Velarion Records

27 locations registered under this record — data as of October 30, 2026

Disproportionate share hospital · GLASGOW, KY

TJ SAMSON COMMUNITY HOSPITAL

Taking partYesLast certifiedAugust 17, 2026

  • 27Registered locations
  • 6Associated locations
  • 49Contract pharmacies
  • 23With no end date
  • July 1, 2005In 340B since

Where this record sits: among the 35 Disproportionate share hospitals in Kentucky, the median open contract-pharmacy count is 42; this record’s open count ranks 23.

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.

FigureAs filedWhere it comes from
Total patient revenue$684,651,175CMS-2552-10 worksheet G300000 line 100 column 100
Contractual allowances$410,713,113CMS-2552-10 worksheet G300000 line 200 column 100
Net patient revenue$273,938,062CMS-2552-10 worksheet G300000 line 300 column 100
Total operating expenses$270,113,983CMS-2552-10 worksheet G300000 line 400 column 100
Income from service to patients$3,824,079CMS-2552-10 worksheet G300000 line 500 column 100
Charity care, at charges$3,589,910CMS-2552-10 worksheet S100001 line 2000 column 300
Charity care, at cost$1,217,060CMS-2552-10 worksheet S100001 line 2300 column 300
Bad debt expense$8,660,561CMS-2552-10 worksheet S100001 line 2600 column 100
Bad debt other than Medicare, at cost$2,940,166CMS-2552-10 worksheet S100001 line 2900 column 100
Uncompensated care, at cost$4,157,226CMS-2552-10 worksheet S100001 line 3000 column 100
Total facility beds83CMS-2552-10 worksheet S300001 line 1400 column 200
Cost-to-charge ratio0.3390CMS-2552-10 worksheet S100001 line 100 column 100
Allowable disproportionate share percentage0.1896CMS-2552-10 worksheet E00A18A line 3300 column 100

Cost report filed under CMS certification number 180017 for October 1, 2024 to September 30, 2025, as submitted. The public file it was read from.

Community benefit, as filed

Executive and director compensation, as filed

The full report for TJ SAMSON COMMUNITY HOSPITAL

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.

See a sample

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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.

  • 95thpercentile of 19 hospitals in KY, same facility class, 50 to 99 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)

This hospital$13,421,290$688,185,845

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.

  • 95thpercentile of 19 hospitals in KY, same facility class, 50 to 99 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)

This hospital$15,363,143$674,207,581

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.

  • 79thpercentile of 14 hospitals in KY, same facility class, 50 to 99 bedsCharity care, at cost, in dollars, as filed
  • 100thpercentile of 15 hospitals in KY, same facility class, 50 to 99 bedsUncompensated care, at cost, in dollars, as filed
  • 74thpercentile of 19 hospitals in KY, same facility class, 50 to 99 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)

This hospital18338

Middle half between 25 and 168, median 64, across 5,777 hospitals that filed for 2025, in every state and of every size.

  • 100thpercentile of 15 hospitals in KY, same facility class, 50 to 99 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)

This hospital0.12330.6732

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 Kentucky 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, 2005
Certification date
August 17, 2026
Record last edited
August 17, 2026

Identifiers

340B ID
DSH180017
Entity type as filed
DSH
CMS certification number
180017
NPI
1477609865 (KY), 1770581894 (KY)
Rural
Yes

1301 NORTH RACE STREET, GLASGOW KY 42141

Locations registered under this record

Browse all of them as a list →

DSH180017ACave City ClinicDSHCAVE CITY, KYNo
DSH180017AAT J Samson Specialty Services - Psychiatry Clinic - Psychiatry ClinicDSHGlasgow, KYYes
DSH180017ABENT CLINIC - ENTDSHGlasgow, KYYes
DSH180017ACT J SAMSON COMMUNITY HOSPITAL - Podiatry ClinicDSHGLASGOW, KYYes
DSH180017BPain Management ClinicDSHGLASGOW, KYYes
DSH180017CCardiology ClinicDSHGLASGOW, KYYes
DSH180017DTJHP Nephrology ClinicDSHGLASGOW, KYYes
DSH180017EUrology ClinicDSHGLASGOW, KYYes
DSH180017FPulmonary Critical CareDSHGLASGOW, KYYes
DSH180017GTJHP Primary Care ClinicDSHGLASGOW, KYYes
DSH180017HTJHP General SurgeryDSHGLASGOW, KYYes
DSH180017JWomen's HealthDSHGLASGOW, KYNo
DSH180017KOB/GYNDSHGLASGOW, KYYes
DSH180017LTJHP OncologyDSHGLASGOW, KYYes
DSH180017MClinic - Urgent CareDSHGLASGOW, KYYes
DSH180017NFamily Practice Clinic (Resident Clinic)DSHGLASGOW, KYYes
DSH180017PTJ HEALTH CAVE CITYDSHCAVE CITY, KYYes
DSH180017QTOMPKINSVILLE CLINIC - TOMPKINSVILLE CLINICDSHTompkinsville, KYNo
DSH180017RGI CLINIC - GI CLINICDSHGlasgow, KYYes
DSH180017SNEURO SURGERY - NEURO SURGERYDSHGlasgow, KYYes
DSH180017TRENAL DIALYSIS - RENAL DIALYSISDSHGLASGOW, KYNo
DSH180017URADIOLOGY-DIAGNOSTIC - RADIOLOGY-DIAGNOSTICDSHGLASGOW, KYYes
DSH180017VMAGNETIC RESONANCE IMAGING (MRI) - MAGNETIC RESONANCE IMAGING (MRI)DSHGLASGOW, KYYes
DSH180017WCT SCAN - CT SCANDSHGLASGOW, KYYes
DSH180017XINTRAVENOUS THERAPY - PAV IV THERAPYDSHGLASGOW, KYYes
DSH180017YT.J. SPECIALTY SERVICES - DERMATOLOGY CLINICDSHGlasgow, KYNo
DSH180017ZOrthopedic Clinic - OrthopedicsDSHGlasgow, KYYes

Associated locations

T.J. Pavilion Specialty Pharmacy312 N L Rogers Wells BlvdGlasgow KY 42141
TJ Pavilion Oncology Pharmacy310N L ROGERS WELLS BLVDGLASGOW KY 42141
TJ Pavilion Pharmacy310N L ROGERS WELLS BLVDGLASGOW KY 42141
TJ SAMSON COMMUNITY HOSPITAL1301 NORTH RACE STREETGLASGOW KY 42141
TJ Samson Community Hospital1301 NORTH RACE STREETGLASGOW KY 42141
TJ Samson Community Hospital Outpatient Pharmacy1301 NORTH RACE STREETGLASGOW KY 42141

Pharmacy contracts

No end date filed23

BIOPLUS SPECIALTY PHARMACY SERVICES, LLCALTAMONTE SPRINGS, FLJanuary 14, 2022no end date filed
CAREMARK ILLINOIS SPECIALTY PHARMACY, LLMOUNT PROSPECT, ILJanuary 14, 2022no end date filed
CAREMARK NEW JERSEY SPECIALTY PHCY, LLCFAIRFIELD, NJJanuary 14, 2022no end date filed
CAREMARK TENNESSEE SPECIALTY PHARMACY, LBARTLETT, TNJanuary 14, 2022no end date filed
CLARK DRUGSMUNFORDVILLE, KYJune 20, 2012no end date filed
CVS CAREMARKWILKES BARRE, PAJanuary 14, 2022no end date filed
CVS CAREMARK ADVANCED TECHNOLOGY PHARMACMT PROSPECT, ILJanuary 14, 2022no end date filed
ELY DRUGS INC. # 2GLASGOW, KYMay 5, 2020no end date filed
FLENER, INC.GLASGOW, KYJune 20, 2012no end date filed
GLASGOW PRESCRIPTION CENTERGLASGOW, KYMay 5, 2020no end date filed
PARK AVENUE PHARMACYGLASGOW, KYApril 1, 2020no end date filed
PARMET INCCAVE CITY, KYMay 7, 2012no end date filed
PARMET INCEDMONTON, KYJune 20, 2012no end date filed
PROCARE PHARMACY DIRECT, L.L.C.MONROEVILLE, PAJanuary 14, 2022no end date filed
RIVER MEDICAL PHARMACY LLCSAN ANTONIO, TXJanuary 14, 2022no end date filed
WAL-MART CENTRAL FILL 10-2670SPRING, TXApril 1, 2017no end date filed
WAL-MART PHARMACY 10-0711GLASGOW, KYApril 13, 2012no end date filed
WAL-MART PHARMACY 10-5997ORLANDO, FLApril 1, 2017no end date filed
WALGREEN CO.GLASGOW, KYOctober 1, 2013no end date filed
WALGREEN CO.MUNFORDVILLE, KYJanuary 24, 2018no end date filed
WALGREEN CO.SCOTTSVILLE, KYJuly 1, 2019no end date filed
WALGREEN CO.EDMONTON, KYJanuary 24, 2018no end date filed
Walgreens #21389Memphis, TNJuly 1, 2022no end date filed

An end date is filed26

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.

CAVE CITY PRESCRIPTION CENTER, INC.CAVE CITY, KYAugust 5, 2020May 15, 2025
FRED'S PHARMACY # 1964CAVE CITY, KYJuly 1, 2016February 8, 2017
FRED'S PHARMACY #1966MUNFORDVILLE, KYJuly 1, 2016January 10, 2019
GETWELL DRUG & DOLLAR #6028TOMPKINSVILLE, KYApril 1, 2018August 26, 2019
HARRISON PHARMACYTOMPKINSVILLE, KYJuly 1, 2017May 15, 2025
HIGHLAND PHARMACY INC.GLASGOW, KYMay 5, 2020September 30, 2026
KMART PHARMACYGLASGOW, KYApril 1, 2017May 1, 2017
LAKE CUMBERLAND PHARMACY, LLCRUSSELL SPRINGS, KYJanuary 1, 2017April 25, 2017
MEDICAL ARTS PHARMACYGLASGOW, KYApril 1, 2023September 30, 2026
MEDICAL ARTS PHARMACYGLASGOW, KYJuly 1, 2017February 1, 2022
OPTUM PHARMACY 702, LLCJEFFERSONVILLE, INApril 1, 2025September 30, 2026
OPTUM PHARMACY 705, LLCFRANKLIN, TNApril 1, 2025September 30, 2026
RITE AID OF KENTUCKY, INC.MUNFORDVILLE, KYJuly 1, 2017January 19, 2018
RITE AID OF KENTUCKY, INC.HORSE CAVE, KYJuly 1, 2014January 19, 2018
RITE AID OF KENTUCKY, INC.GLASGOW, KYJuly 1, 2014January 19, 2018
RITE AID OF KENTUCKY, INC.EDMONTON, KYJuly 1, 2014January 19, 2018
ST. MATTHEWS SPECIALTY PHARMACYLOUISVILLE, KYMay 5, 2020February 9, 2026
TOMPKINSVILLE DRUG COTOMPKINSVILLE, KYApril 1, 2018May 15, 2025
TOWN AND COUNTRY PHARMACY INCGLASGOW, KYOctober 1, 2019May 15, 2025
WAL-MART PHARMACY 10-2654TOMPKINSVILLE, KYJuly 1, 2017March 31, 2026
WALGREEN CO.LOUISVILLE, KYJanuary 1, 2019May 15, 2025
WALGREEN CO.HORSE CAVE, KYJanuary 24, 2018March 24, 2025
WALGREEN CO.NASHVILLE, TNJanuary 1, 2019January 14, 2022
WALGREEN CO.GLASGOW, KYJanuary 24, 2018August 28, 2018
WALGREENS SPECIALTY PHARMACY, LLCCANTON, MIApril 1, 2020January 14, 2022
WALMART PHARMACY #10-569COLUMBIA, KYJuly 1, 2016April 4, 2017

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
October 30, 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_20261030_103139.xlsx, stamped by its publisher October 30, 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_20261030_103139.xlsx, read October 30, 2026.

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