Disproportionate share hospital · OH
GOOD SAMARITAN HOSPITAL
Taking partNoTermination date filed1 October 2018Last certified21 November 2017
- 15Registered locations
- 1Associated locations
- 0Contract pharmacies
- 0With no end date
- 1 October 2017In 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 23 July 2018 — a reporting period of 203 days, not a full year.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $678,475,304 | CMS-2552-10 worksheet G300000 line 100 column 100 |
| Contractual allowances | $532,477,448 | CMS-2552-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $145,997,856 | CMS-2552-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $172,964,022 | CMS-2552-10 worksheet G300000 line 400 column 100 |
| Income from service to patients | −$26,966,166 | CMS-2552-10 worksheet G300000 line 500 column 100 |
| Charity care, at charges | $26,803,188 | CMS-2552-10 worksheet S100000 line 2000 column 300 |
| Charity care, at cost | $14,706,492 | CMS-2552-10 worksheet S100000 line 2300 column 300 |
| Bad debt expense | $7,427,131 | CMS-2552-10 worksheet S100000 line 2600 column 100 |
| Bad debt other than Medicare, at cost | $1,735,177 | CMS-2552-10 worksheet S100000 line 2900 column 100 |
| Uncompensated care, at cost | $16,441,669 | CMS-2552-10 worksheet S100000 line 3000 column 100 |
| Total facility beds | 248 | CMS-2552-10 worksheet S300001 line 1400 column 200 |
| Cost-to-charge ratio | 0.2248 | CMS-2552-10 worksheet S100000 line 100 column 100 |
Cost report filed under CMS certification number 360052 for 1 January 2018 to 23 July 2018, reopened. The public file it was read from.
Every cost report on file
One row per filing, oldest first until you say otherwise. Every column orders both ways. Reporting periods differ between filings and the length of each is shown, because revenue over three months set beside revenue over twelve is a wrong number that looks right.
| Fiscal year ↑↓ | Period ended ↑↓ | Days ↑↓ | Form ↑↓ | Status ↑↓ | Beds ↑↓ | Net patient revenue ↑↓ | Total operating expenses ↑↓ | Income from service to patients ↑↓ | Charity care, at cost ↑↓ | Uncompensated care, at cost ↑↓ | Bad debt expense ↑↓ | Cost-to-charge ratio ↑↓ | Stamped by CMS |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1996 | 1996-12-31 | 153 | CMS-2552-96 | reopened | 448 | $121,222,753 | $85,811,381 | $35,411,372 | 2003-08-20 | ||||
| 1997 | 1997-12-31 | 364 | CMS-2552-96 | reopened | 448 | $171,463,493 | $173,692,042 | −$2,228,549 | 2007-03-09 | ||||
| 1998 | 1998-12-31 | 364 | CMS-2552-96 | reopened | 448 | $164,210,635 | $174,605,538 | −$10,394,903 | 2003-02-01 | ||||
| 1999 | 1999-12-31 | 364 | CMS-2552-96 | reopened | 448 | $169,719,360 | $179,093,461 | −$9,374,101 | 2004-08-24 | ||||
| 2000 | 2000-12-31 | 365 | CMS-2552-96 | reopened | 390 | $180,194,331 | $195,621,867 | −$15,427,536 | 2005-05-26 | ||||
| 2001 | 2001-12-31 | 364 | CMS-2552-96 | reopened | 385 | $203,347,690 | $227,580,217 | −$24,232,527 | 2007-07-27 | ||||
| 2002 | 2002-12-31 | 364 | CMS-2552-96 | settled with audit | 379 | $230,917,074 | $244,584,933 | −$13,667,859 | 2005-10-17 | ||||
| 2003 | 2003-12-31 | 364 | CMS-2552-96 | settled | 382 | $247,947,901 | $260,411,120 | −$12,463,219 | 2006-02-13 | ||||
| 2004 | 2004-12-31 | 365 | CMS-2552-96 | reopened | 372 | $257,188,088 | $278,110,169 | −$20,922,081 | 2025-06-18 | ||||
| 2005 | 2005-12-31 | 364 | CMS-2552-96 | reopened | 372 | $243,174,818 | $293,627,348 | −$50,452,530 | 2025-06-12 | ||||
| 2006 | 2006-12-31 | 364 | CMS-2552-96 | reopened | 361 | $273,054,238 | $310,831,181 | −$37,776,943 | 2025-05-29 | ||||
| 2007 | 2007-12-31 | 364 | CMS-2552-96 | reopened | 358 | $292,763,043 | $319,020,670 | −$26,257,627 | 2025-10-15 | ||||
| 2008 | 2008-12-31 | 365 | CMS-2552-96 | reopened | 368 | $256,494,778 | $364,463,479 | −$107,968,701 | 2025-06-18 | ||||
| 2009 | 2009-12-31 | 364 | CMS-2552-96 | reopened | 370 | $383,882,035 | $384,318,583 | −$436,548 | 2024-05-29 | ||||
| 2010 | 2010-12-31 | 364 | CMS-2552-96 | reopened | 364 | $356,236,594 | $354,250,843 | $1,985,751 | 2025-10-15 | ||||
| 2011 | 2011-12-31 | 364 | CMS-2552-10 | reopened | 391 | $379,813,823 | $364,784,558 | $15,029,265 | $27,426,614 | $29,855,882 | $14,412,503 | 0.1723 | 2024-05-29 |
| 2012 | 2012-12-31 | 365 | CMS-2552-10 | reopened | 363 | $346,155,947 | $360,061,677 | −$13,905,730 | $38,267,166 | $40,295,818 | $12,008,179 | 0.1809 | 2024-07-26 |
| 2013 | 2013-12-31 | 364 | CMS-2552-10 | reopened | 358 | $317,499,326 | $334,098,987 | −$16,599,661 | $29,850,674 | $31,188,230 | $8,434,558 | 0.1795 | 2025-10-10 |
| 2014 | 2014-12-31 | 364 | CMS-2552-10 | reopened | 329 | $308,995,507 | $328,356,269 | −$19,360,762 | $18,632,619 | $20,483,223 | $8,917,881 | 0.1796 | 2022-02-08 |
| 2015 | 2015-12-31 | 364 | CMS-2552-10 | reopened | 329 | $321,554,532 | $338,731,021 | −$17,176,489 | $4,905,802 | $6,406,881 | $7,308,716 | 0.1819 | 2022-10-17 |
| 2016 | 2016-12-31 | 365 | CMS-2552-10 | reopened | 329 | $333,959,891 | $355,100,688 | −$21,140,797 | $17,738,177 | $20,176,392 | $11,753,450 | 0.1919 | 2023-02-03 |
| 2017 | 2017-12-31 | 364 | CMS-2552-10 | reopened | 329 | $316,455,228 | $340,604,546 | −$24,149,318 | $19,459,454 | $22,537,997 | $15,098,299 | 0.1950 | 2023-02-03 |
| 2018 | 2018-07-23 | 203 | CMS-2552-10 | reopened | 248 | $145,997,856 | $172,964,022 | −$26,966,166 | $14,706,492 | $16,441,669 | $7,427,131 | 0.2248 | 2023-02-03 |
Changes recorded
Nothing on this record has moved since it was first read here on 6 September 2026.
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Cite this page
Velarion Records, “GOOD SAMARITAN HOSPITAL”, citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260909_071013.xlsx, stamped by its publisher 2026-09-09. https://velarionrecords.com/340b/DSH360052. Accessed 9 September 2026.
Register detail and identifiers
Participation, as filed
- Participating
- FALSE
- Participation start date
- 1 October 2017
- Termination date
- 1 October 2018
- Termination reason
- Site closure
- Certification date
- 21 November 2017
- Record last edited
- 1 October 2018
Identifiers
- 340B ID
- DSH360052
- Entity type as filed
- DSH
- CMS certification number
- 360052
- Rural
- No
2222 PHILADELPHIA DRIVE, DAYTON OH 45406
Locations registered under this record
Browse all of them as a list →
Associated locations
| GOOD SAMARITAN HOSPITAL | 2222 PHILADELPHIA DRIVE | DAYTON OH 45406 |
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260909_071013.xlsx, stamped by its publisher 9 September 2026. This record has been read here since 6 September 2026.
The full report for GOOD SAMARITAN 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.