1 associated location — data as of November 11, 2026
Sole community hospital · Fond du Lac, WI
Agnesian Healthcare Inc-Surgery Clinic - Surgery
Filed under SSM HEALTH ST AGNES HOSPITAL - FOND DU LAC, which files the Medicare cost report for this system.
Taking partNoTermination date filedJuly 1, 2026
- 0Registered locations
- 1Associated locations
- 0Contract pharmacies
- 0With no end date
- October 1, 2025In 340B since
Across SSM HEALTH ST AGNES HOSPITAL - FOND DU LAC, 45 contract pharmacies are on file. This location is filed at 420 E Division St, Fond du Lac WI 54935.
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.
Community benefit, as filed
This record is a location registered under SSM HEALTH ST AGNES HOSPITAL - FOND DU LAC. Community benefit is on that record.
Executive and director compensation, as filed
This record is a location registered under SSM HEALTH ST AGNES HOSPITAL - FOND DU LAC. Executive and director compensation is on that record.
Changes recorded
Nothing on this record has moved since it was first read here on September 6, 2026.
Register detail and identifiers
Participation, as filed
- Participating
- FALSE
- Participation start date
- October 1, 2025
- Termination date
- July 1, 2026
- Termination reason
- DSH percentage below statutory minimum
- Record last edited
- July 1, 2026
Identifiers
- 340B ID
- SCH520088-25
- Entity type as filed
- SCH
- CMS certification number
- 520088
- Rural
- No
420 E Division St, Fond du Lac WI 54935
Associated locations
| Agnesian Healthcare Inc-Surgery Clinic - Surgery | 420 E Division St | 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_20261111_071012.xlsx, stamped by its publisher November 11, 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_20261111_071012.xlsx, read November 11, 2026.
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