospice | SCH | Fond du Lac, WI | FALSE |
| SCH520088-13 | Hospice House - Hospice | SCH | Fond du Lac, WI | FALSE |
| SCH520088-14 | Agnesian Healthcare Inc - Vascular Surgery | SCH | Fond du Lac, WI | FALSE |
| SCH520088-15 | Agnesian Healthcare Inc - Neurology | SCH | Fond du Lac, WI | FALSE |
| SCH520088-16 | Agnesian Healthcare Inc - Cardiology | SCH | Fond du Lac, WI | FALSE |
| SCH520088-17 | Agnesian Healthcare Inc - IM/IM Peds/Rheumatology | SCH | Fond du Lac, WI | FALSE |
| SCH520088-18 | Agnesian Healthcare Inc - Infusion Oncology | SCH | Fond du Lac, WI | FALSE |
| SCH520088-19 | Agnesian Healthcare Inc - Nephrology | SCH | Fond du Lac, WI | FALSE |
| SCH520088-20 | Agnesian Healthcare Inc - Cardiac Surgery | SCH | Fond du Lac, WI | FALSE |
| SCH520088-21 | Agnesian Healthcare Inc - Oncology | SCH | Fond du Lac, WI | FALSE |
| SCH520088-22 | Agnesian Healthcare Inc - Urology | SCH | Fond du Lac, WI | FALSE |
| SCH520088-23 | Agnesian Healthcare Inc-Gastro - Gastroenterology | SCH | Fond du Lac, WI | FALSE |
| SCH520088-24 | Agnesian Healthcare Inc-Family Med Main - Family Medicine | SCH | Fond du Lac, WI | FALSE |
| SCH520088-25 | Agnesian Healthcare Inc-Surgery Clinic - Surgery | SCH | Fond du Lac, WI | FALSE |
| SCH520088-26 | Agnesian Healthcare Inc-OBGYN - OBGYN | SCH | Fond du Lac, WI | FALSE |
| SCH520088-27 | Agnesian Healthcare Inc-OBGYN Ultrasound - Ultrasound | SCH | Fond du Lac, WI | FALSE |
| SCH520088-28 | Agnesian Healthcare Inc-Pulmonary - Pulmonology | SCH | Fond du Lac, WI | FALSE |
Associated locations
| Organization | Address | Where |
|---|---|---|
| SSM HEALTH ST AGNES HOSPITAL - FOND DU LAC | 430 EAST DIVISION STREET | FOND DU LAC WI 54935 |
| SSM Health Pharmacy | 912 S Hickory St | Fond du Lac WI 54935 |
| SSM Health Pharmacy | 145 N main St | Fond du Lac WI 54935 |
| SSM Health Pharmacy | 420 East Division Street | Fond du Lac WI 54935 |
| SSM HEALTH ST AGNES HOSPITAL - FOND DU LAC | 430 East Division Street | Fond du Lac WI 54935 |
| SSM Health Medication Purchasing | 2201 W Badger Rd | Madison WI 53713 |
| SSM Health Pharmacy | 904 W Main St | Waupun WI 53963 |
Pharmacy contracts
| Pharmacy | Where | Begins | Ends |
|---|---|---|---|
| ACCREDO HEALTH GROUP INC | TEMPE, AZ | 1 January 2024 | 1 July 2026 |
| ACCREDO HEALTH GROUP INC | WARRENDALE, PA | 1 January 2024 | 1 July 2026 |
| ACCREDO HEALTH GROUP INC | MEMPHIS, TN | 1 January 2024 | 1 July 2026 |
| ACCREDO HEALTH GROUP, INC. | NEWARK, DE | 1 January 2024 | 1 July 2026 |
| ACCREDO HEALTH GROUP, INC. | ORLANDO, FL | 1 January 2024 | 1 July 2026 |
| ACCREDO HEALTH GROUP, INC. | WHITESTOWN, IN | 1 January 2024 | 1 July 2026 |
| CAREMARK ILLINOIS SPECIALTY PHARMACY, LL | MOUNT PROSPECT, IL | 1 April 2025 | 1 July 2026 |
| CAREMARK KANSAS SPECIALTY PHARMACY | LENEXA, KS | 1 April 2025 | 1 July 2026 |
| CVS CAREMARK | WILKES BARRE, PA | 1 January 2024 | 1 July 2026 |
| CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC | MT PROSPECT, IL | 1 January 2024 | 1 July 2026 |
| ESI MAIL PHARMACY SERVICE | TEMPE, AZ | 1 January 2024 | 1 July 2026 |
| EXPRESS SCRIPTS | SAINT LOUIS, MO | 1 January 2024 | 1 July 2026 |
| EXPRESS SCRIPTS PHARMACY, INC. | WHITESTOWN, IN | 1 January 2024 | 1 July 2026 |
| EXPRESS SCRIPTS PHARMACY, INC. | BURLINGTON, NJ | 1 January 2024 | 1 July 2026 |
| MAH PHARMACY LLC | FAIRFIELD, OH | 1 January 2026 | 1 July 2026 |
| OPTUM PHARMACY 701, LLC | FLINT, MI | 1 January 2024 | 1 July 2026 |
| OPTUM PHARMACY 701, LLC | MESA, AZ | 1 April 2024 | 1 July 2026 |
| OPTUM PHARMACY 702, LLC | JEFFERSONVILLE, IN | 1 October 2023 | 1 July 2026 |
| OPTUM PHARMACY 705, LLC | BIRMINGHAM, AL | 1 January 2024 | 1 July 2026 |
| OPTUM PHARMACY 705, LLC | COLUMBUS, MS | 1 January 2024 | 1 July 2026 |
| OPTUM PHARMACY 707, INC | IRWINDALE, CA | 1 January 2025 | 1 July 2026 |
| OPTUMRX | OVERLAND PARK, KS | 1 October 2023 | 1 July 2026 |
| PROCARE PHARMACY DIRECT, L.L.C. | MONROEVILLE, PA | 1 April 2025 | 1 July 2026 |
| SSM HEALTH PHARMACY | MADISON, WI | 1 January 2024 | 1 July 2026 |
| SSM HEALTH SPECIALTY PHARMACY | SAINT LOUIS, MO | 1 January 2024 | 1 July 2026 |
| Walgreen CO | Bolingbrook, IL | 1 January 2024 | 1 July 2026 |
| WALGREEN CO. | RIPON, WI | 1 October 2023 | 1 July 2026 |
| WALGREEN CO. | FOND DU LAC, WI | 1 October 2023 | 1 July 2026 |
| WALGREEN CO. | FOND DU LAC, WI | 1 October 2023 | 1 July 2026 |
| WALGREEN CO. | FOND DU LAC, WI | 1 October 2023 | 1 July 2026 |
| WALGREEN CO. | HARTFORD, WI | 1 October 2023 | 1 July 2026 |
| WALGREEN CO. | OSHKOSH, WI | 1 October 2023 | 1 July 2026 |
| WALGREEN CO. | WAUPUN, WI | 1 October 2023 | 1 July 2026 |
| WALGREEN CO. | WAUWATOSA, WI | 1 January 2024 | 1 July 2026 |
| WALGREEN CO. | WEST BEND, WI | 1 October 2023 | 1 July 2026 |
| WALGREEN CO. | BEAVER DAM, WI | 1 October 2023 | 1 July 2026 |
| WALGREEN CO. | CHILTON, WI | 1 October 2023 | 1 July 2026 |
| WISCONSIN CVS PHARMACY, L.L.C. | FOND DU LAC, WI | 1 January 2024 | 1 July 2026 |
| AGNESIAN HEALTHCARE INC. | FOND DU LAC, WI | 1 January 2024 | 1 January 2025 |
| AGNESIAN HEALTHCARE INC. | FOND DU LAC, WI | 1 January 2024 | 1 January 2025 |
| AGNESIAN HEALTHCARE INC. | FOND DU LAC, WI | 1 January 2024 | 1 January 2025 |
| AGNESIAN HEALTHCARE INC. | WAUPUN, WI | 1 January 2024 | 1 January 2025 |
| AGNESIAN HEALTHCARE INC. | FOND DU LAC, WI | 1 January 2024 | 1 January 2025 |
| ACCREDO HEALTH GROUP, INC. | INDIANAPOLIS, IN | 1 January 2024 | 1 October 2024 |
| SSM HEALTH PHARMACY | MARKESAN, WI | 1 January 2024 | 14 September 2024 |
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx, stamped by its publisher 7 September 2026. This record has been read here since 6 September 2026.