4 locations registered under this record — data as of October 5, 2026
Disproportionate share hospital · SUFFERN, NY
GOOD SAMARITAN HOSPITAL
Taking partNoTermination date filedOctober 1, 2026Last certifiedAugust 15, 2025
- 4Registered locations
- 1Associated locations
- 54Contract pharmacies
- 0With no end date
- July 1, 2009In 340B since
Where this record sits: among the 82 Disproportionate share hospitals in New York, the median open contract-pharmacy count is 48; this record’s open count ranks 39.
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 December 31, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,857,280,473 | CMS-2552-10 worksheet G300000 line 100 column 100 |
| Contractual allowances | $2,494,525,680 | CMS-2552-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $362,754,793 | CMS-2552-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $408,372,360 | CMS-2552-10 worksheet G300000 line 400 column 100 |
| Income from service to patients | −$45,617,567 | CMS-2552-10 worksheet G300000 line 500 column 100 |
| Charity care, at charges | $52,150,536 | CMS-2552-10 worksheet S100001 line 2000 column 300 |
| Charity care, at cost | $20,433,832 | CMS-2552-10 worksheet S100001 line 2300 column 300 |
| Bad debt expense | $688,690 | CMS-2552-10 worksheet S100001 line 2600 column 100 |
| Bad debt other than Medicare, at cost | $241,039 | CMS-2552-10 worksheet S100001 line 2900 column 100 |
| Uncompensated care, at cost | $20,674,871 | CMS-2552-10 worksheet S100001 line 3000 column 100 |
| Total facility beds | 286 | CMS-2552-10 worksheet S300001 line 1400 column 200 |
| Cost-to-charge ratio | 0.1353 | CMS-2552-10 worksheet S100001 line 100 column 100 |
| Allowable disproportionate share percentage | 0.1872 | CMS-2552-10 worksheet E00A18A line 3300 column 100 |
Cost report filed under CMS certification number 330158 for January 1, 2025 to December 31, 2025, as submitted. The public file it was read from.
Community benefit, as filed
Executive and director compensation, as filed
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.
- 36thpercentile of 50 hospitals in NY, 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 50 hospitals in NY, 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.
- 83rdpercentile of 41 hospitals in NY, same facility class, 200 to 399 bedsCharity care, at cost, in dollars, as filed
- 74thpercentile of 42 hospitals in NY, same facility class, 200 to 399 bedsUncompensated care, at cost, in dollars, as filed
- 56thpercentile of 50 hospitals in NY, 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.
- 5thpercentile of 42 hospitals in NY, 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.
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 New York beside it — each figure with the cell it came from — are in the report above.
Register detail and identifiers
Participation, as filed
- Participating
- FALSE
- Participation start date
- July 1, 2009
- Termination date
- October 1, 2026
- Termination reason
- Other
- Certification date
- August 15, 2025
- Record last edited
- October 1, 2026
Identifiers
- 340B ID
- DSH330158
- Entity type as filed
- DSH
- CMS certification number
- 330158
- NPI
- 1346213469 (FL,NJ,NY,PA)
- Rural
- No
255 LAFAYETTE AVENUE, SUFFERN NY 10901
Locations registered under this record
Browse all of them as a list →
Associated locations
| GOOD SAMARITAN HOSPITAL | 255 LAFAYETTE AVENUE | SUFFERN NY 10901 |
Pharmacy contracts
No end date filed0
No arrangement with no end date filed matches that.
An end date is filed54
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.
| 35 VALLEY AVE LLC | ELMSFORD, NY | April 1, 2026 | October 1, 2026 |
| ACME MARKETS INC | MAHWAH, NJ | April 1, 2026 | October 1, 2026 |
| ADVANCED CARE SCRIPTS, INC | ORLANDO, FL | April 1, 2026 | October 1, 2026 |
| CAREMARK FLORIDA SPECIALTY PHARMACY LLC | TAMPA, FL | April 1, 2026 | October 1, 2026 |
| CAREMARK ILLINOIS SPECIALTY PHARMACY, LL | MOUNT PROSPECT, IL | April 1, 2026 | October 1, 2026 |
| CAREMARK KANSAS SPECIALTY PHARMACY | LENEXA, KS | April 1, 2026 | October 1, 2026 |
| CAREMARK MASSACHUSETTS SPECIALTY PHARMAC | MILFORD, MA | April 1, 2026 | October 1, 2026 |
| CAREMARK MICHIGAN SPECIALTY PHARMACY, LL | TROY, MI | April 1, 2026 | October 1, 2026 |
| CAREMARK NEW JERSEY SPECIALTY PHCY, LLC | FAIRFIELD, NJ | April 1, 2026 | October 1, 2026 |
| CAREMARK NORTH CAROLINA SPECIALTY PHARMA | RALEIGH, NC | April 1, 2026 | October 1, 2026 |
| CAREMARK TENNESSEE SPECIALTY PHARMACY, L | BARTLETT, TN | April 1, 2026 | October 1, 2026 |
| CAREMARK, L.L.C. | REDLANDS, CA | April 1, 2026 | October 1, 2026 |
| CAREMARK, L.L.C. | LAS VEGAS, NV | April 1, 2026 | October 1, 2026 |
| CVS ALBANY, L.L.C. | MONSEY, NY | April 1, 2026 | October 1, 2026 |
| CVS ALBANY, L.L.C. | NEW CITY, NY | April 1, 2026 | October 1, 2026 |
| CVS ALBANY, L.L.C. | BARDONIA, NY | April 1, 2026 | October 1, 2026 |
| CVS ALBANY, L.L.C. | CHESTER, NY | April 1, 2026 | October 1, 2026 |
| CVS ALBANY, L.L.C. | GARNERVILLE, NY | April 1, 2026 | October 1, 2026 |
| CVS ALBANY, L.L.C. | GOSHEN, NY | April 1, 2026 | October 1, 2026 |
| CVS ALBANY, L.L.C. | GREENWOOD LAKE, NY | April 1, 2026 | October 1, 2026 |
| CVS ALBANY, L.L.C. | MIDDLETOWN, NY | April 1, 2026 | October 1, 2026 |
| CVS ALBANY, L.L.C. | ORANGEBURG, NY | April 1, 2026 | October 1, 2026 |
| CVS ALBANY, L.L.C. | PEARL RIVER, NY | April 1, 2026 | October 1, 2026 |
| CVS ALBANY, L.L.C. | SPRING VALLEY, NY | April 1, 2026 | October 1, 2026 |
| CVS ALBANY, L.L.C. | STONY POINT, NY | April 1, 2026 | October 1, 2026 |
| CVS ALBANY, L.L.C. | SUFFERN, NY | April 1, 2026 | October 1, 2026 |
| CVS ALBANY, L.L.C. | VALLEY COTTAGE, NY | April 1, 2026 | October 1, 2026 |
| CVS ALBANY, L.L.C. | WARWICK, NY | April 1, 2026 | October 1, 2026 |
| CVS ALBANY, L.L.C. | WASHINGTONVILLE, NY | April 1, 2026 | October 1, 2026 |
| CVS ALBANY, L.L.C. | WEST NYACK, NY | April 1, 2026 | October 1, 2026 |
| CVS ALBANY, L.L.C. | MONROE, NY | April 1, 2026 | October 1, 2026 |
| CVS CAREMARK | WILKES BARRE, PA | April 1, 2026 | October 1, 2026 |
| CVS CAREMARK ADVANCED TECHNOLOGY PHARMAC | MT PROSPECT, IL | April 1, 2026 | October 1, 2026 |
| CVS/SPECIALTY OR CARELONRX SPECIALTY PHA | FLOWER MOUND, TX | April 1, 2026 | October 1, 2026 |
| DJ DRUGS & SURGICALS INC | NEW YORK, NY | April 1, 2026 | October 1, 2026 |
| DRUGMASTERS LLC | GARFIELD, NJ | April 1, 2026 | October 1, 2026 |
| NEW JERSEY CVS PHARMACY, L.L.C. | NORTHVALE, NJ | April 1, 2026 | October 1, 2026 |
| NEW JERSEY CVS PHARMACY, L.L.C. | FAIR LAWN, NJ | April 1, 2026 | October 1, 2026 |
| NEW JERSEY CVS PHARMACY, L.L.C. | MAHWAH, NJ | April 1, 2026 | October 1, 2026 |
| PROCARE PHARMACY DIRECT, L.L.C. | MONROEVILLE, PA | April 1, 2026 | October 1, 2026 |
| PROCARE PHARMACY, L.L.C. | COLUMBIA, SC | April 1, 2026 | October 1, 2026 |
| PROCARE PHARMACY, L.L.C. | BIRMINGHAM, AL | April 1, 2026 | October 1, 2026 |
| SINA DRUG LLC | NEW HYDE PARK, NY | April 1, 2026 | October 1, 2026 |
| SINA DRUG LLC | LOUISVILLE, KY | April 1, 2026 | October 1, 2026 |
| WAL-MART CENTRAL FILL 10-2670 | SPRING, TX | April 1, 2026 | October 1, 2026 |
| WAL-MART PHARMACY 10-1959 | MIDDLETOWN, NY | April 1, 2026 | October 1, 2026 |
| WAL-MART PHARMACY 10-2547 | MONTICELLO, NY | April 1, 2026 | October 1, 2026 |
| WAL-MART PHARMACY 10-2905 | SUFFERN, NY | April 1, 2026 | October 1, 2026 |
| WAL-MART PHARMACY 10-3471 | ACWORTH, GA | April 1, 2026 | October 1, 2026 |
| WAL-MART PHARMACY 10-4570 | NAPANOCH, NY | April 1, 2026 | October 1, 2026 |
| WAL-MART PHARMACY 10-5997 | ORLANDO, FL | April 1, 2026 | October 1, 2026 |
| WALMART PHARMACY 10-5169 | ROGERS, AR | April 1, 2026 | October 1, 2026 |
| Walmart Pharmacy 10-7611 | Plainfield, IN | April 1, 2026 | October 1, 2026 |
| WEST VIRGINIA CVS PHARMACY, L.L.C. | STAR CITY, WV | April 1, 2026 | October 1, 2026 |
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.
The full report for 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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