Rural referral center · NY
GOOD SAMARITAN HOSPITAL
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
- 4Associated locations
- 77Contract pharmacies
- 75With no end date
- 1 April 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 | $860,953,346 | CMS-2552-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $931,139,498 | CMS-2552-10 worksheet G300000 line 400 column 100 |
| Income from service to patients | −$70,186,152 | CMS-2552-10 worksheet G300000 line 500 column 100 |
| Charity care, at charges | $48,267,110 | CMS-2552-10 worksheet S100001 line 2000 column 300 |
| Charity care, at cost | $16,220,784 | CMS-2552-10 worksheet S100001 line 2300 column 300 |
| Bad debt expense | $19,471,777 | CMS-2552-10 worksheet S100001 line 2600 column 100 |
| Uncompensated care, at cost | $19,548,568 | CMS-2552-10 worksheet S100001 line 3000 column 100 |
| Total facility beds | 426 | CMS-2552-10 worksheet S300001 line 1400 column 200 |
| Cost-to-charge ratio | 0.1654 | CMS-2552-10 worksheet S100001 line 100 column 100 |
Cost report filed under CMS certification number 330286 for 1 January 2024 to 31 December 2024, amended. The public file it was read from.
Among hospitals of the same type in New York
Every rural referral center in New York that files a Medicare cost report carrying both figures — 6 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 |
|---|---|---|---|---|
| GARNET HEALTH MEDICAL CENTER | MIDDLETOWN, NY | 1.6% | -6.6% | 2024-12-31 |
| MERCY HOSPITAL OF BUFFALO | BUFFALO, NY | 0.8% | -0.5% | 2024-12-31 |
| NORTH SHORE UNIVERSITY HOSPITAL | MANHASSET, NY | 1.0% | -43.0% | 2024-12-31 |
| OUR LADY OF LOURDES MEMORIAL HOSP | BINGHAMTON, NY | 0.7% | -15.3% | 2025-06-30 |
| ST. JOSEPHS HOSPITAL HEALTH CENTER | SYRACUSE, NY | 0.7% | -6.7% | 2025-06-30 |
| VASSAR BROTHERS MEDICAL CENTER | POUGHKEEPSIE, NY | 0.9% | 4.3% | 2024-09-30 |
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, “GOOD SAMARITAN HOSPITAL” (340B ID RRC330286-00), citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx. https://velarionrecords.com/340b/RRC330286-00
Register detail and identifiers
Participation, as filed
- Participating
- TRUE
- Participation start date
- 1 April 2025
- Certification date
- 25 August 2026
- Record last edited
- 25 August 2026
Identifiers
- 340B ID
- RRC330286-00
- Entity type as filed
- RRC
- CMS certification number
- 330286
- NPI
- 1902865355 (CT,FL,NY)
- Rural
- No
1000 MONTAUK HIGHWAY, WEST ISLIP NY 11795
Locations registered under this record
Browse all of them as a list →
| 340B ID | Name | Type | Where | Participating |
|---|---|---|---|---|
| RRC330286-01 | GOOD SAMARITAN PALLIATIVE - GSHMC Infusion Center | RRC | WEST ISLIP, NY | TRUE |
| RRC330286-02 | SCH / Urology - Urology | RRC | Port Jefferson, NY | FALSE |
| RRC330286-03 | SCH / Vascular Care - Vascular Care | RRC | Port Jefferson, NY | FALSE |
| RRC330286-04 | SCH / Wound Care - Wound Care | RRC | Port Jefferson, NY | FALSE |
| RRC330286-05 | SCH / Radiology - Nuclear - Radiology - Nuclear | RRC | Port Jefferson, NY | FALSE |
| RRC330286-06 | SCH / OP Surgery - OP Surgery | RRC | Port Jefferson, NY | FALSE |
| RRC330286-07 | SCH / OR - OR | RRC | Port Jefferson, NY | FALSE |
| RRC330286-08 | SCH / Orthopedics - Orthopedics | RRC | Port Jefferson, NY | FALSE |
| RRC330286-09 | SCH / Pain Medicine - Pain Medicine | RRC | Port Jefferson, NY | FALSE |
| RRC330286-10 | SCH / Pediatric Gastro - Pediatric Gastro | RRC | Port Jefferson, NY | FALSE |
| RRC330286-11 | SCH / Pediatric Pulmonology - Pediatric Pulmonology | RRC | Port Jefferson, NY | FALSE |
| RRC330286-12 | SCH / Oncology - Oncology | RRC | Port Jefferson, NY | FALSE |
| RRC330286-13 | SCH / Pediatric Rehab - Pediatric Rehab | RRC | Port Jefferson, NY | FALSE |
| RRC330286-14 | SCH / Podiatry - Podiatry | RRC | Port Jefferson, NY | FALSE |
| RRC330286-15 | SCH / Pre-Surgical Evaluation - Pre-Surgical Evaluation | RRC | Port Jefferson, NY | FALSE |
| RRC330286-16 | SCH / Psychology - Psychology | RRC | Port Jefferson, NY | FALSE |
| RRC330286-17 | SCH / Radiology - Radiology | RRC | Port Jefferson, NY | FALSE |
| RRC330286-18 | SCH / Radiology - CAT - Radiology - CAT | RRC | Port Jefferson, NY | FALSE |
| RRC330286-19 | SCH / Radiology - Interventional - Radiology - Interventional | RRC | Port Jefferson, NY | FALSE |
| RRC330286-20 | SCH / Radiology - MRI - Radiology - MRI | RRC | Port Jefferson, NY | FALSE |
| RRC330286-21 | SCH / Radiology - Ultrasound - Radiology - Ultrasound | RRC | Port Jefferson, NY | FALSE |
| RRC330286-22 | SCH / Rehab - Rehab | RRC | Port Jefferson, NY | FALSE |
| RRC330286-23 | SCH / Respiratory Therapy - Respiratory Therapy | RRC | Port Jefferson, NY | FALSE |
| RRC330286-24 | SCH / Substance Abuse - Substance Abuse | RRC | Port Jefferson, NY | FALSE |
| RRC330286-25 | SCH / Surgical Clinic - Surgical Clinic | RRC | Port Jefferson, NY | FALSE |
| RRC330286-26 | SCH / Dental - Dental | RRC | Port Jefferson, NY | FALSE |
| RRC330286-27 | SCH / Diabetes and Endocrinology - Diabetes and Endocrinology | RRC | Port Jefferson, NY | FALSE |
| RRC330286-28 | SCH / Emergency Dept - Emergency Dept | RRC | Port Jefferson, NY | FALSE |
| RRC330286-29 | SCH / Endoscopy - Endoscopy | RRC | Port Jefferson, NY | FALSE |
| RRC330286-30 | SCH / Gastroenterology - Gastroenterology | RRC | Port Jefferson, NY | FALSE |
| RRC330286-31 | SCH / Internal Medicine - Internal Medicine | RRC | Port Jefferson, NY | FALSE |
| RRC330286-32 | SCH / Neurology - Neurology | RRC | Port Jefferson, NY | FALSE |
| RRC330286-33 | SCH / Obstetrics & Gynecology - Obstetrics & Gynecology | RRC | Port Jefferson, NY | FALSE |
| RRC330286-34 | SCH / Ambulatory Surgery - Ambulatory Surgery | RRC | Port Jefferson, NY | FALSE |
| RRC330286-35 | SCH / Bariatric Clinic - Bariatric Clinic | RRC | Port Jefferson, NY | FALSE |
| RRC330286-36 | SCH / Behavioral Health - Behavioral Health | RRC | Port Jefferson, NY | FALSE |
Associated locations
| Organization | Address | Where |
|---|---|---|
| GOOD SAMARITAN HOSPITAL | 1000 MONTAUK HIGHWAY | WEST ISLIP NY 11795 |
| SAFECOR HEALTH | 317 New Boston Road | Woburn MA 01801 |
| MY CHS RX Inc | 70 Arkay Drive | Hauppauge NY 11788 |
| Good Samaritan University Hospital/ St. Charles campus | 200 Belle Terre Road | Port Jefferson NY 11777 |
Pharmacy contracts
| Pharmacy | Where | Begins | Ends |
|---|---|---|---|
| ACCREDO HEALTH GROUP INC | MEMPHIS, TN | 1 October 2026 | no end date filed |
| ACCREDO HEALTH GROUP INC | TEMPE, AZ | 1 October 2026 | no end date filed |
| ACCREDO HEALTH GROUP INC | WARRENDALE, PA | 1 October 2026 | no end date filed |
| ACCREDO HEALTH GROUP, INC. | NEWARK, DE | 1 October 2026 | no end date filed |
| ACCREDO HEALTH GROUP, INC. | ORLANDO, FL | 1 October 2026 | no end date filed |
| ACCREDO HEALTH GROUP, INC. | WHITESTOWN, IN | 1 October 2026 | no end date filed |
| ADVANCED CARE SCRIPTS, INC | ORLANDO, FL | 1 July 2026 | no end date filed |
| AMAZON PHARMACY #001 | AUSTIN, TX | 1 July 2026 | no end date filed |
| AMAZON PHARMACY #006 | INDIANAPOLIS, IN | 1 October 2026 | no end date filed |
| AZ PHARMACY, LLC | PHOENIX, AZ | 1 January 2026 | no end date filed |
| CAREMARK FLORIDA SPECIALTY PHARMACY LLC | TAMPA, FL | 1 July 2026 | no end date filed |
| CAREMARK ILLINOIS SPECIALTY PHARMACY, LL | MOUNT PROSPECT, IL | 1 July 2026 | no end date filed |
| CAREMARK KANSAS SPECIALTY PHARMACY | LENEXA, KS | 1 July 2026 | no end date filed |
| CAREMARK MASSACHUSETTS SPECIALTY PHARMAC | MILFORD, MA | 1 July 2026 | no end date filed |
| CAREMARK MICHIGAN SPECIALTY PHARMACY, LL | TROY, MI | 1 July 2026 | no end date filed |
| CAREMARK NEW JERSEY SPECIALTY PHCY, LLC | FAIRFIELD, NJ | 1 July 2026 | no end date filed |
| CAREMARK NORTH CAROLINA SPECIALTY PHARMA | RALEIGH, NC | 1 July 2026 | no end date filed |
| CAREMARK TENNESSEE SPECIALTY PHARMACY, L | BARTLETT, TN | 1 July 2026 | no end date filed |
| CAREMARK, L.L.C. | REDLANDS, CA | 1 July 2026 | no end date filed |
| CAREMARK, L.L.C. | LAS VEGAS, NV | 1 July 2026 | no end date filed |
| CH HOME INFUSION PHARMACY | HAUPPAUGE, NY | 1 October 2025 | no end date filed |
| CVS ALBANY, L.L.C. | SETAUKET, NY | 1 July 2026 | no end date filed |
| CVS ALBANY, L.L.C. | WEST ISLIP, NY | 1 July 2026 | no end date filed |
| CVS ALBANY, L.L.C. | BELLPORT, NY | 1 July 2026 | no end date filed |
| CVS ALBANY, L.L.C. | CENTEREACH, NY | 1 July 2026 | no end date filed |
| CVS ALBANY, L.L.C. | CORAM, NY | 1 July 2026 | no end date filed |
| CVS ALBANY, L.L.C. | MATTITUCK, NY | 1 July 2026 | no end date filed |
| CVS ALBANY, L.L.C. | MILLER PLACE, NY | 1 July 2026 | no end date filed |
| CVS ALBANY, L.L.C. | NESCONSET, NY | 1 July 2026 | no end date filed |
| CVS ALBANY, L.L.C. | PATCHOGUE, NY | 1 July 2026 | no end date filed |
| CVS ALBANY, L.L.C. | PORT JEFFERSON, NY | 1 July 2026 | no end date filed |
| CVS ALBANY, L.L.C. | PORT JEFFERSON STN, NY | 1 July 2026 | no end date filed |
| CVS ALBANY, L.L.C. | ROCKY POINT, NY | 1 July 2026 | no end date filed |
| CVS ALBANY, L.L.C. | RONKONKOMA, NY | 1 July 2026 | no end date filed |
| CVS ALBANY, L.L.C. | SELDEN, NY | 1 July 2026 | no end date filed |
| CVS ALBANY, L.L.C. | WEST BABYLON, NY | 1 July 2026 | no end date filed |
| CVS/SPECIALTY OR CARELONRX SPECIALTY PHA | FLOWER MOUND, TX | 1 July 2026 | no end date filed |
| ESI MAIL PHARMACY SERVICE | TEMPE, AZ | 1 October 2026 | no end date filed |
| EXPRESS SCRIPTS | SAINT LOUIS, MO | 1 October 2026 | no end date filed |
| EXPRESS SCRIPTS PHARMACY, INC. | WHITESTOWN, IN | 1 October 2026 | no end date filed |
| EXPRESS SCRIPTS PHARMACY, INC. | BURLINGTON, NJ | 1 October 2026 | no end date filed |
| GENOA HEALTHCARE LLC | FREEPORT, NY | 1 April 2026 | no end date filed |
| GENOA HEALTHCARE LLC | HUNTINGTON, NY | 1 April 2026 | no end date filed |
| GENOA HEALTHCARE LLC | BAY SHORE, NY | 1 April 2026 | no end date filed |
| M.N. PHARMACY LLC | MIAMI, FL | 1 October 2026 | no end date filed |
| MAH PHARMACY LLC | FAIRFIELD, OH | 1 October 2026 | no end date filed |
| MERCY MEDICAL CENTER PHARMACY | CENTEREACH, NY | 1 April 2025 | no end date filed |
| MY CHS RX INC | WEST ISLIP, NY | 1 April 2025 | no end date filed |
| MY CHS RX INC. | BETHPAGE, NY | 1 April 2025 | no end date filed |
| OPTUM INFUSION SERVICES 101, INC. | FARMINGDALE, NY | 1 April 2026 | no end date filed |
| OPTUM INFUSION SERVICES 550, LLC | WOBURN, MA | 1 April 2026 | no end date filed |
| OPTUM PHARMACY 700, LLC | PINE BROOK, NJ | 1 July 2026 | no end date filed |
| OPTUM PHARMACY 700, LLC | OVIEDO, FL | 1 July 2026 | no end date filed |
| OPTUM PHARMACY 701, LLC | CHARLOTTE, NC | 1 July 2026 | no end date filed |
| OPTUM PHARMACY 701, LLC | MESA, AZ | 1 April 2026 | no end date filed |
| OPTUM PHARMACY 701, LLC | FLINT, MI | 1 July 2026 | no end date filed |
| OPTUM PHARMACY 702, LLC | JEFFERSONVILLE, IN | 1 July 2026 | no end date filed |
| OPTUM PHARMACY 704, INC. | SAN ANTONIO, TX | 1 July 2026 | no end date filed |
| OPTUM PHARMACY 705, LLC | BIRMINGHAM, AL | 1 July 2026 | no end date filed |
| OPTUM PHARMACY 706, INC. | LONG ISLAND CITY, NY | 1 July 2026 | no end date filed |
| OPTUM PHARMACY 707, INC | IRWINDALE, CA | 1 July 2026 | no end date filed |
| OPTUMRX | OVERLAND PARK, KS | 1 July 2026 | no end date filed |
| PILLPACK LLC | KENT, WA | 1 July 2026 | no end date filed |
| PROCARE PHARMACY DIRECT, L.L.C. | MONROEVILLE, PA | 1 July 2026 | no end date filed |
| PROCARE PHARMACY, L.L.C. | COLUMBIA, SC | 1 July 2026 | no end date filed |
| PROCARE PHARMACY, L.L.C. | BIRMINGHAM, AL | 1 July 2026 | no end date filed |
| SINA DRUG LLC | LOUISVILLE, KY | 1 April 2025 | no end date filed |
| SINA DRUG LLC | NEW HYDE PARK, NY | 1 April 2025 | no end date filed |
| WALGREEN EASTERN CO. INC. | MILLER PLACE, NY | 1 October 2026 | no end date filed |
| WALGREEN EASTERN CO., INC. | WADING RIVER, NY | 1 October 2026 | no end date filed |
| WALGREEN EASTERN CO., INC. | SELDEN, NY | 1 October 2026 | no end date filed |
| WALGREEN EASTERN CO., INC. | SHIRLEY, NY | 1 October 2026 | no end date filed |
| WALGREEN EASTERN CO., INC. | AMITYVILLE, NY | 1 October 2026 | no end date filed |
| WALGREEN EASTERN CO., INC. | DEER PARK, NY | 1 October 2026 | no end date filed |
| WALGREEN EASTERN CO., INC. | MEDFORD, NY | 1 October 2026 | no end date filed |
| AMAZON PHARMACY #006 | INDIANAPOLIS, IN | 1 January 2026 | 9 April 2026 |
| M.N. PHARMACY LLC | MIAMI, FL | 1 January 2026 | 9 April 2026 |
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.