Rural referral center · WA
PROV ST MARY MEDICAL CENTER
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.
- 0Registered locations
- 1Associated locations
- 63Contract pharmacies
- 22With no end date
- 1 July 2024In 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 | $246,336,012 | CMS-2552-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $251,315,967 | CMS-2552-10 worksheet G300000 line 400 column 100 |
| Income from service to patients | −$4,979,955 | CMS-2552-10 worksheet G300000 line 500 column 100 |
| Charity care, at charges | $13,615,340 | CMS-2552-10 worksheet S100001 line 2000 column 300 |
| Charity care, at cost | $4,931,254 | CMS-2552-10 worksheet S100001 line 2300 column 300 |
| Bad debt expense | $1,748,335 | CMS-2552-10 worksheet S100001 line 2600 column 100 |
| Uncompensated care, at cost | $5,454,670 | CMS-2552-10 worksheet S100001 line 3000 column 100 |
| Total facility beds | 85 | CMS-2552-10 worksheet S300001 line 1400 column 200 |
| Cost-to-charge ratio | 0.2475 | CMS-2552-10 worksheet S100001 line 100 column 100 |
Cost report filed under CMS certification number 500002 for 1 January 2024 to 31 December 2024, as submitted. The public file it was read from.
Among hospitals of the same type in Washington
Every rural referral center in Washington that files a Medicare cost report carrying both figures — 4 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 |
|---|---|---|---|---|
| OLYMPIC MEDICAL CENTER | PORT ANGELES, WA | 0.9% | -8.7% | 2024-12-31 |
| ST. MICHAEL MEDICAL CENTER | SILVERDALE, WA | 1.2% | 11.9% | 2025-06-30 |
| SWEDISH MEDICAL CENTER CHERRY HILL | SEATTLE, WA | 1.2% | -4.1% | 2024-12-31 |
| VIRGINIA MASON MEDICAL CENTER | SEATTLE, WA | 1.1% | -10.4% | 2025-06-30 |
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, “PROV ST MARY MEDICAL CENTER” (340B ID RRC500002-00), citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx. https://velarionrecords.com/340b/RRC500002-00
Register detail and identifiers
Participation, as filed
- Participating
- TRUE
- Participation start date
- 1 July 2024
- Certification date
- 12 August 2026
- Record last edited
- 12 August 2026
Identifiers
- 340B ID
- RRC500002-00
- Entity type as filed
- RRC
- CMS certification number
- 500002
- NPI
- 1386895886 (OR,WA)
- Rural
- Yes
401 W POPLAR ST., WALLA WALLA WA 99362
Associated locations
| Organization | Address | Where |
|---|---|---|
| PROV ST MARY MEDICAL CENTER | 401 W POPLAR ST. | WALLA WALLA WA 99362 |
Pharmacy contracts
| Pharmacy | Where | Begins | Ends |
|---|---|---|---|
| ACCREDO HEALTH GROUP INC | WARRENDALE, PA | 1 July 2024 | no end date filed |
| ACCREDO HEALTH GROUP INC | TEMPE, AZ | 1 July 2024 | no end date filed |
| ACCREDO HEALTH GROUP INC | MEMPHIS, TN | 1 July 2024 | no end date filed |
| ACCREDO HEALTH GROUP, INC. | ORLANDO, FL | 1 July 2024 | no end date filed |
| ACCREDO HEALTH GROUP, INC. | NEWARK, DE | 1 July 2024 | no end date filed |
| ACCREDO HEALTH GROUP, INC. | INDIANAPOLIS, IN | 1 July 2024 | no end date filed |
| ARDON HEALTH, LLC | PORTLAND, OR | 1 July 2024 | no end date filed |
| BIOLOGICS, INC. | CARY, NC | 1 October 2026 | no end date filed |
| BIOLOGICS, INC. | FORT WORTH, TX | 1 October 2026 | no end date filed |
| CREDENA HEALTH LLC | PORTLAND, OR | 1 July 2024 | no end date filed |
| CREDENA HEALTH, LLC | PORTLAND, OR | 1 July 2024 | no end date filed |
| CYSTIC FIBROSIS SERVICES, LLC | FRISCO, TX | 1 July 2024 | no end date filed |
| OPTUM PHARMACY 701, LLC | FLINT, MI | 1 July 2024 | no end date filed |
| OPTUM PHARMACY 702, LLC | JEFFERSONVILLE, IN | 1 July 2024 | no end date filed |
| WALGREEN CO. | WALLA WALLA, WA | 1 July 2024 | no end date filed |
| WALGREEN CO. | SPOKANE, WA | 1 July 2024 | no end date filed |
| WALGREENS MAIL SERVICE, INC. | TEMPE, AZ | 1 July 2024 | no end date filed |
| WALGREENS MAIL SERVICE, LLC | TEMPE, AZ | 1 July 2024 | no end date filed |
| WALGREENS SPECIALTY PHARMACY, LLC | CANTON, MI | 1 July 2024 | no end date filed |
| WALGREENS SPECIALTY PHARMACY, LLC | PITTSBURGH, PA | 1 July 2024 | no end date filed |
| WALGREENS SPECIALTY PHARMACY, LLC | FRISCO, TX | 1 July 2024 | no end date filed |
| WALGREENS.COM, INC. | CHANDLER, AZ | 1 July 2024 | no end date filed |
| OPTUM PHARMACY 801, INC. | PHOENIX, AZ | 1 July 2024 | 20 April 2026 |
| ACCREDO HEALTH GROUP INC | MEMPHIS, TN | 1 July 2020 | 1 October 2022 |
| ACCREDO HEALTH GROUP INC | WARRENDALE, PA | 1 July 2020 | 1 October 2022 |
| ACCREDO HEALTH GROUP INC | TEMPE, AZ | 1 July 2020 | 1 October 2022 |
| ACCREDO HEALTH GROUP, INC. | NEWARK, DE | 1 July 2020 | 1 October 2022 |
| ACCREDO HEALTH GROUP, INC. | INDIANAPOLIS, IN | 1 July 2020 | 1 October 2022 |
| ACCREDO HEALTH GROUP, INC. | ORLANDO, FL | 1 July 2020 | 1 October 2022 |
| ARDON HEALTH, LLC | PORTLAND, OR | 1 July 2020 | 1 October 2022 |
| CAREMARK FLORIDA SPECIALTY PHARMACY LLC | TAMPA, FL | 1 October 2020 | 1 October 2022 |
| CAREMARK ILLINOIS SPECIALTY PHARMACY, LL | MOUNT PROSPECT, IL | 1 October 2020 | 1 October 2022 |
| CAREMARK KANSAS SPECIALTY PHARMACY | LENEXA, KS | 1 October 2020 | 1 October 2022 |
| CAREMARK MASSACHUSETTS SPECIALTY PHARMAC | MILFORD, MA | 1 October 2020 | 1 October 2022 |
| CAREMARK MICHIGAN SPECIALTY PHARMACY, LL | TROY, MI | 1 October 2020 | 1 October 2022 |
| CAREMARK NEW JERSEY SPECIALTY PHCY, LLC | FAIRFIELD, NJ | 1 October 2020 | 1 October 2022 |
| CAREMARK NORTH CAROLINA SPECIALTY PHARMA | RALEIGH, NC | 1 October 2020 | 1 October 2022 |
| CAREMARK TENNESSEE SPECIALTY PHARMACY, L | BARTLETT, TN | 1 October 2020 | 1 October 2022 |
| CAREMARK, L.L.C. | REDLANDS, CA | 1 October 2020 | 1 October 2022 |
| CAREMARK, L.L.C. | LAS VEGAS, NV | 1 January 2022 | 1 October 2022 |
| CREDENA HEALTH, LLC | PORTLAND, OR | 1 July 2020 | 1 October 2022 |
| CVS/SPECIALTY OR CARELONRX SPECIALTY PHA | FLOWER MOUND, TX | 1 January 2022 | 1 October 2022 |
| CYSTIC FIBROSIS SERVICES, LLC | FRISCO, TX | 1 July 2020 | 1 October 2022 |
| OPTUM PHARMACY 701, LLC | FLINT, MI | 6 April 2022 | 1 October 2022 |
| OPTUM PHARMACY 702, LLC | JEFFERSONVILLE, IN | 1 October 2021 | 1 October 2022 |
| OPTUM PHARMACY 707, INC | IRWINDALE, CA | 1 October 2021 | 1 October 2022 |
| OPTUM PHARMACY 801, INC. | PHOENIX, AZ | 1 October 2021 | 1 October 2022 |
| PRIME THERAPEUTICS SPECIALTY PHARMACY LL | ORLANDO, FL | 1 July 2020 | 1 October 2022 |
| PROCARE PHARMACY DIRECT, L.L.C. | MONROEVILLE, PA | 1 October 2020 | 1 October 2022 |
| PROCARE PHARMACY, L.L.C. | BIRMINGHAM, AL | 1 January 2022 | 1 October 2022 |
| PROCARE PHARMACY, L.L.C. | COLUMBIA, SC | 1 January 2022 | 1 October 2022 |
| PROCARE PHARMACY, L.L.C. | HONOLULU, HI | 1 October 2020 | 1 October 2022 |
| WALGREEN CO. | SPOKANE, WA | 1 July 2020 | 1 October 2022 |
| WALGREEN CO. | WALLA WALLA, WA | 1 July 2020 | 1 October 2022 |
| WALGREENS MAIL SERVICE, LLC | TEMPE, AZ | 1 July 2020 | 1 October 2022 |
| WALGREENS SPECIALTY PHARMACY, LLC | CANTON, MI | 1 July 2020 | 1 October 2022 |
| WALGREENS SPECIALTY PHARMACY, LLC | FRISCO, TX | 1 July 2020 | 1 October 2022 |
| WALGREENS SPECIALTY PHARMACY, LLC | PITTSBURGH, PA | 1 July 2020 | 1 October 2022 |
| WALGREENS.COM, INC. | CHANDLER, AZ | 1 July 2020 | 1 October 2022 |
| DIPLOMAT SPECIALTY PHARMACY | FLINT, MI | 1 July 2020 | 7 April 2022 |
| WALGREENS SPECIALTY PHARMACY, LLC | BEAVERTON, OR | 1 July 2020 | 1 October 2021 |
| DIPLOMAT SPECIALTY PHARMACY OF PHOENIX, | CHANDLER, AZ | 1 July 2020 | 30 June 2021 |
| CREDENA HEALTH, LLC | PORTLAND, OR | 1 January 2016 | 1 October 2016 |
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.