Sole community hospital · WI

SSM HEALTH ST AGNES HOSPITAL - FOND DU LAC

Name: 340B covered-entity record — SSM HEALTH ST AGNES HOSPITAL - FOND DU LAC (SCH520088-06)
Creator: Velarion Records
License: https://www.hrsa.gov/about/website-policies

A location registered under SSM HEALTH ST AGNES HOSPITAL - FOND DU LAC.

$398,269,815Net patient revenueWhat the hospital took in for treating patients, after discounts.

12.2%Left after the cost of careWhat was left after their care was paid for; below zero means it cost more than it brought in.

0.9%Charity careCare given free or discounted, as a share of what patients brought in.

1.7%Uncompensated careCharity care plus bills that went unpaid, on the same basis.

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.

0Registered locations
1Associated locations
0Contract pharmacies
0With no end date
1 October 2023In 340B since

Finances, as filed

This record is a location registered under SSM HEALTH ST AGNES HOSPITAL - FOND DU LAC, which files the Medicare cost report. The finances are on that record.

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.

Hospitals plotted above, with the figures at full precision
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.

Download this hospital’s data (CSV)

Cite this page

Velarion Records, “SSM HEALTH ST AGNES HOSPITAL - FOND DU LAC” (340B ID SCH520088-06), citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx. https://velarionrecords.com/340b/SCH520088-06

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: 29 August 2025
Record last edited: 1 July 2026

Identifiers

340B ID: SCH520088-06
Entity type as filed: SCH
CMS certification number: 520088
Rural: No

421 CAMELOT DR, FOND DU LAC WI 54935

Associated locations

Organization	Address	Where
SSM HEALTH ST AGNES HOSPITAL - FOND DU LAC	421 CAMELOT DR	FOND DU LAC WI 54935

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.