Velarion Records

19 locations registered under this record — data as of October 29, 2026

Disproportionate share hospital · PORTLAND, OR

LEGACY GOOD SAMARITAN HOSPITAL

Taking partYesLast certifiedSeptember 2, 2026

  • 19Registered locations
  • 2Associated locations
  • 91Contract pharmacies
  • 81With no end date
  • October 1, 2016In 340B since

Where this record sits: among the 20 Disproportionate share hospitals in Oregon, the median open contract-pharmacy count is 31.5; this record’s open count ranks 4.

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 March 31, 2026.

FigureAs filedWhere it comes from
Total patient revenue$1,321,624,037CMS-2552-10 worksheet G300000 line 100 column 100
Contractual allowances$793,203,494CMS-2552-10 worksheet G300000 line 200 column 100
Net patient revenue$528,420,543CMS-2552-10 worksheet G300000 line 300 column 100
Total operating expenses$576,609,769CMS-2552-10 worksheet G300000 line 400 column 100
Income from service to patients−$48,189,226CMS-2552-10 worksheet G300000 line 500 column 100
Charity care, at charges$22,122,992CMS-2552-10 worksheet S100001 line 2000 column 300
Charity care, at cost$14,978,651CMS-2552-10 worksheet S100001 line 2300 column 300
Bad debt expense$9,644,147CMS-2552-10 worksheet S100001 line 2600 column 100
Bad debt other than Medicare, at cost$3,579,936CMS-2552-10 worksheet S100001 line 2900 column 100
Uncompensated care, at cost$18,558,587CMS-2552-10 worksheet S100001 line 3000 column 100
Total facility beds165CMS-2552-10 worksheet S300001 line 1400 column 200
Cost-to-charge ratio0.3727CMS-2552-10 worksheet S100001 line 100 column 100
Allowable disproportionate share percentage0.1994CMS-2552-10 worksheet E00A18A line 3300 column 100

Cost report filed under CMS certification number 380017 for April 1, 2025 to March 31, 2026, as submitted. The public file it was read from.

Community benefit, as filed

From IRS Form 990 Schedule H, Part I, filed by LEGACY GOOD SAMARITAN HOSPITAL AND (employer identification number 930386793) for tax year 2022. The return lists this hospital as its one hospital facility.

FigureAs filedWhere it comes from
Total community benefit expense (line 7k)$45,623,073IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt>
Financial assistance at cost (line 7a)$5,617,532IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt>
Medicaid (line 7b)$31,550,219IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt>
Financial assistance and means-tested government programs (line 7d)$37,505,006IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt>
Other benefits (line 7j)$8,118,067IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt>
Total, fraction of total expense (line 7k, column f)0.0949IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct>

E-file object id 202400469349303055. The IRS archive it was read from.

Executive and director compensation, as filed

From IRS Form 990 Part VII, Section A, filed by LEGACY GOOD SAMARITAN HOSPITAL AND (employer identification number 930386793) for tax year 2022. The return lists this hospital as its one hospital facility.

NameTitleRoleReportable comp, from this organizationReportable comp, from related organizationsOther compensation
ALEXANDER GLADNEYSecretaryTrustee/director, Officer$0$886,285$41,094
ANITA N IYENGERSR VP$0$676,998$8,702
ANNA LOOMISCFO & TREASURERTrustee/director, Officer$0$923,121$42,825
ANNE T GREERFORMER INT VP & SECRETARY$0$372,488−$4,366
ARISTOMENIS THANOS MDOPHTHALMOLOGIST$509,069$0$18,357
BISHOP DIANA AKIYAMABOARD DIRECTORTrustee/director$0$0$0
BISHOP LAURIE LARSON CAESARBOARD DIRECTORTrustee/director$0$0$0
BRONWYN J HOUSTONPRESIDENT INTERIM$547,170$39,593$40,787
BRYCE R HELGERSONFORMER SR. VP$0$937,453−$78,892
CHARLES WILHOITEChairmanTrustee/director, Officer$0$45,000$0
DANIEL M BISSELLVP CMO$371,123$0$30,090
DAVID RAMUSVICE CHAIRTrustee/director, Officer$0$35,000$0
DENISE D FALLFORMER PRESIDENT$689,427$0−$10,525
EDGAR NAVASBOARD DIRECTORTrustee/director$0$15,000$0
ERIC L JONES MDOPHTHALMOLOGIST$479,850$0−$30,482
GAYLE GOSCHIEBOARD DIRECTORTrustee/director$0$25,000$0
JACK A FRIEDMANBOARD DIRECTORTrustee/director$0$15,000$0
JEFFREY BARBERBOARD DIRECTORTrustee/director$0$15,000$0
JERRY D PETTYBOARD DIRECTORTrustee/director$0$15,000$0
JOHN J KENAGYSR VP$0$733,933$19,448
JONATHAN E AVERYFORMER HOSPITAL PRESIDENT$0$738,221$49,693
JONATHAN HILL MDBOARD DIRECTORTrustee/director$0$346,381$51,077
KATHRYN CORREIAPresident & CEOTrustee/director, Officer$0$2,141,270$44,353
KATHRYN S ROGERSVP CNO$320,050$0$43,821
KECIA M KELLY DNPSR VP$0$530,120$48,340
LESLIE ROOT MDBOARD DIRECTORTrustee/director$0$219,817$17,530
LISA J GORENSR VP$0$483,405$53,697
LISA WYNN FREEDMANBOARD DIRECTORTrustee/director$0$15,000$0
LYNN T GUSTBOARD DIRECTORTrustee/director$0$25,000$0
MAUREEN A BRADLEYSR VP$0$419,150−$5,345
MELINDA J MULLER MDSR VP$0$561,404$11,432
NANCY HORTONBOARD DIRECTORTrustee/director$0$20,000$0
NANCY R LOCKEBOARD DIRECTORTrustee/director$0$25,000$0
NASREEN ILIAS-KHAN MDBOARD DIRECTORTrustee/director$0$22,500$0
PATRICK REITENBOARD DIRECTORTrustee/director$0$15,000$0
SAMIR DESAI MDBOARD DIRECTORTrustee/director$0$15,000$0
SETH R PODOLSKYSR VP$0$1,360,271$31,960
SIRICHAI PASADHIKA MDOPHTHALMOLOGIST$804,414$0$35,667
SONJA O STEVESFORMER SR. VP$0$143,920−$65,916
TRENT S GREENSR VP$0$816,121$5,759
VALERIE J HALPIN MDMEDICAL DIRECTOR$542,451$0$14,505
VIKEN DOUZDJIAN MDMEDICAL DIRECTOR$618,848$0−$120,651

E-file object id 202400469349303055. The IRS archive it was read from.

The full report for LEGACY 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.

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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.

  • 100thpercentile of 14 hospitals in OR, same facility class, 100 to 199 bedsNet patient revenue, in dollars, as filed

Net patient revenue across every hospital that filed for 2026, 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$14,785,784$432,314,190

Middle half between $23,466,837 and $137,722,733, median $43,102,995, across 270 hospitals that filed for 2026, in every state and of every size.

  • 92ndpercentile of 13 hospitals in OR, same facility class, 100 to 199 bedsTotal operating expenses, in dollars, as filed

Total operating expenses across every hospital that filed for 2026, 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$14,688,841$333,041,548

Middle half between $21,989,913 and $120,074,080, median $38,600,761, across 270 hospitals that filed for 2026, in every state and of every size.

  • 92ndpercentile of 12 hospitals in OR, same facility class, 100 to 199 bedsCharity care, at cost, in dollars, as filed
  • 100thpercentile of 12 hospitals in OR, same facility class, 100 to 199 bedsUncompensated care, at cost, in dollars, as filed
  • 79thpercentile of 14 hospitals in OR, same facility class, 100 to 199 bedsTotal facility beds, a count of beds, as filed

Total facility beds across every hospital that filed for 2026, in every state and of every size, with this one marked.

Total facility beds (CMS-2552-10 worksheet S300001 line 1400 column 200)

This hospital20227

Middle half between 29 and 108, median 50, across 268 hospitals that filed for 2026, in every state and of every size.

  • 100thpercentile of 12 hospitals in OR, same facility class, 100 to 199 bedsCost-to-charge ratio, the ratio, as filed

Cost-to-charge ratio across every hospital that filed for 2026, 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 hospital0.07040.6219

Middle half between 0.1207 and 0.4450, median 0.2553, across 170 hospitals that filed for 2026, 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 Oregon 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
October 1, 2016
Certification date
September 2, 2026
Record last edited
September 2, 2026

Identifiers

340B ID
DSH380017
Entity type as filed
DSH
CMS certification number
380017
NPI
1780608216 (OR,WA)
Rural
No

1015 NW 22ND AVENUE, PORTLAND OR 97210

Locations registered under this record

Browse all of them as a list →

DSH380017ALegacy Good Samaritan Devers Eye Institute / Devers Eye Clinic 210-8800DSHPortland, ORYes
DSH380017BLegacy Good Samaritan Wound and Ostomy Services / Enterostomal Svcs 210-4624DSHPortland, ORYes
DSH380017CLegacy Medical Group Cornell / PRV Cornell 211-8460DSHBEAVERTON, ORYes
DSH380017DLegacy Good Samaritan Pain Management Center / Pain Mgmt Center 210-8840DSHPORTLAND, ORYes
DSH380017ELegacy Good Samaritan Weight and Diabetes Institute / Legacy Weight Mgmt Institute 210-8820DSHPORTLAND, ORYes
DSH380017FLegacy Good Samaritan Audiology & Vestibular Lab / Clinical Vestib Lab 210-5460DSHPortland, ORYes
DSH380017GLegacy Good Samaritan Physical Therapy & Rehabilitation / Rehab OP 210-5440DSHPortland, ORYes
DSH380017HLegacy Good Samaritan Diabetes Services / Diabetes Svcs 200-3787DSHPortland, ORNo
DSH380017JLegacy Good Samaritan Stress ManagementDSHPortland, ORNo
DSH380017KLegacy Good Samaritan Medication Management Services / Legacy Medication Mgmt Service 210-5260DSHPortland, ORYes
DSH380017LLegacy Good Samaritan General Surgery / General Surgery 200-3010DSHPortland, ORNo
DSH380017MLegacy Good Samaritan Radiation Oncology / Radiation Oncology 210-5620DSHPortland, ORYes
DSH380017NLegacy Good Samaritan Transplant Services / Transplant Program Kidney 210-4880DSHPortland, ORYes
DSH380017PLegacy Genetics Services / Cancer Program Admin 200-3540DSHPortland, ORNo
DSH380017QLegacy Emanuel Devers Eye Institute - Research / Devers Eye Clinic at EHHC 200-3902DSHPortland, ORNo
DSH380017RLegacy Good Samaritan Breast Health Center / Mammography Center 210-5042DSHPortland, ORYes
DSH380017SLegacy Devers Eye Institute Tualatin / Devers Eye Clinic Tualatin 210-8804DSHTualatin, ORYes
DSH380017TLegacy Good Samaritan BSMP Department / General Surgery 200-3010DSHPortland, ORNo
DSH380017ULegacy Health System Community Clinic / LHS Community Clinic 200-3787DSHPortland, ORNo

Associated locations

Apothecary at Good Samaritan1040 NW 22nd Avenue, Medical Office Building 2Portland OR 97210
LEGACY GOOD SAMARITAN HOSPITAL1015 NW 22ND AVENUEPORTLAND OR 97210

Pharmacy contracts

No end date filed81

ACCREDO HEALTH GROUP INCMEMPHIS, TNOctober 1, 2020no end date filed
ACCREDO HEALTH GROUP INCTEMPE, AZOctober 1, 2020no end date filed
ACCREDO HEALTH GROUP INCWARRENDALE, PAOctober 1, 2020no end date filed
ACCREDO HEALTH GROUP, INC.NEWARK, DEOctober 1, 2020no end date filed
ACCREDO HEALTH GROUP, INC.INDIANAPOLIS, INOctober 1, 2020no end date filed
ACCREDO HEALTH GROUP, INC.ORLANDO, FLOctober 1, 2020no end date filed
ADVANCED CARE SCRIPTS, INCORLANDO, FLJuly 1, 2020no end date filed
APOTHECARY AT SALMON CREEKVANCOUVER, WAJuly 1, 2019no end date filed
CAREMARK FLORIDA SPECIALTY PHARMACY LLCTAMPA, FLJanuary 1, 2022no end date filed
CAREMARK ILLINOIS SPECIALTY PHARMACY, LLMOUNT PROSPECT, ILJuly 1, 2020no end date filed
CAREMARK KANSAS SPECIALTY PHARMACYLENEXA, KSJanuary 1, 2022no end date filed
CAREMARK MASSACHUSETTS SPECIALTY PHARMACMILFORD, MAJanuary 1, 2022no end date filed
CAREMARK MICHIGAN SPECIALTY PHARMACY, LLTROY, MIJanuary 1, 2022no end date filed
CAREMARK NEW JERSEY SPECIALTY PHCY, LLCFAIRFIELD, NJJanuary 1, 2022no end date filed
CAREMARK NORTH CAROLINA SPECIALTY PHARMARALEIGH, NCJanuary 1, 2022no end date filed
CAREMARK TENNESSEE SPECIALTY PHARMACY, LBARTLETT, TNJanuary 1, 2022no end date filed
CAREMARK, L.L.C.REDLANDS, CAJanuary 1, 2018no end date filed
CAREMARK, L.L.C.LAS VEGAS, NVJanuary 1, 2022no end date filed
CVS CAREMARKWILKES BARRE, PAJanuary 1, 2021no end date filed
CVS CAREMARK ADVANCED TECHNOLOGY PHARMACMT PROSPECT, ILJanuary 1, 2021no end date filed
CVS/SPECIALTY OR CARELONRX SPECIALTY PHAFLOWER MOUND, TXJanuary 1, 2022no end date filed
ESI MAIL PHARMACY SERVICETEMPE, AZOctober 1, 2020no end date filed
EXPRESS SCRIPTSSAINT LOUIS, MOOctober 1, 2020no end date filed
EXPRESS SCRIPTS PHARMACY, INC.WHITESTOWN, INOctober 1, 2020no end date filed
EXPRESS SCRIPTS PHARMACY, INC.BURLINGTON, NJOctober 1, 2020no end date filed
FRED MEYERPORTLAND, ORJuly 1, 2020no end date filed
FRED MEYER INCPORTLAND, ORJuly 1, 2020no end date filed
FRED MEYER STORES INCPORTLAND, ORJuly 1, 2020no end date filed
FRED MEYER STORES INCSCAPPOOSE, ORJuly 1, 2020no end date filed
HEALTHY OPTIONS INCPORTLAND, ORJuly 1, 2020no end date filed
LEGACY MT. HOOD MEDICAL CENTER PHARMACYGRESHAM, ORApril 1, 2022no end date filed
OPTION CARE ENTERPRISES, INC.LOUISVILLE, KYApril 1, 2017no end date filed
OPTION CARE LEGACY HEALTH, LLCPORTLAND, ORApril 1, 2017no end date filed
OPTUM PHARMACY 701, LLCWOODINVILLE, WAApril 1, 2021no end date filed
OPTUM PHARMACY 702, LLCJEFFERSONVILLE, INJanuary 1, 2021no end date filed
OPTUM PHARMACY 704, INC.SAN ANTONIO, TXJanuary 1, 2021no end date filed
OPTUM PHARMACY 705, LLCCOLUMBUS, MSJanuary 1, 2021no end date filed
OPTUM PHARMACY 705, LLCBIRMINGHAM, ALJuly 1, 2024no end date filed
OPTUM PHARMACY 705, LLCFRANKLIN, TNJanuary 1, 2021no end date filed
OPTUM PHARMACY 707, INCIRWINDALE, CAJanuary 1, 2021no end date filed
OPTUMRXOVERLAND PARK, KSJuly 1, 2024no end date filed
OREGON CVS PHARMACY, L.L.C.HILLSBORO, ORJuly 1, 2020no end date filed
OREGON CVS PHARMACY, L.L.C.BEAVERTON, ORJuly 1, 2020no end date filed
OREGON CVS PHARMACY, L.L.C.BEAVERTON, ORJuly 1, 2020no end date filed
PROCARE PHARMACY DIRECT, L.L.C.MONROEVILLE, PAJuly 1, 2020no end date filed
PROCARE PHARMACY, L.L.C.BIRMINGHAM, ALJanuary 1, 2022no end date filed
PROCARE PHARMACY, L.L.C.COLUMBIA, SCJanuary 1, 2022no end date filed
PROCARE PHARMACY, L.L.C.PORTLAND, ORJanuary 1, 2018no end date filed
SILVERTON HEALTHWOODBURN, ORApril 1, 2022no end date filed
THE APOTHECARY EHHCPORTLAND, ORApril 1, 2022no end date filed
WALGREEN CO.PORTLAND, ORJuly 1, 2020no end date filed
WALGREEN CO.VANCOUVER, WAJuly 1, 2020no end date filed
WALGREEN CO.VANCOUVER, WAJuly 1, 2020no end date filed
WALGREEN CO.BEAVERTON, ORJuly 1, 2020no end date filed
WALGREEN CO.CORNELIUS, ORJuly 1, 2020no end date filed
WALGREEN CO.GRESHAM, ORJuly 1, 2020no end date filed
WALGREEN CO.HAPPY VALLEY, ORJuly 1, 2020no end date filed
WALGREEN CO.PORTLAND, ORJuly 1, 2020no end date filed
WALGREEN CO.PORTLAND, ORJuly 1, 2020no end date filed
WALGREEN CO.PORTLAND, ORJuly 1, 2020no end date filed
WALGREEN CO.PORTLAND, ORJuly 1, 2020no end date filed
WALGREEN CO.PORTLAND, ORJuly 1, 2020no end date filed
WALGREEN CO.PORTLAND, ORJuly 1, 2020no end date filed
WALGREEN CO.PORTLAND, ORJuly 1, 2020no end date filed
WALGREEN CO.PORTLAND, ORJuly 1, 2020no end date filed
WALGREEN CO.ALOHA, ORJuly 1, 2020no end date filed
WALGREEN CO.HILLSBORO, ORJuly 1, 2020no end date filed
WALGREEN CO.PORTLAND, ORJuly 1, 2020no end date filed
WALGREEN CO.BEAVERTON, ORJuly 1, 2020no end date filed
WALGREEN CO.HILLSBORO, ORJuly 1, 2020no end date filed
WALGREEN CO.LAKE OSWEGO, ORJuly 1, 2020no end date filed
WALGREEN CO.PORTLAND, ORJuly 1, 2020no end date filed
WALGREEN CO.PORTLAND, ORJuly 1, 2020no end date filed
WALGREEN CO.PORTLAND, ORJuly 1, 2020no end date filed
WALGREEN CO.SAINT HELENS, ORJuly 1, 2020no end date filed
WALGREEN CO.SHERWOOD, ORJuly 1, 2020no end date filed
WALGREEN CO.TIGARD, ORJuly 1, 2020no end date filed
WALGREEN CO.WILSONVILLE, ORJuly 1, 2020no end date filed
WALGREEN CO.BATTLE GROUND, WAJuly 1, 2020no end date filed
Walgreens Central Fill #21432Kent, WAJuly 1, 2026no end date filed
WALGREENS SPECIALTY PHARMACY, LLCFRISCO, TXJanuary 1, 2022no end date filed

An end date is filed10

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.

CORAM ALTERNATE SITE SERVICES, INC.PORTLAND, ORJanuary 1, 2018January 24, 2025
OPTUM PHARMACY 705, LLCLENEXA, KSJanuary 1, 2021April 15, 2024
OPTUM PHARMACY 801, INC.PHOENIX, AZJanuary 1, 2021April 20, 2026
OPTUM PHARMACY 806, INC.SACRAMENTO, CAJanuary 1, 2021April 15, 2024
PROCARE PHARMACY, L.L.C.PORTLAND, ORJuly 1, 2020September 17, 2021
SAFEWAY INCPORTLAND, ORJuly 1, 2023August 17, 2024
SAFEWAY INCPORTLAND, ORJuly 1, 2023August 17, 2024
WALGREEN CO.PORTLAND, ORJuly 1, 2020November 13, 2025
WALGREEN CO.HILLSBORO, ORJuly 1, 2020May 23, 2023
WALGREENS SPECIALTY PHARMACY, LLCBEAVERTON, ORJuly 1, 2020October 1, 2021

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 29, 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_20261029_071057.xlsx, stamped by its publisher October 29, 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_20261029_071057.xlsx, read October 29, 2026.

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