28 locations registered under this record — data as of November 6, 2026
Sole community hospital · FOND DU LAC, WI
SSM HEALTH ST AGNES HOSPITAL - FOND DU LAC
Taking partNoTermination date filedJuly 1, 2026Last certifiedAugust 18, 2025
- 28Registered locations
- 7Associated locations
- 45Contract pharmacies
- 0With no end date
- October 1, 2023In 340B since
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 December 31, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,291,340,102 | CMS-2552-10 worksheet G300000 line 100 column 100 |
| Contractual allowances | $821,687,654 | CMS-2552-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $469,652,448 | CMS-2552-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $400,856,942 | CMS-2552-10 worksheet G300000 line 400 column 100 |
| Income from service to patients | $68,795,506 | CMS-2552-10 worksheet G300000 line 500 column 100 |
| Charity care, at charges | $7,403,217 | CMS-2552-10 worksheet S100001 line 2000 column 300 |
| Charity care, at cost | $2,571,163 | CMS-2552-10 worksheet S100001 line 2300 column 300 |
| Bad debt expense | $9,153,749 | CMS-2552-10 worksheet S100001 line 2600 column 100 |
| Bad debt other than Medicare, at cost | $2,736,513 | CMS-2552-10 worksheet S100001 line 2900 column 100 |
| Uncompensated care, at cost | $5,307,676 | 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 | 0.2957 | CMS-2552-10 worksheet S100001 line 100 column 100 |
| Allowable disproportionate share percentage | 0.0686 | CMS-2552-10 worksheet E00A18A line 3300 column 100 |
Cost report filed under CMS certification number 520088 for January 1, 2025 to December 31, 2025, as submitted. The public file it was read from.
Community benefit, as filed
From IRS Form 990 Schedule H, Part I, filed by AGNESIAN HEALTHCARE INC (employer identification number 390807236) 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) | $41,386,312 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance at cost (line 7a) | $4,390,412 | IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt> |
| Medicaid (line 7b) | $31,040,178 | IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance and means-tested government programs (line 7d) | $37,145,173 | IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt> |
| Other benefits (line 7j) | $4,241,139 | IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Total, fraction of total expense (line 7k, column f) | 0.0777 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct> |
E-file object id 202423209349310802. The IRS archive it was read from.
Executive and director compensation, as filed
From IRS Form 990 Part VII, Section A, filed by AGNESIAN HEALTHCARE INC (employer identification number 390807236) 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 |
|---|---|---|---|---|---|
| BRET PASIUK MD | DIRECTOR | Trustee/director | $0 | $0 | $0 |
| DOUG FOWNES MD | DIRECTOR | Trustee/director | $0 | $0 | $0 |
| DOUG LONG | SECRETARY, GENERAL COUNSEL AT SSM HEALTH | Officer | $0 | $1,425,239 | $777,013 |
| EMMER RHEA | DIRECTOR | Trustee/director | $0 | $0 | $0 |
| JEFFREY STRONG MD | DIRECTOR | Trustee/director | $0 | $0 | $0 |
| JENNIFER MASKEL MD | DIRECTOR | Trustee/director | $0 | $142,795 | $14,024 |
| JOAN KARSTEN | DIRECTOR | Trustee/director | $0 | $0 | $0 |
| KATHERINE VERGOS | PRESIDENT - ST. AGNES HOSPITAL | Officer | $674,601 | $0 | $242,929 |
| KATIE KENNEDY | DIRECTOR | Trustee/director | $0 | $0 | $0 |
| KRISTOF GEHRKE | PHYSICIAN | Highest-compensated employee | $659,537 | $0 | $58,792 |
| MARCIO SHIOKAWA | PHYSICIAN | Highest-compensated employee | $600,929 | $0 | $57,978 |
| MARK THOMPSON MD | DIRECTOR, REGIONAL CHIEF MEDICAL OFFICER | Trustee/director | $0 | $37,398 | $12,674 |
| MATT HANLEY | DIRECTOR, INTERIM REGIONAL PRES - SSM WI | Trustee/director | $0 | $974,654 | $0 |
| MATTHEW POGODZINSKI MD | DIRECTOR | Trustee/director | $0 | $0 | $0 |
| MICHAEL DREES | VP - OPERATIONS, FOND DU LAC CLINIC | Key employee | $363,052 | $0 | $62,834 |
| MICHAEL VANDER KOOY | RADIATION ONCOLOGIST | Highest-compensated employee | $661,704 | $0 | $67,567 |
| NANCY A BIRSCHBACH | FORMER KEY EMPLOYEE | Former | $0 | $458,076 | $177,602 |
| PAT LEITZEN FYE | DIRECTOR | Trustee/director | $0 | $0 | $0 |
| RANDY COMBS | TREASURER, CHIEF FINANCIAL OFFICER AT SSM HEALTH | Officer | $0 | $2,182,354 | $1,238,074 |
| SR DONNA INNES | DIRECTOR | Trustee/director | $0 | $0 | $0 |
| SR HERTHA LONGO | DIRECTOR | Trustee/director | $0 | $0 | $0 |
| SR SUSAN M STUCKI | DIRECTOR | Trustee/director | $0 | $0 | $0 |
| STEPHEN M PETERSON | DIRECTOR, VICE CHAIRPERSON | Trustee/director, Officer | $0 | $0 | $0 |
| STEVE SMOOT | VICE PRESIDENT, COO OF SSM HEALTH | Officer | $0 | $2,054,358 | $1,204,489 |
| STEVEN FLURRY | ANESTHESIOLOGIST | Highest-compensated employee | $633,603 | $0 | $61,405 |
| SUZANNE ANDERSON | DIRECTOR, REGIONAL PRESIDENT | Trustee/director, Officer | $0 | $1,428,914 | $540,322 |
| SYED MOHIUDDIN | DIRECTOR | Highest-compensated employee | $666,956 | $0 | $55,922 |
| TAMI SCHATTSCHNEIDER | VP - PATIENT CARE SERVICES, CNO | Key employee | $288,633 | $0 | $100,264 |
| TARA RHODES | VP - OPERATIONS, ST. AGNES HOSPITAL | Key employee | $252,246 | $0 | $92,166 |
| THEODORE MILLER MD | DIRECTOR | Trustee/director | $0 | $0 | $0 |
| THOMAS SCHUESSLER | DIRECTOR | Trustee/director | $0 | $0 | $0 |
| THOR H GILBERTSON | DIRECTOR, CHAIRPERSON | Trustee/director, Officer | $0 | $0 | $0 |
| WAYNE MATZKE | DIRECTOR | Trustee/director | $0 | $0 | $0 |
| WESLEY SPARKMAN | DIRECTOR | Trustee/director | $0 | $0 | $0 |
E-file object id 202423209349310802. The IRS archive it was read from.
The full report for SSM HEALTH ST AGNES HOSPITAL - FOND DU LAC
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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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: short-term acute care 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.
- 89thpercentile of 18 hospitals in WI, same facility class, 100 to 199 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.
- 78thpercentile of 18 hospitals in WI, same facility class, 100 to 199 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.
- 33rdpercentile of 15 hospitals in WI, same facility class, 100 to 199 bedsCharity care, at cost, in dollars, as filed
- 50thpercentile of 16 hospitals in WI, same facility class, 100 to 199 bedsUncompensated care, at cost, in dollars, as filed
- 28thpercentile of 18 hospitals in WI, same facility class, 100 to 199 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.
- 69thpercentile of 16 hospitals in WI, same facility class, 100 to 199 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
- FALSE
- Participation start date
- October 1, 2023
- Termination date
- July 1, 2026
- Termination reason
- DSH percentage below statutory minimum
- Certification date
- August 18, 2025
- Record last edited
- July 1, 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 →
Associated locations
| SSM Health Medication Purchasing | 2201 W Badger Rd | Madison WI 53713 |
| 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 Pharmacy | 904 W Main St | Waupun WI 53963 |
| SSM HEALTH ST AGNES HOSPITAL - FOND DU LAC | 430 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 |
Pharmacy contracts
No end date filed0
No arrangement with no end date filed matches that.
An end date is filed45
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.
| ACCREDO HEALTH GROUP INC | MEMPHIS, TN | January 1, 2024 | July 1, 2026 |
| ACCREDO HEALTH GROUP INC | TEMPE, AZ | January 1, 2024 | July 1, 2026 |
| ACCREDO HEALTH GROUP INC | WARRENDALE, PA | January 1, 2024 | July 1, 2026 |
| ACCREDO HEALTH GROUP, INC. | ORLANDO, FL | January 1, 2024 | July 1, 2026 |
| ACCREDO HEALTH GROUP, INC. | WHITESTOWN, IN | January 1, 2024 | July 1, 2026 |
| ACCREDO HEALTH GROUP, INC. | NEWARK, DE | January 1, 2024 | July 1, 2026 |
| ACCREDO HEALTH GROUP, INC. | INDIANAPOLIS, IN | January 1, 2024 | October 1, 2024 |
| AGNESIAN HEALTHCARE INC. | FOND DU LAC, WI | January 1, 2024 | January 1, 2025 |
| AGNESIAN HEALTHCARE INC. | WAUPUN, WI | January 1, 2024 | January 1, 2025 |
| AGNESIAN HEALTHCARE INC. | FOND DU LAC, WI | January 1, 2024 | January 1, 2025 |
| AGNESIAN HEALTHCARE INC. | FOND DU LAC, WI | January 1, 2024 | January 1, 2025 |
| AGNESIAN HEALTHCARE INC. | FOND DU LAC, WI | January 1, 2024 | January 1, 2025 |
| CAREMARK ILLINOIS SPECIALTY PHARMACY, LL | MOUNT PROSPECT, IL | April 1, 2025 | July 1, 2026 |
| CAREMARK KANSAS SPECIALTY PHARMACY | LENEXA, KS | April 1, 2025 | July 1, 2026 |
| CVS CAREMARK | WILKES BARRE, PA | January 1, 2024 | July 1, 2026 |
| CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC | MT PROSPECT, IL | January 1, 2024 | July 1, 2026 |
| ESI MAIL PHARMACY SERVICE | TEMPE, AZ | January 1, 2024 | July 1, 2026 |
| EXPRESS SCRIPTS | SAINT LOUIS, MO | January 1, 2024 | July 1, 2026 |
| EXPRESS SCRIPTS PHARMACY, INC. | BURLINGTON, NJ | January 1, 2024 | July 1, 2026 |
| EXPRESS SCRIPTS PHARMACY, INC. | WHITESTOWN, IN | January 1, 2024 | July 1, 2026 |
| MAH PHARMACY LLC | FAIRFIELD, OH | January 1, 2026 | July 1, 2026 |
| OPTUM PHARMACY 701, LLC | FLINT, MI | January 1, 2024 | July 1, 2026 |
| OPTUM PHARMACY 701, LLC | MESA, AZ | April 1, 2024 | July 1, 2026 |
| OPTUM PHARMACY 702, LLC | JEFFERSONVILLE, IN | October 1, 2023 | July 1, 2026 |
| OPTUM PHARMACY 705, LLC | BIRMINGHAM, AL | January 1, 2024 | July 1, 2026 |
| OPTUM PHARMACY 705, LLC | COLUMBUS, MS | January 1, 2024 | July 1, 2026 |
| OPTUM PHARMACY 707, INC | IRWINDALE, CA | January 1, 2025 | July 1, 2026 |
| OPTUMRX | OVERLAND PARK, KS | October 1, 2023 | July 1, 2026 |
| PROCARE PHARMACY DIRECT, L.L.C. | MONROEVILLE, PA | April 1, 2025 | July 1, 2026 |
| SSM HEALTH PHARMACY | MADISON, WI | January 1, 2024 | July 1, 2026 |
| SSM HEALTH PHARMACY | MARKESAN, WI | January 1, 2024 | September 14, 2024 |
| SSM HEALTH SPECIALTY PHARMACY | SAINT LOUIS, MO | January 1, 2024 | July 1, 2026 |
| Walgreen CO | Bolingbrook, IL | January 1, 2024 | July 1, 2026 |
| WALGREEN CO. | HARTFORD, WI | October 1, 2023 | July 1, 2026 |
| WALGREEN CO. | OSHKOSH, WI | October 1, 2023 | July 1, 2026 |
| WALGREEN CO. | WAUPUN, WI | October 1, 2023 | July 1, 2026 |
| WALGREEN CO. | FOND DU LAC, WI | October 1, 2023 | July 1, 2026 |
| WALGREEN CO. | BEAVER DAM, WI | October 1, 2023 | July 1, 2026 |
| WALGREEN CO. | CHILTON, WI | October 1, 2023 | July 1, 2026 |
| WALGREEN CO. | FOND DU LAC, WI | October 1, 2023 | July 1, 2026 |
| WALGREEN CO. | FOND DU LAC, WI | October 1, 2023 | July 1, 2026 |
| WALGREEN CO. | RIPON, WI | October 1, 2023 | July 1, 2026 |
| WALGREEN CO. | WAUWATOSA, WI | January 1, 2024 | July 1, 2026 |
| WALGREEN CO. | WEST BEND, WI | October 1, 2023 | July 1, 2026 |
| WISCONSIN CVS PHARMACY, L.L.C. | FOND DU LAC, WI | January 1, 2024 | July 1, 2026 |
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.