2 locations registered under this record — data as of October 5, 2026
Disproportionate share hospital · LOS ANGELES, CA
PIH HEALTH GOOD SAMARITAN HOSPITAL
Taking partYesLast certifiedAugust 19, 2026
- 2Registered locations
- 2Associated locations
- 63Contract pharmacies
- 0With no end date
- July 1, 2008In 340B since
Where this record sits: among the 132 Disproportionate share hospitals in California, the median open contract-pharmacy count is 6.5; this record’s open count ranks 85.
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 September 30, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,607,785,568 | CMS-2552-10 worksheet G300000 line 100 column 100 |
| Contractual allowances | $1,217,334,166 | CMS-2552-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $390,451,402 | CMS-2552-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $449,960,906 | CMS-2552-10 worksheet G300000 line 400 column 100 |
| Income from service to patients | −$59,509,504 | CMS-2552-10 worksheet G300000 line 500 column 100 |
| Charity care, at charges | $46,697,977 | CMS-2552-10 worksheet S100001 line 2000 column 300 |
| Charity care, at cost | $9,800,121 | CMS-2552-10 worksheet S100001 line 2300 column 300 |
| Bad debt expense | $4,788,913 | CMS-2552-10 worksheet S100001 line 2600 column 100 |
| Bad debt other than Medicare, at cost | $1,391,191 | CMS-2552-10 worksheet S100001 line 2900 column 100 |
| Uncompensated care, at cost | $11,191,312 | CMS-2552-10 worksheet S100001 line 3000 column 100 |
| Total facility beds | 308 | CMS-2552-10 worksheet S300001 line 1400 column 200 |
| Cost-to-charge ratio | 0.2009 | CMS-2552-10 worksheet S100001 line 100 column 100 |
| Allowable disproportionate share percentage | 0.4362 | CMS-2552-10 worksheet E00A18A line 3300 column 100 |
Cost report filed under CMS certification number 050471 for October 1, 2024 to September 30, 2025, as submitted. The public file it was read from.
Community benefit, as filed
From IRS Form 990 Schedule H, Part I, filed by PIH HEALTH GOOD SAMARITAN HOSPITAL (employer identification number 951656366) for tax year 2022. The return lists this hospital as its one hospital facility.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total community benefit expense (line 7k) | $67,798,609 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance at cost (line 7a) | $5,133,470 | IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt> |
| Medicaid (line 7b) | $53,376,350 | IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance and means-tested government programs (line 7d) | $58,509,820 | IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt> |
| Other benefits (line 7j) | $9,288,789 | IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Total, fraction of total expense (line 7k, column f) | 0.176 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct> |
E-file object id 202412199349300831. The IRS archive it was read from.
Executive and director compensation, as filed
From IRS Form 990 Part VII, Section A, filed by PIH HEALTH GOOD SAMARITAN HOSPITAL (employer identification number 951656366) for tax year 2022. The return lists this hospital as its one hospital facility.
| Name | Title | Role | Reportable comp, from this organization | Reportable comp, from related organizations | Other compensation |
|---|---|---|---|---|---|
| ALEX ALVAREZ | DIRECTOR & TREASURER | Trustee/director, Officer | $0 | $0 | $0 |
| ANITA CHOU | FORMER CFO & ASST. TREASURER | Former | $0 | $119,014 | $14 |
| BLAYNE CUTLER MD PHD | DIRECTOR | Trustee/director | $0 | $0 | $0 |
| BRIAN SMOLSKIS UNTIL 9282023 | SYSTEM COO | Officer | $0 | $1,034,811 | $219,042 |
| CHARLOTTE WEAVER PHD | DIRECTOR & VICE CHAIR | Trustee/director, Officer | $0 | $0 | $0 |
| DALE MCCREE | SUPERVISOR, SURGERY | Highest-compensated employee | $295,310 | $0 | $26,351 |
| IRA MEISELMAN | DIRECTOR MANAGED CARE | Highest-compensated employee | $335,127 | $0 | $24,912 |
| IRENA ZUANIC | CNO & CO-SITE ADMIN | Officer | $0 | $384,178 | $103,157 |
| JAIME DIAZ MD | FORMER CMO & CO-SITE ADMIN | Former | $546,097 | $0 | $18,255 |
| JAMES WEST | SYSTEM PRESIDENT & CEO | Officer | $0 | $2,046,653 | $355,723 |
| JANE DICUS | DIRECTOR | Trustee/director | $0 | $0 | $0 |
| JAY BROWN AS OF 3123 | DIRECTOR | Trustee/director | $0 | $0 | $0 |
| JEFF HAMAR | DIRECTOR | Trustee/director | $0 | $0 | $0 |
| JING CHEUNG | RN | Highest-compensated employee | $362,626 | $0 | $21,766 |
| KENTON WOODS | DIRECTOR | Trustee/director | $0 | $0 | $0 |
| KEVIN BROWN UNTIL 542023 | VP, CARDIOLOGY SERVICES | Key employee | $0 | $262,193 | $44,695 |
| MARISSA GOLDBERG | DIRECTOR | Trustee/director | $0 | $0 | $0 |
| MATILDA HERNANDEZ | RN | Highest-compensated employee | $288,726 | $0 | $35,490 |
| MELANIE BATISTE | DIRECTOR | Trustee/director | $0 | $0 | $0 |
| MOHAMMED GHONIM | REGIONAL VP | Key employee | $0 | $365,787 | $71,068 |
| PATRICK MONROE | DIRECTOR & CHAIR | Trustee/director, Officer | $0 | $0 | $0 |
| PAUL TREINEN | DIRECTOR | Trustee/director | $0 | $0 | $0 |
| PAULA COWAN UNTIL 9222023 | DIRECTOR | Trustee/director | $0 | $0 | $0 |
| PEGGY CHULACK | SYSTEM CAO & ASST SECRETARY | Officer | $0 | $995,412 | $192,712 |
| PETER GREANEY MD | DIRECTOR & SECRETARY | Trustee/director, Officer | $0 | $0 | $0 |
| REDENTOR CERVANTES | RN | Highest-compensated employee | $334,639 | $0 | $12,083 |
| RICHARD ATWOOD | DIRECTOR | Trustee/director | $0 | $0 | $0 |
| ROBERT MALONEY MD | DIRECTOR | Trustee/director | $0 | $0 | $0 |
| ROSALIO LOPEZ MD | SYSTEM CSO/CMO | Officer | $0 | $1,114,134 | $46,447 |
| VID SHIVARAMAN | SYSTEM CFO & ASST TREASURER | Officer | $0 | $749,812 | $150,468 |
| WESLEY HEARTFIELD MD | DIRECTOR | Trustee/director | $0 | $0 | $0 |
| WILLIAM ROTH AS OF 3123 | DIRECTOR | Trustee/director | $0 | $0 | $0 |
E-file object id 202412199349300831. The IRS archive it was read from.
The full report for PIH HEALTH 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.
- 32ndpercentile of 117 hospitals in CA, same facility class, 200 to 399 bedsNet patient revenue, in dollars, as filed
Net patient revenue across every hospital that filed for 2025, in every state and of every size, with this one marked.
Net patient revenue (CMS-2552-10 worksheet G300000 line 300 column 100)
Middle half between $26,780,592 and $275,353,989, median $73,049,131, across 5,659 hospitals that filed for 2025, in every state and of every size.
- 34thpercentile of 117 hospitals in CA, same facility class, 200 to 399 bedsTotal operating expenses, in dollars, as filed
Total operating expenses across every hospital that filed for 2025, in every state and of every size, with this one marked.
Total operating expenses (CMS-2552-10 worksheet G300000 line 400 column 100)
Middle half between $27,953,478 and $268,914,289, median $72,935,955, across 5,819 hospitals that filed for 2025, in every state and of every size.
- 67thpercentile of 102 hospitals in CA, same facility class, 200 to 399 bedsCharity care, at cost, in dollars, as filed
- 57thpercentile of 103 hospitals in CA, same facility class, 200 to 399 bedsUncompensated care, at cost, in dollars, as filed
- 67thpercentile of 117 hospitals in CA, same facility class, 200 to 399 bedsTotal facility beds, a count of beds, as filed
Total facility beds across every hospital that filed for 2025, in every state and of every size, with this one marked.
Total facility beds (CMS-2552-10 worksheet S300001 line 1400 column 200)
Middle half between 25 and 168, median 64, across 5,777 hospitals that filed for 2025, in every state and of every size.
- 56thpercentile of 103 hospitals in CA, same facility class, 200 to 399 bedsCost-to-charge ratio, the ratio, as filed
Cost-to-charge ratio across every hospital that filed for 2025, in every state and of every size, with this one marked.
Cost-to-charge ratio (CMS-2552-10 worksheet S100001 line 100 column 100)
Middle half between 0.1809 and 0.4503, median 0.2651, across 4,413 hospitals that filed for 2025, 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 California 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
- July 1, 2008
- Certification date
- August 19, 2026
- Record last edited
- August 19, 2026
Identifiers
- 340B ID
- DSH050471
- Entity type as filed
- DSH
- CMS certification number
- 050471
- NPI
- 1508859323 (CA)
- Rural
- No
1225 Wilshire Blvd, LOS ANGELES CA 90017
Locations registered under this record
Browse all of them as a list →
| DSH050471A | ASC | DSH | Los Angeles, CA | Yes |
| DSH050471B | 90.01 Ambulatory Infusion Center | DSH | Los Angeles, CA | No |
Associated locations
| PIH HEALTH GOOD SAMARITAN HOSPITAL | 1225 Wilshire Blvd | LOS ANGELES CA 90017 |
| PIH HEALTH GOOD SAMARITAN HOSPITAL | 616 Witmer Street | Los Angeles CA 90017 |
Pharmacy contracts
No end date filed0
No arrangement with no end date filed matches that.
An end date is filed63
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.
| ACCREDO HEALTH GROUP INC | WARRENDALE, PA | January 1, 2022 | September 15, 2022 |
| ACCREDO HEALTH GROUP INC | TEMPE, AZ | January 1, 2022 | September 15, 2022 |
| ACCREDO HEALTH GROUP INC | MEMPHIS, TN | January 1, 2022 | September 15, 2022 |
| ACCREDO HEALTH GROUP INC | TEMPE, AZ | October 1, 2017 | June 18, 2020 |
| ACCREDO HEALTH GROUP INC | MEMPHIS, TN | October 1, 2017 | June 18, 2020 |
| ACCREDO HEALTH GROUP INC | WARRENDALE, PA | October 1, 2017 | June 18, 2020 |
| ACCREDO HEALTH GROUP, INC. | INDIANAPOLIS, IN | January 1, 2022 | September 15, 2022 |
| ACCREDO HEALTH GROUP, INC. | ORLANDO, FL | January 1, 2022 | September 15, 2022 |
| ACCREDO HEALTH GROUP, INC. | NEWARK, DE | January 1, 2022 | September 15, 2022 |
| ACCREDO HEALTH GROUP, INC. | NEWARK, DE | October 1, 2017 | June 18, 2020 |
| ACCREDO HEALTH GROUP, INC. | INDIANAPOLIS, IN | October 1, 2017 | June 18, 2020 |
| CAREMARK FLORIDA SPECIALTY PHARMACY LLC | TAMPA, FL | January 1, 2022 | September 15, 2022 |
| CAREMARK ILLINOIS SPECIALTY PHARMACY, LL | MOUNT PROSPECT, IL | January 1, 2022 | September 15, 2022 |
| CAREMARK ILLINOIS SPECIALTY PHARMACY, LL | MOUNT PROSPECT, IL | October 1, 2017 | June 18, 2020 |
| CAREMARK KANSAS SPECIALTY PHARMACY | LENEXA, KS | January 1, 2022 | September 15, 2022 |
| CAREMARK KANSAS SPECIALTY PHARMACY | LENEXA, KS | October 1, 2017 | June 18, 2020 |
| CAREMARK MASSACHUSETTS SPECIALTY PHARMAC | MILFORD, MA | January 1, 2022 | September 15, 2022 |
| CAREMARK MICHIGAN SPECIALTY PHARMACY, LL | TROY, MI | January 1, 2022 | September 15, 2022 |
| CAREMARK NEW JERSEY SPECIALTY PHCY, LLC | FAIRFIELD, NJ | January 1, 2022 | September 15, 2022 |
| CAREMARK NORTH CAROLINA SPECIALTY PHARMA | RALEIGH, NC | January 1, 2022 | September 15, 2022 |
| CAREMARK TENNESSEE SPECIALTY PHARMACY, L | BARTLETT, TN | January 1, 2022 | September 15, 2022 |
| CAREMARK, L.L.C. | REDLANDS, CA | January 1, 2022 | September 15, 2022 |
| CAREMARK, L.L.C. | REDLANDS, CA | October 1, 2017 | June 18, 2020 |
| CAREMARK, L.L.C. | LAS VEGAS, NV | January 1, 2022 | September 15, 2022 |
| CORAM HEALTHCARE CORP OF SOUTHERN CALIFO | LOS ANGELES, CA | October 1, 2017 | June 18, 2020 |
| CVS CAREMARK | WILKES BARRE, PA | January 1, 2022 | September 15, 2022 |
| CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC | MT PROSPECT, IL | January 1, 2022 | September 15, 2022 |
| CVS/SPECIALTY OR CARELONRX SPECIALTY PHA | FLOWER MOUND, TX | January 1, 2022 | September 15, 2022 |
| ESI MAIL PHARMACY SERVICE | TEMPE, AZ | January 1, 2022 | September 15, 2022 |
| EXPRESS SCRIPTS | SAINT LOUIS, MO | January 1, 2022 | September 15, 2022 |
| EXPRESS SCRIPTS PHARMACY, INC. | WHITESTOWN, IN | January 1, 2022 | September 15, 2022 |
| EXPRESS SCRIPTS PHARMACY, INC. | BURLINGTON, NJ | January 1, 2022 | September 15, 2022 |
| GARFIELD BEACH CVS, L.L.C. | LOS ANGELES, CA | January 1, 2022 | September 15, 2022 |
| GARFIELD BEACH CVS, L.L.C. | LOS ANGELES, CA | January 1, 2022 | September 15, 2022 |
| GARFIELD BEACH CVS, L.L.C. | LOS ANGELES, CA | January 1, 2022 | September 15, 2022 |
| GARFIELD BEACH CVS, L.L.C. | LOS ANGELES, CA | January 1, 2022 | September 15, 2022 |
| GARFIELD BEACH CVS, L.L.C. | LOS ANGELES, CA | January 1, 2022 | September 15, 2022 |
| GARFIELD BEACH CVS, L.L.C. | LOS ANGELES, CA | January 1, 2022 | September 15, 2022 |
| GARFIELD BEACH CVS, L.L.C. | LOS ANGELES, CA | January 1, 2022 | September 15, 2022 |
| GARFIELD BEACH CVS, L.L.C. | LOS ANGELES, CA | January 1, 2022 | September 15, 2022 |
| GARFIELD BEACH CVS, L.L.C. | MONTROSE, CA | January 1, 2022 | September 15, 2022 |
| GARFIELD BEACH CVS, L.L.C. | LOS ANGELES, CA | January 1, 2022 | September 15, 2022 |
| GARFIELD BEACH CVS, L.L.C. | LOS ANGELES, CA | January 1, 2022 | September 15, 2022 |
| GARFIELD BEACH CVS, L.L.C. | LOS ANGELES, CA | January 1, 2022 | September 15, 2022 |
| GARFIELD BEACH CVS, L.L.C. | HOLLYWOOD, CA | January 1, 2022 | September 15, 2022 |
| PROCARE PHARMACY DIRECT, L.L.C. | MONROEVILLE, PA | January 1, 2022 | September 15, 2022 |
| PROCARE PHARMACY DIRECT, L.L.C. | MONROEVILLE, PA | October 1, 2017 | June 18, 2020 |
| PROCARE PHARMACY, L.L.C. | BIRMINGHAM, AL | January 1, 2022 | September 15, 2022 |
| PROCARE PHARMACY, L.L.C. | COLUMBIA, SC | January 1, 2022 | September 15, 2022 |
| PROCARE PHARMACY, L.L.C. | HONOLULU, HI | January 1, 2022 | September 15, 2022 |
| WALGREEN CO | LOS ANGELES, CA | April 1, 2022 | September 15, 2022 |
| WALGREEN CO | HUNTINGTON PARK, CA | April 1, 2022 | September 15, 2022 |
| WALGREEN CO. | LOS ANGELES, CA | April 1, 2022 | September 15, 2022 |
| WALGREEN CO. | LOS ANGELES, CA | April 1, 2022 | September 15, 2022 |
| WALGREEN CO. | LOS ANGELES, CA | April 1, 2022 | September 15, 2022 |
| WALGREEN CO. | GLENDALE, CA | April 1, 2022 | September 15, 2022 |
| WALGREEN CO. | LOS ANGELES, CA | April 1, 2022 | September 15, 2022 |
| WALGREEN CO. | LOS ANGELES, CA | April 1, 2022 | September 15, 2022 |
| WALGREEN CO. | LOS ANGELES, CA | April 1, 2022 | September 15, 2022 |
| WALGREEN CO. | LOS ANGELES, CA | April 1, 2022 | September 15, 2022 |
| WALGREEN CO. | LOS ANGELES, CA | April 1, 2022 | September 15, 2022 |
| WALGREEN CO. | ALHAMBRA, CA | April 1, 2022 | September 15, 2022 |
| WALGREEN CO. | GLENDALE, CA | April 1, 2022 | September 15, 2022 |
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 5, 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_20261005_121310.xlsx, stamped by its publisher October 5, 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_20261005_121310.xlsx, read October 5, 2026.