Rural referral center · IL
SSM HEALTH GOOD SAMARITAN HOSPITAL
$244,735,208Net patient revenueWhat the hospital took in for treating patients, after discounts.
10.2%Left after the cost of careWhat was left after their care was paid for; below zero means it cost more than it brought in.
1.7%Charity careCare given free or discounted, as a share of what patients brought in.
2.7%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.
- 36Registered locations
- 5Associated locations
- 233Contract pharmacies
- 0With no end date
- 1 July 2025In 340B since
Finances, as filed
From this hospital’s Medicare cost report for the year ended 31 December 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $244,735,208 | CMS-2552-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $219,838,163 | CMS-2552-10 worksheet G300000 line 400 column 100 |
| Income from service to patients | $24,897,045 | CMS-2552-10 worksheet G300000 line 500 column 100 |
| Charity care, at charges | $14,124,237 | CMS-2552-10 worksheet S100001 line 2000 column 300 |
| Charity care, at cost | $4,107,188 | CMS-2552-10 worksheet S100001 line 2300 column 300 |
| Bad debt expense | $9,473,515 | CMS-2552-10 worksheet S100001 line 2600 column 100 |
| Uncompensated care, at cost | $6,578,719 | CMS-2552-10 worksheet S100001 line 3000 column 100 |
| Total facility beds | 111 | CMS-2552-10 worksheet S300001 line 1400 column 200 |
| Cost-to-charge ratio | 0.2456 | CMS-2552-10 worksheet S100001 line 100 column 100 |
Cost report filed under CMS certification number 140046 for 1 January 2024 to 31 December 2024, as submitted. The public file it was read from.
Among hospitals of the same type in Illinois
Every rural referral center in Illinois that files a Medicare cost report carrying both figures — 5 hospitals, each at its own reporting year. Across the bottom: how much of what the hospital took in from patients went to charity care. Up the side: what it had left after the cost of serving them. Both come straight from the filings.
Identity never rests on color: this hospital is labelled on the plot and marked in the table. Hover a dot for the hospital’s name.
| Hospital | Where | Charity care, share of patient revenue | Left after the cost of care | Year ended |
|---|---|---|---|---|
| CGH MEDICAL CENTER | STERLING, IL | 1.8% | -1.0% | 2025-04-30 |
| Decatur Memorial Hospital | Decatur, IL | 1.0% | -15.8% | 2024-09-30 |
| FREEPORT MEMORIAL HOSPITAL | FREEPORT, IL | 0.2% | 6.2% | 2024-12-31 |
| NORTHWESTERN MEMORIAL HOSPITAL | CHICAGO, IL | 1.7% | -19.8% | 2025-08-31 |
| ST. MARY'S HOSPITAL, CENTRALIA, ILLINOIS | CENTRALIA, IL | 1.6% | 27.8% | 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.
Cite this page
Velarion Records, “SSM HEALTH GOOD SAMARITAN HOSPITAL” (340B ID RRC140046-00), citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx. https://velarionrecords.com/340b/RRC140046-00
Register detail and identifiers
Participation, as filed
- Participating
- TRUE
- Participation start date
- 1 July 2025
- Termination date
- 1 October 2026
- Termination reason
- Change of covered entity type
- Certification date
- 18 August 2025
- Record last edited
- 30 July 2026
Identifiers
- 340B ID
- RRC140046-00
- Entity type as filed
- RRC
- CMS certification number
- 140046
- NPI
- 1043270424 (IL), 1316282163 (IL), 1487758801 (IL), 1609897339 (IL)
- Rural
- Yes
1 GOOD SAMARITAN WAY, MT. VERNON IL 62864
Locations registered under this record
Browse all of them as a list →
| 340B ID | Name | Type | Where | Participating |
|---|---|---|---|---|
| RRC140046-01 | Good Samaritan Neurology | RRC | Mt. Vernon, IL | FALSE |
| RRC140046-02 | CardioPulmonary Rehab / Electrocardiology | RRC | Mt. Vernon, IL | FALSE |
| RRC140046-03 | Speech Therapy | RRC | Mt. Vernon, IL | FALSE |
| RRC140046-04 | Occupational Therapy | RRC | Mt. Vernon, IL | FALSE |
| RRC140046-05 | Physical Therapy | RRC | Mt Vernon, IL | FALSE |
| RRC140046-06 | SMGS - Wound Healing Center | RRC | Mt Vernon, IL | TRUE |
| RRC140046-07 | Laboratory | RRC | Mt. Vernon, IL | FALSE |
| RRC140046-08 | Diagnostics MRI | RRC | Mt. Vernon, IL | FALSE |
| RRC140046-09 | Offsite Imaging / Diagnostics | RRC | Benton, IL | FALSE |
| RRC140046-10 | Mammography | RRC | Mt. Vernon, IL | FALSE |
| RRC140046-11 | SMGS - Nephrology | RRC | Mt Vernon, IL | TRUE |
| RRC140046-12 | SMGS Mt Vernon ENT | RRC | Mt Vernon, IL | FALSE |
| RRC140046-13 | SMGS - GI | RRC | Mt Vernon, IL | TRUE |
| RRC140046-14 | SMGS - Heart and Vascular | RRC | Mt Vernon, IL | TRUE |
| RRC140046-15 | SMGS Mt Vernon Pediatrics | RRC | Mt Vernon, IL | FALSE |
| RRC140046-16 | SMGS Mt Vernon Primary Care | RRC | Mt Vernon, IL | FALSE |
| RRC140046-17 | SMGS - Oncology | RRC | Mount Vernon, IL | TRUE |
| RRC140046-18 | SMGS - Oncology Infusion | RRC | Mount Vernon, IL | TRUE |
| RRC140046-19 | SMGS - Pulmonary Care | RRC | Mount Vernon, IL | TRUE |
| RRC140046-20 | SMGS - Endocrinology 2GS | RRC | Mount Vernon, IL | TRUE |
| RRC140046-21 | SMGS - Weight Management | RRC | Mt. Vernon, IL | TRUE |
| RRC140046-22 | SMGS Geriatrics - Geriatrics | RRC | Mount Vernon, IL | FALSE |
| RRC140046-23 | SMGS Palliative Care - Palliative Care | RRC | Mount Vernon, IL | FALSE |
| RRC140046-24 | SMGS - Medical Plaza Vascular Surgery | RRC | Mount Vernon, IL | TRUE |
| RRC140046-25 | SMGS - Physical Medicine and Rehab | RRC | MOUNT VERNON, IL | FALSE |
| RRC140046-26 | SMGS - Medical Plaza Urology [CC - 746000] | RRC | Mount Vernon, IL | FALSE |
| RRC140046-27 | SMGS - Infectious Disease | RRC | MOUNT VERNON, IL | FALSE |
| RRC140046-28 | SMGS - Endocrinology 5GS | RRC | MOUNT VERNON, IL | FALSE |
| RRC140046-29 | SMGS - General Surgery | RRC | Mount Vernon, IL | TRUE |
| RRC140046-30 | SMGS - Medical Plaza Urology [CC - 746100] | RRC | Mount Vernon, IL | TRUE |
| RRC140046-31 | SMGS - Medical Plaza Podiatry | RRC | Mount Vernon, IL | TRUE |
| RRC140046-32 | SMGS - Rheumatology | RRC | MOUNT VERNON, IL | FALSE |
| RRC140046-34 | Behavioral Health Clinic - MV Behavioral Health | RRC | Mt. Vernon, IL | TRUE |
| RRC140046-35 | Good Samaritan Infusion Centralia- Infusion - Centralia Infusion | RRC | Centralia, IL | TRUE |
| RRC140046-36 | SSM Health Medical Group - Surgery | RRC | Mount Vernon, IL | TRUE |
| RRC140046-37 | SSM Health Medical Group-Neurology - Neurology | RRC | Mount Vernon, IL | TRUE |
Associated locations
| Organization | Address | Where |
|---|---|---|
| SSM HEALTH GOOD SAMARITAN HOSPITAL | 1 GOOD SAMARITAN WAY | MT. VERNON IL 62864 |
| Centralia Infusion Pharmacy | 1052 Martin Luther King Jr Dr | Centralia IL 62801 |
| Good Samaritan Plaza Pharmacy | 2 Good Samaritan Way, suite 120 | Mt. Vernon IL 62864 |
| Good Samaritan Regional Health CTR | 1 Good Samaritan Way | Mt. Vernon IL 62864 |
| SSM Health Medication Purchasing | 2201 W Badger Rd | Madison WI 53713 |
Pharmacy contracts
| Pharmacy | Where | Begins | Ends |
|---|---|---|---|
| ACCREDO HEALTH GROUP INC | WARRENDALE, PA | 1 July 2025 | 1 October 2026 |
| ACCREDO HEALTH GROUP INC | MEMPHIS, TN | 1 July 2025 | 1 October 2026 |
| ACCREDO HEALTH GROUP INC | TEMPE, AZ | 1 July 2025 | 1 October 2026 |
| ACCREDO HEALTH GROUP, INC. | NEWARK, DE | 1 July 2025 | 1 October 2026 |
| ACCREDO HEALTH GROUP, INC. | WHITESTOWN, IN | 1 July 2025 | 1 October 2026 |
| ACCREDO HEALTH GROUP, INC. | ORLANDO, FL | 1 July 2025 | 1 October 2026 |
| BOND DRUG COMPANY OF ILLINOIS, L.L.C. | MOUNT VERNON, IL | 1 July 2025 | 1 October 2026 |
| CAREMARK FLORIDA SPECIALTY PHARMACY LLC | TAMPA, FL | 1 July 2025 | 1 October 2026 |
| CAREMARK ILLINOIS SPECIALTY PHARMACY, LL | MOUNT PROSPECT, IL | 1 July 2025 | 1 October 2026 |
| CAREMARK KANSAS SPECIALTY PHARMACY | LENEXA, KS | 1 July 2025 | 1 October 2026 |
| CAREMARK MASSACHUSETTS SPECIALTY PHARMAC | MILFORD, MA | 1 July 2025 | 1 October 2026 |
| CAREMARK MICHIGAN SPECIALTY PHARMACY, LL | TROY, MI | 1 July 2025 | 1 October 2026 |
| CAREMARK NEW JERSEY SPECIALTY PHCY, LLC | FAIRFIELD, NJ | 1 July 2025 | 1 October 2026 |
| CAREMARK NORTH CAROLINA SPECIALTY PHARMA | RALEIGH, NC | 1 July 2025 | 1 October 2026 |
| CAREMARK TENNESSEE SPECIALTY PHARMACY, L | BARTLETT, TN | 1 July 2025 | 1 October 2026 |
| CAREMARK, L.L.C. | REDLANDS, CA | 1 July 2025 | 1 October 2026 |
| CVS CAREMARK | WILKES BARRE, PA | 1 July 2025 | 1 October 2026 |
| CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC | MT PROSPECT, IL | 1 July 2025 | 1 October 2026 |
| HIGHLAND PARK CVS, L.L.C. | MOUNT VERNON, IL | 1 July 2025 | 1 October 2026 |
| HIGHLAND PARK CVS, L.L.C. | BENTON, IL | 1 July 2025 | 1 October 2026 |
| HIGHLAND PARK CVS, L.L.C. | CARMI, IL | 1 July 2025 | 1 October 2026 |
| HIGHLAND PARK CVS, L.L.C. | CENTRALIA, IL | 1 July 2025 | 1 October 2026 |
| HIGHLAND PARK CVS, L.L.C. | WEST FRANKFORT, IL | 1 July 2025 | 1 October 2026 |
| HIGHLAND PARK CVS, L.L.C. | CENTRALIA, IL | 1 July 2025 | 1 October 2026 |
| HIGHLAND PARK CVS, L.L.C. | FAIRFIELD, IL | 1 July 2025 | 1 October 2026 |
| HIGHLAND PARK CVS, L.L.C. | SALEM, IL | 1 July 2025 | 1 October 2026 |
| HIGHLAND PARK CVS, L.L.C. | FLORA, IL | 1 July 2025 | 1 October 2026 |
| OPTUM PHARMACY 700, LLC | OVIEDO, FL | 1 July 2025 | 1 October 2026 |
| OPTUM PHARMACY 701, LLC | MESA, AZ | 1 July 2025 | 1 October 2026 |
| OPTUM PHARMACY 701, LLC | CHARLOTTE, NC | 1 July 2025 | 1 October 2026 |
| OPTUM PHARMACY 701, LLC | WOODINVILLE, WA | 1 July 2025 | 1 October 2026 |
| OPTUM PHARMACY 702, LLC | JEFFERSONVILLE, IN | 1 July 2025 | 1 October 2026 |
| OPTUM PHARMACY 705, LLC | FRANKLIN, TN | 1 July 2025 | 1 October 2026 |
| OPTUM PHARMACY 705, LLC | BIRMINGHAM, AL | 1 July 2025 | 1 October 2026 |
| OPTUM PHARMACY 707, INC | IRWINDALE, CA | 1 July 2025 | 1 October 2026 |
| OPTUMRX | OVERLAND PARK, KS | 1 July 2025 | 1 October 2026 |
| PROCARE PHARMACY DIRECT, L.L.C. | MONROEVILLE, PA | 1 July 2025 | 1 October 2026 |
| SSM HEALTH SPECIALTY PHARMACY | SAINT LOUIS, MO | 1 July 2025 | 1 October 2026 |
| WAL-MART CENTRAL FILL 10-2670 | SPRING, TX | 1 July 2025 | 1 October 2026 |
| WAL-MART PHARMACY 10-0224 | MOUNT VERNON, IL | 1 July 2025 | 1 October 2026 |
| WAL-MART PHARMACY 10-1395 | CENTRALIA, IL | 1 July 2025 | 1 October 2026 |
| WAL-MART PHARMACY 10-5997 | ORLANDO, FL | 1 July 2025 | 1 October 2026 |
| WALGREEN CO. | SAINT LOUIS, MO | 1 July 2025 | 1 October 2026 |
| WALGREEN CO. | CENTRALIA, IL | 1 July 2025 | 1 October 2026 |
| WALGREEN CO. | SAINT LOUIS, MO | 1 July 2025 | 1 October 2026 |
| Walgreens Central Fill #21394 | Liberty, MO | 1 July 2025 | 1 October 2026 |
| WALMART PHARMACY 10-5169 | ROGERS, AR | 1 July 2025 | 1 October 2026 |
| Walmart Pharmacy 10-7611 | Plainfield, IN | 1 July 2025 | 1 October 2026 |
| GENOA HEALTHCARE LLC | LAWRENCEVILLE, GA | 1 July 2025 | 1 July 2026 |
| GENOA HEALTHCARE LLC | SAINT CHARLES, MO | 1 July 2025 | 1 July 2026 |
| GENOA HEALTHCARE LLC | WENTZVILLE, MO | 1 July 2025 | 1 July 2026 |
| GENOA HEALTHCARE LLC | WARRENTON, MO | 1 July 2025 | 1 July 2026 |
| OPTUM FRONTIER THERAPIES II, LLC | LAS VEGAS, NV | 1 July 2025 | 1 July 2026 |
| OPTUM FRONTIER THERAPIES, LLC | FLINT, MI | 1 July 2025 | 1 July 2026 |
| OPTUM INFUSION SERVICES 103, LLC | COLUMBIA, MD | 1 July 2025 | 1 July 2026 |
| OPTUM INFUSION SERVICES 302, LLC | LA VISTA, NE | 1 July 2025 | 1 July 2026 |
| OPTUM INFUSION SERVICES 305, LLC | PLYMOUTH MEETING, PA | 1 July 2025 | 1 July 2026 |
| OPTUM INFUSION SERVICES 305, LLC | LENEXA, KS | 1 July 2025 | 1 July 2026 |
| OPTUM INFUSION SERVICES 500, INC. | ROSEVILLE, MN | 1 July 2025 | 1 July 2026 |
| OPTUM INFUSION SERVICES 501, INC. | SAINT LOUIS, MO | 1 July 2025 | 1 July 2026 |
| OPTUM INFUSION SERVICES 550, LLC | CARLSBAD, CA | 1 July 2025 | 1 July 2026 |
| OPTUM INFUSION SERVICES 550, LLC | CINCINNATI, OH | 1 July 2025 | 1 July 2026 |
| OPTUM INFUSION SERVICES 550, LLC | URBANDALE, IA | 1 July 2025 | 1 July 2026 |
| OPTUM INFUSION SERVICES 553, LLC | RALEIGH, NC | 1 July 2025 | 1 July 2026 |
| OPTUM PHARMACY 701, LLC | FLINT, MI | 1 July 2025 | 1 July 2026 |
| OPTUM PHARMACY 705, LLC | COLUMBUS, MS | 1 July 2025 | 1 July 2026 |
| OPTUM PHARMACY 706, INC. | LONG ISLAND CITY, NY | 1 July 2025 | 1 July 2026 |
| OPTUM PHARMACY 801, INC. | PHOENIX, AZ | 1 July 2025 | 1 July 2026 |
| SSM HEALTH PHARMACY | MADISON, WI | 1 July 2025 | 1 July 2026 |
| OPTION CARE ENTERPRISES, INC. | LOUISVILLE, KY | 1 July 2025 | 2 June 2026 |
| OPTION CARE ENTERPRISES, INC. | ITASCA, IL | 1 July 2025 | 2 June 2026 |
| OPTION CARE ENTERPRISES, INC. | FENTON, MO | 1 July 2025 | 2 June 2026 |
| WAL-MART PHARMACY 10-0196 | CARBONDALE, IL | 1 July 2025 | 1 June 2026 |
| WAL-MART PHARMACY 10-0198 | SALEM, IL | 1 July 2025 | 1 June 2026 |
| WAL-MART PHARMACY 10-0201 | BELLEVILLE, IL | 1 July 2025 | 1 June 2026 |
| WAL-MART PHARMACY 10-0216 | MARION, IL | 1 July 2025 | 1 June 2026 |
| WAL-MART PHARMACY 10-0222 | SPARTA, IL | 1 July 2025 | 1 June 2026 |
| WAL-MART PHARMACY 10-0237 | HARRISBURG, IL | 1 July 2025 | 1 June 2026 |
| WAL-MART PHARMACY 10-0252 | DU QUOIN, IL | 1 July 2025 | 1 June 2026 |
| WAL-MART PHARMACY 10-0262 | BENTON, IL | 1 July 2025 | 1 June 2026 |
| WAL-MART PHARMACY 10-0302 | MURPHYSBORO, IL | 1 July 2025 | 1 June 2026 |
| WAL-MART PHARMACY 10-0317 | VANDALIA, IL | 1 July 2025 | 1 June 2026 |
| WAL-MART PHARMACY 10-0435 | HIGHLAND, IL | 1 July 2025 | 1 June 2026 |
| WAL-MART PHARMACY 10-0436 | CARLYLE, IL | 1 July 2025 | 1 June 2026 |
| WAL-MART PHARMACY 10-0454 | FAIRFIELD, IL | 1 July 2025 | 1 June 2026 |
| WAL-MART PHARMACY 10-0506 | FLORA, IL | 1 July 2025 | 1 June 2026 |
| WAL-MART PHARMACY 10-0596 | HERRIN, IL | 1 July 2025 | 1 June 2026 |
| WAL-MART PHARMACY 10-0833 | CARMI, IL | 1 July 2025 | 1 June 2026 |
| WAL-MART PHARMACY 10-0936 | EFFINGHAM, IL | 1 July 2025 | 1 June 2026 |
| WAL-MART PHARMACY 10-1418 | O'FALLON, IL | 1 July 2025 | 1 June 2026 |
| WAL-MART PHARMACY 10-5315 | ORLANDO, FL | 1 July 2025 | 1 June 2026 |
| SENDERRA RX PHARMACY | PLANO, TX | 1 July 2025 | 1 May 2026 |
| KENTUCKY CENTRAL FILL FACILITY, L-010 | LOUISVILLE, KY | 1 July 2025 | 13 April 2026 |
| Kroger Pharmacy | Jeffersonville, IN | 1 July 2025 | 13 April 2026 |
| THE KROGER CO | MOUNT VERNON, IL | 1 July 2025 | 13 April 2026 |
| BIOPLUS SPECIALTY PHARMACY SERVICES, LLC | DURHAM, NC | 1 July 2025 | 10 April 2026 |
| BIOPLUS SPECIALTY PHARMACY SERVICES, LLC | INDIANAPOLIS, IN | 1 July 2025 | 10 April 2026 |
| BIOPLUS SPECIALTY PHARMACY SERVICES, LLC | ALTAMONTE SPRINGS, FL | 1 July 2025 | 10 April 2026 |
| BIOPLUS SPECIALTY PHARMACY SERVICES, LLC | CHANDLER, AZ | 1 July 2025 | 10 April 2026 |
| BIOSCRIP INFUSION SERVICES, LLC PHARMACY | FLORHAM PARK, NJ | 1 July 2025 | 10 April 2026 |
| MAH PHARMACY LLC | FAIRFIELD, OH | 1 January 2026 | 1 April 2026 |
| BANDY'S APOTHECARY SHOPS INC | IRVINGTON, IL | 1 July 2025 | 27 March 2026 |
| BANDY'S APOTHECARY SHOPS INC. | WAYNE CITY, IL | 1 July 2025 | 27 March 2026 |
| BANDY'S LTC LLC | SALEM, IL | 1 July 2025 | 27 March 2026 |
| BANDY'S PHARMACY II | CENTRALIA, IL | 1 July 2025 | 27 March 2026 |
| BANDY'S PHARMACY INC | SALEM, IL | 1 July 2025 | 27 March 2026 |
| BYRD-WATSON TIMES SQUARE DRUG | MOUNT VERNON, IL | 1 July 2025 | 27 March 2026 |
| BIOLOGICS | CARY, NC | 1 July 2025 | 15 October 2025 |
| GOOD HEALTH INC | SAINT LOUIS, MO | 1 July 2025 | 15 October 2025 |
| PREMIER PHARMACY SERVICES | BALDWIN PARK, CA | 1 July 2025 | 15 October 2025 |
| ACCREDO HEALTH GROUP INC | WARRENDALE, PA | 1 April 2017 | 1 July 2023 |
| ACCREDO HEALTH GROUP INC | MEMPHIS, TN | 1 April 2017 | 1 July 2023 |
| ACCREDO HEALTH GROUP INC | TEMPE, AZ | 1 July 2017 | 1 July 2023 |
| ACCREDO HEALTH GROUP, INC. | WHITESTOWN, IN | 17 March 2022 | 1 July 2023 |
| ACCREDO HEALTH GROUP, INC. | ORLANDO, FL | 1 April 2017 | 1 July 2023 |
| ACCREDO HEALTH GROUP, INC. | NEWARK, DE | 1 April 2017 | 1 July 2023 |
| ACCREDO HEALTH GROUP, INC. | INDIANAPOLIS, IN | 1 April 2017 | 1 July 2023 |
| BANDY'S APOTHECARY SHOPS INC | IRVINGTON, IL | 1 October 2019 | 1 July 2023 |
| BANDY'S APOTHECARY SHOPS INC. | WAYNE CITY, IL | 18 May 2020 | 1 July 2023 |
| BANDY'S LTC LLC | SALEM, IL | 1 January 2022 | 1 July 2023 |
| BANDY'S PHARMACY II | CENTRALIA, IL | 1 October 2019 | 1 July 2023 |
| BANDY'S PHARMACY INC | SALEM, IL | 1 October 2019 | 1 July 2023 |
| BIOLOGICS | CARY, NC | 18 May 2020 | 1 July 2023 |
| BIOPLUS SPECIALTY PHARMACY LA, LLC | HARVEY, LA | 1 October 2020 | 1 July 2023 |
| BIOPLUS SPECIALTY PHARMACY SERVICES, LLC | ALTAMONTE SPRINGS, FL | 1 July 2023 | 1 July 2023 |
| BIOPLUS SPECIALTY PHARMACY SERVICES, LLC | DURHAM, NC | 1 July 2023 | 1 July 2023 |
| BIOPLUS SPECIALTY PHARMACY SERVICES, LLC | IRVINE, CA | 1 July 2023 | 1 July 2023 |
| BIOPLUS SPECIALTY PHARMACY, INC | LAKE MARY, FL | 1 October 2020 | 1 July 2023 |
| BIOSCRIP INFUSION SERVICES, LLC PHARMACY | FLORHAM PARK, NJ | 1 October 2020 | 1 July 2023 |
| BOND DRUG COMPANY OF ILLINOIS, L.L.C. | MOUNT VERNON, IL | 1 January 2016 | 1 July 2023 |
| BYRD-WATSON TIMES SQUARE DRUG | MOUNT VERNON, IL | 1 October 2022 | 1 July 2023 |
| CAREMARK FLORIDA SPECIALTY PHARMACY LLC | TAMPA, FL | 1 July 2017 | 1 July 2023 |
| CAREMARK ILLINOIS SPECIALTY PHARMACY, LL | MOUNT PROSPECT, IL | 1 July 2017 | 1 July 2023 |
| CAREMARK KANSAS SPECIALTY PHARMACY | LENEXA, KS | 1 July 2017 | 1 July 2023 |
| CAREMARK MASSACHUSETTS SPECIALTY PHARMAC | MILFORD, MA | 1 July 2017 | 1 July 2023 |
| CAREMARK MICHIGAN SPECIALTY PHARMACY, LL | TROY, MI | 1 July 2017 | 1 July 2023 |
| CAREMARK NEW JERSEY SPECIALTY PHCY, LLC | FAIRFIELD, NJ | 1 July 2017 | 1 July 2023 |
| CAREMARK NORTH CAROLINA SPECIALTY PHARMA | RALEIGH, NC | 1 July 2017 | 1 July 2023 |
| CAREMARK TENNESSEE SPECIALTY PHARMACY, L | BARTLETT, TN | 1 July 2017 | 1 July 2023 |
| CAREMARK, L.L.C. | REDLANDS, CA | 1 July 2017 | 1 July 2023 |
| CENTERWELL PHARMACY, INC. | WEST CHESTER, OH | 18 May 2020 | 1 July 2023 |
| CVS CAREMARK | WILKES BARRE, PA | 26 January 2021 | 1 July 2023 |
| CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC | MT PROSPECT, IL | 26 January 2021 | 1 July 2023 |
| DIPLOMAT SPECIALTY PHARMACY | FLINT, MI | 1 October 2020 | 1 July 2023 |
| DOGWOOD PHARMACY LLC | GREENVILLE, SC | 1 July 2023 | 1 July 2023 |
| GOOD HEALTH INC | SAINT LOUIS, MO | 1 January 2019 | 1 July 2023 |
| HIGHLAND PARK CVS, L.L.C. | FAIRFIELD, IL | 26 January 2021 | 1 July 2023 |
| HIGHLAND PARK CVS, L.L.C. | CARMI, IL | 1 July 2021 | 1 July 2023 |
| HIGHLAND PARK CVS, L.L.C. | WEST FRANKFORT, IL | 1 July 2021 | 1 July 2023 |
| HIGHLAND PARK CVS, L.L.C. | SALEM, IL | 1 July 2021 | 1 July 2023 |
| HIGHLAND PARK CVS, L.L.C. | CENTRALIA, IL | 1 October 2020 | 1 July 2023 |
| HIGHLAND PARK CVS, L.L.C. | CENTRALIA, IL | 26 January 2021 | 1 July 2023 |
| HIGHLAND PARK CVS, L.L.C. | MOUNT VERNON, IL | 1 July 2016 | 1 July 2023 |
| HIGHLAND PARK CVS, L.L.C. | FLORA, IL | 26 January 2021 | 1 July 2023 |
| HIGHLAND PARK CVS, L.L.C. | BENTON, IL | 26 January 2021 | 1 July 2023 |
| KENTUCKY CENTRAL FILL FACILITY, L-010 | LOUISVILLE, KY | 1 January 2020 | 1 July 2023 |
| Kroger Pharmacy | Jeffersonville, IN | 1 January 2023 | 1 July 2023 |
| LUMICERA HEALTH SERVICES, LLC | MADISON, WI | 1 October 2019 | 1 July 2023 |
| OPTION CARE ENTERPRISES, INC. | ITASCA, IL | 1 October 2020 | 1 July 2023 |
| OPTION CARE ENTERPRISES, INC. | LOUISVILLE, KY | 1 October 2020 | 1 July 2023 |
| OPTION CARE ENTERPRISES, INC. | FENTON, MO | 1 October 2020 | 1 July 2023 |
| OPTUM INFUSION SERVICES 103, LLC | COLUMBIA, MD | 1 July 2023 | 1 July 2023 |
| OPTUM INFUSION SERVICES 302, LLC | LA VISTA, NE | 1 October 2020 | 1 July 2023 |
| OPTUM INFUSION SERVICES 305, LLC | PLYMOUTH MEETING, PA | 1 July 2023 | 1 July 2023 |
| OPTUM INFUSION SERVICES 305, LLC | LENEXA, KS | 1 October 2020 | 1 July 2023 |
| OPTUM INFUSION SERVICES 500, INC. | ROSEVILLE, MN | 1 July 2023 | 1 July 2023 |
| OPTUM INFUSION SERVICES 501, INC. | SAINT LOUIS, MO | 1 July 2023 | 1 July 2023 |
| OPTUM INFUSION SERVICES 550, LLC | URBANDALE, IA | 1 July 2023 | 1 July 2023 |
| OPTUM INFUSION SERVICES 550, LLC | CINCINNATI, OH | 1 July 2023 | 1 July 2023 |
| OPTUM INFUSION SERVICES 550, LLC | CARLSBAD, CA | 1 July 2023 | 1 July 2023 |
| OPTUM INFUSION SERVICES 553, LLC | RALEIGH, NC | 1 July 2023 | 1 July 2023 |
| OPTUM PHARMACY 700, LLC | OVIEDO, FL | 1 October 2021 | 1 July 2023 |
| OPTUM PHARMACY 701, LLC | FLINT, MI | 1 July 2023 | 1 July 2023 |
| OPTUM PHARMACY 701, LLC | WOODINVILLE, WA | 1 October 2021 | 1 July 2023 |
| OPTUM PHARMACY 702, LLC | JEFFERSONVILLE, IN | 1 October 2018 | 1 July 2023 |
| OPTUM PHARMACY 705, LLC | COLUMBUS, MS | 1 October 2021 | 1 July 2023 |
| OPTUM PHARMACY 705, LLC | FRANKLIN, TN | 1 October 2021 | 1 July 2023 |
| OPTUM PHARMACY 705, LLC | BIRMINGHAM, AL | 1 October 2018 | 1 July 2023 |
| OPTUM PHARMACY 706, INC. | LONG ISLAND CITY, NY | 1 October 2018 | 1 July 2023 |
| OPTUM PHARMACY 801, INC. | PHOENIX, AZ | 1 July 2019 | 1 July 2023 |
| OPTUMRX | OVERLAND PARK, KS | 1 October 2020 | 1 July 2023 |
| PREMIER PHARMACY SERVICES | BALDWIN PARK, CA | 1 January 2019 | 1 July 2023 |
| PROCARE PHARMACY DIRECT, L.L.C. | MONROEVILLE, PA | 1 July 2017 | 1 July 2023 |
| RAINA RX LLC | NEWBURGH, NY | 1 July 2023 | 1 July 2023 |
| RIVER MEDICAL PHARMACY LLC | SAN ANTONIO, TX | 1 July 2023 | 1 July 2023 |
| SANTA BARBARA SPECIALTY PHARMACY LLC | CARPINTERIA, CA | 1 July 2023 | 1 July 2023 |
| SENDERRA RX PHARMACY | PLANO, TX | 1 January 2020 | 1 July 2023 |
| SSM HEALTH PHARMACY | MADISON, WI | 1 April 2019 | 1 July 2023 |
| SSM HEALTH PHARMACY | MADISON, WI | 1 October 2020 | 1 July 2023 |
| SSM HEALTH SPECIALTY PHARMACY | SAINT LOUIS, MO | 1 October 2022 | 1 July 2023 |
| THE KROGER CO | MOUNT VERNON, IL | 1 October 2016 | 1 July 2023 |
| WAL-MART CENTRAL FILL 10-2670 | SPRING, TX | 1 July 2019 | 1 July 2023 |
| WAL-MART PHARMACY 10-0196 | CARBONDALE, IL | 1 July 2018 | 1 July 2023 |
| WAL-MART PHARMACY 10-0198 | SALEM, IL | 1 July 2018 | 1 July 2023 |
| WAL-MART PHARMACY 10-0201 | BELLEVILLE, IL | 1 July 2018 | 1 July 2023 |
| WAL-MART PHARMACY 10-0216 | MARION, IL | 1 July 2018 | 1 July 2023 |
| WAL-MART PHARMACY 10-0222 | SPARTA, IL | 1 July 2018 | 1 July 2023 |
| WAL-MART PHARMACY 10-0224 | MOUNT VERNON, IL | 1 July 2016 | 1 July 2023 |
| WAL-MART PHARMACY 10-0237 | HARRISBURG, IL | 1 July 2018 | 1 July 2023 |
| WAL-MART PHARMACY 10-0252 | DU QUOIN, IL | 1 July 2018 | 1 July 2023 |
| WAL-MART PHARMACY 10-0262 | BENTON, IL | 1 July 2018 | 1 July 2023 |
| WAL-MART PHARMACY 10-0302 | MURPHYSBORO, IL | 1 July 2018 | 1 July 2023 |
| WAL-MART PHARMACY 10-0317 | VANDALIA, IL | 1 July 2018 | 1 July 2023 |
| WAL-MART PHARMACY 10-0435 | HIGHLAND, IL | 1 July 2018 | 1 July 2023 |
| WAL-MART PHARMACY 10-0436 | CARLYLE, IL | 1 July 2018 | 1 July 2023 |
| WAL-MART PHARMACY 10-0454 | FAIRFIELD, IL | 1 July 2018 | 1 July 2023 |
| WAL-MART PHARMACY 10-0506 | FLORA, IL | 1 July 2018 | 1 July 2023 |
| WAL-MART PHARMACY 10-0596 | HERRIN, IL | 1 July 2018 | 1 July 2023 |
| WAL-MART PHARMACY 10-0833 | CARMI, IL | 1 July 2018 | 1 July 2023 |
| WAL-MART PHARMACY 10-0936 | EFFINGHAM, IL | 1 July 2018 | 1 July 2023 |
| WAL-MART PHARMACY 10-1395 | CENTRALIA, IL | 1 July 2018 | 1 July 2023 |
| WAL-MART PHARMACY 10-1418 | O'FALLON, IL | 1 July 2018 | 1 July 2023 |
| WAL-MART PHARMACY 10-5315 | ORLANDO, FL | 1 July 2018 | 1 July 2023 |
| WAL-MART PHARMACY 10-5997 | ORLANDO, FL | 1 July 2019 | 1 July 2023 |
| WALGREEN CO. | CENTRALIA, IL | 1 October 2016 | 1 July 2023 |
| WALGREEN CO. | SAINT LOUIS, MO | 1 July 2019 | 1 July 2023 |
| WALGREEN CO. | SAINT LOUIS, MO | 1 July 2019 | 1 July 2023 |
| Walgreens Central Fill #21394 | Liberty, MO | 1 July 2023 | 1 July 2023 |
| OPTUM INFUSION SERVICES 301, LP | OKLAHOMA CITY, OK | 1 October 2020 | 4 May 2023 |
| OPTUM PHARMACY 705, LLC | LENEXA, KS | 1 January 2020 | 10 April 2023 |
| OPTUM PHARMACY 805, INC | PHOENIX, AZ | 1 October 2020 | 10 April 2023 |
| OPTUM PHARMACY 806, INC. | SACRAMENTO, CA | 1 October 2020 | 10 April 2023 |
| OPTUMRX | CARLSBAD, CA | 1 October 2020 | 31 March 2023 |
| KROGER PHARMACY | MARION, IL | 1 October 2020 | 23 October 2022 |
| BIOLOGICS, INC. | CARY, NC | 10 July 2020 | 14 July 2022 |
| GOOD SAMARITAN PLAZA PHARMACY | MOUNT VERNON, IL | 1 January 2016 | 29 March 2022 |
| SCHNUCK MARKETS | CENTRALIA, IL | 1 April 2017 | 12 October 2021 |
| OPTUM FRONTIER THERAPIES II, LLC | LAS VEGAS, NV | 1 October 2018 | 13 July 2021 |
| AVELLA OF ST LOUIS | SAINT LOUIS, MO | 1 July 2019 | 1 July 2020 |
| BANDY'S PHARMACY II | MOUNT VERNON, IL | 1 October 2019 | 1 July 2020 |
| BRIOVARX OF MAINE INC | SOUTH PORTLAND, ME | 1 October 2018 | 1 October 2019 |
| BRIOVARX OF MASSACHUSETTS, LLC | AVON, MA | 1 October 2018 | 1 October 2019 |
| ACCREDO HEALTH GROUP INC | NASHVILLE, TN | 1 April 2017 | 1 January 2018 |
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.