1 associated location — data as of October 5, 2026
Disproportionate share hospital · WALLA WALLA, WA
Providence St. Mary Medical Center
Filed as PROV ST MARY MEDICAL CENTER.
Taking partNoTermination date filedJuly 1, 2024Last certifiedAugust 30, 2023
- 0Registered locations
- 1Associated locations
- 78Contract pharmacies
- 0With no end date
- October 1, 2022In 340B since
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 | $934,038,340 | CMS-2552-10 worksheet G300000 line 100 column 100 |
| Contractual allowances | $661,226,961 | CMS-2552-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $272,811,379 | CMS-2552-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $272,196,297 | CMS-2552-10 worksheet G300000 line 400 column 100 |
| Income from service to patients | $615,082 | CMS-2552-10 worksheet G300000 line 500 column 100 |
| Charity care, at charges | $19,829,790 | CMS-2552-10 worksheet S100001 line 2000 column 300 |
| Charity care, at cost | $6,689,236 | CMS-2552-10 worksheet S100001 line 2300 column 300 |
| Bad debt expense | $3,176,502 | CMS-2552-10 worksheet S100001 line 2600 column 100 |
| Bad debt other than Medicare, at cost | $867,078 | CMS-2552-10 worksheet S100001 line 2900 column 100 |
| Uncompensated care, at cost | $7,556,314 | CMS-2552-10 worksheet S100001 line 3000 column 100 |
| Total facility beds | 86 | CMS-2552-10 worksheet S300001 line 1400 column 200 |
| Cost-to-charge ratio | 0.2424 | CMS-2552-10 worksheet S100001 line 100 column 100 |
| Allowable disproportionate share percentage | 0.1153 | CMS-2552-10 worksheet E00A18A line 3300 column 100 |
Cost report filed under CMS certification number 500002 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
The full report for Providence St. Mary Medical Center
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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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 Washington 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
- October 1, 2022
- Termination date
- July 1, 2024
- Termination reason
- Change of covered entity type
- Certification date
- August 30, 2023
- Record last edited
- July 1, 2024
Identifiers
- 340B ID
- DSH500002
- Entity type as filed
- DSH
- CMS certification number
- 500002
- NPI
- 1386895886 (OR,WA)
- Rural
- No
401 W POPLAR ST., WALLA WALLA WA 99362
Associated locations
| Providence St. Mary Medical Center | 401 W POPLAR ST. | WALLA WALLA WA 99362 |
Pharmacy contracts
No end date filed0
No arrangement with no end date filed matches that.
An end date is filed78
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 | MEMPHIS, TN | October 1, 2022 | July 1, 2024 |
| ACCREDO HEALTH GROUP INC | TEMPE, AZ | October 1, 2022 | July 1, 2024 |
| ACCREDO HEALTH GROUP INC | WARRENDALE, PA | October 1, 2022 | July 1, 2024 |
| ACCREDO HEALTH GROUP INC | TEMPE, AZ | October 1, 2017 | April 14, 2020 |
| ACCREDO HEALTH GROUP INC | MEMPHIS, TN | October 1, 2017 | April 14, 2020 |
| ACCREDO HEALTH GROUP INC | WARRENDALE, PA | October 1, 2017 | April 14, 2020 |
| ACCREDO HEALTH GROUP INC | NASHVILLE, TN | October 1, 2017 | February 20, 2018 |
| ACCREDO HEALTH GROUP, INC. | INDIANAPOLIS, IN | October 1, 2022 | July 1, 2024 |
| ACCREDO HEALTH GROUP, INC. | ORLANDO, FL | October 1, 2022 | July 1, 2024 |
| ACCREDO HEALTH GROUP, INC. | NEWARK, DE | October 1, 2022 | July 1, 2024 |
| ACCREDO HEALTH GROUP, INC. | NEWARK, DE | October 1, 2017 | April 14, 2020 |
| ACCREDO HEALTH GROUP, INC. | INDIANAPOLIS, IN | October 1, 2017 | April 14, 2020 |
| ACCREDO HEALTH GROUP, INC. | ORLANDO, FL | October 1, 2017 | April 14, 2020 |
| ARDON HEALTH, LLC | PORTLAND, OR | October 1, 2022 | July 1, 2024 |
| ARDON HEALTH, LLC | PORTLAND, OR | October 1, 2019 | April 14, 2020 |
| CAREMARK FLORIDA SPECIALTY PHARMACY LLC | TAMPA, FL | October 1, 2022 | July 1, 2024 |
| CAREMARK FLORIDA SPECIALTY PHARMACY LLC | TAMPA, FL | October 1, 2017 | April 14, 2020 |
| CAREMARK ILLINOIS SPECIALTY PHARMACY, LL | MOUNT PROSPECT, IL | October 1, 2022 | July 1, 2024 |
| CAREMARK ILLINOIS SPECIALTY PHARMACY, LL | MOUNT PROSPECT, IL | October 1, 2017 | April 14, 2020 |
| CAREMARK KANSAS SPECIALTY PHARMACY | LENEXA, KS | October 1, 2022 | July 1, 2024 |
| CAREMARK KANSAS SPECIALTY PHARMACY | LENEXA, KS | October 1, 2017 | April 14, 2020 |
| CAREMARK MASSACHUSETTS SPECIALTY PHARMAC | MILFORD, MA | October 1, 2022 | July 1, 2024 |
| CAREMARK MASSACHUSETTS SPECIALTY PHARMAC | MILFORD, MA | October 1, 2017 | April 14, 2020 |
| CAREMARK MICHIGAN SPECIALTY PHARMACY, LL | TROY, MI | October 1, 2022 | July 1, 2024 |
| CAREMARK MICHIGAN SPECIALTY PHARMACY, LL | TROY, MI | October 1, 2017 | April 14, 2020 |
| CAREMARK NEW JERSEY SPECIALTY PHCY, LLC | FAIRFIELD, NJ | October 1, 2022 | July 1, 2024 |
| CAREMARK NEW JERSEY SPECIALTY PHCY, LLC | FAIRFIELD, NJ | October 1, 2017 | April 14, 2020 |
| CAREMARK NORTH CAROLINA SPECIALTY PHARMA | RALEIGH, NC | October 1, 2022 | July 1, 2024 |
| CAREMARK NORTH CAROLINA SPECIALTY PHARMA | RALEIGH, NC | October 1, 2017 | April 14, 2020 |
| CAREMARK TENNESSEE SPECIALTY PHARMACY, L | BARTLETT, TN | October 1, 2022 | July 1, 2024 |
| CAREMARK TENNESSEE SPECIALTY PHARMACY, L | BARTLETT, TN | October 1, 2017 | April 14, 2020 |
| CAREMARK, L.L.C. | REDLANDS, CA | October 1, 2022 | July 1, 2024 |
| CAREMARK, L.L.C. | REDLANDS, CA | October 1, 2017 | April 14, 2020 |
| CAREMARK, L.L.C. | LAS VEGAS, NV | October 1, 2022 | July 1, 2024 |
| CORAM ALTERNATE SITE SERVICES, INC. | SPOKANE VALLEY, WA | October 1, 2017 | April 14, 2020 |
| CORAM ALTERNATE SITE SERVICES, INC. | PORTLAND, OR | October 1, 2017 | April 14, 2020 |
| CORAM ALTERNATE SITE SERVICES, INC. | REDMOND, WA | October 1, 2017 | April 14, 2020 |
| CREDENA HEALTH LLC | PORTLAND, OR | January 1, 2023 | July 1, 2024 |
| CREDENA HEALTH, LLC | PORTLAND, OR | October 1, 2022 | July 1, 2024 |
| CREDENA HEALTH, LLC | PORTLAND, OR | October 1, 2016 | April 14, 2020 |
| CVS/SPECIALTY OR CARELONRX SPECIALTY PHA | FLOWER MOUND, TX | October 1, 2022 | July 1, 2024 |
| CYSTIC FIBROSIS SERVICES, LLC | FRISCO, TX | October 1, 2022 | July 1, 2024 |
| CYSTIC FIBROSIS SERVICES, LLC | FRISCO, TX | October 1, 2017 | April 14, 2020 |
| DIPLOMAT SPECIALTY PHARMACY | FLINT, MI | October 1, 2017 | April 14, 2020 |
| DIPLOMAT SPECIALTY PHARMACY OF PHOENIX, | CHANDLER, AZ | October 1, 2019 | April 14, 2020 |
| DIPLOMAT SPECIALTY PHARMACY OF SOUTHERN | ONTARIO, CA | October 1, 2017 | July 15, 2019 |
| OPTUM PHARMACY 701, LLC | FLINT, MI | October 1, 2022 | July 1, 2024 |
| OPTUM PHARMACY 702, LLC | JEFFERSONVILLE, IN | October 1, 2022 | July 1, 2024 |
| OPTUM PHARMACY 707, INC | IRWINDALE, CA | October 1, 2022 | July 1, 2024 |
| OPTUM PHARMACY 801, INC. | PHOENIX, AZ | October 1, 2022 | July 1, 2024 |
| PRIME THERAPEUTICS SPECIALTY PHARMACY LL | ORLANDO, FL | October 1, 2022 | October 1, 2022 |
| PRIME THERAPEUTICS SPECIALTY PHARMACY LL | ORLANDO, FL | October 1, 2017 | April 14, 2020 |
| PROCARE PHARMACY DIRECT, L.L.C. | MONROEVILLE, PA | October 1, 2022 | July 1, 2024 |
| PROCARE PHARMACY DIRECT, L.L.C. | MONROEVILLE, PA | October 1, 2017 | April 14, 2020 |
| PROCARE PHARMACY, L.L.C. | BIRMINGHAM, AL | October 1, 2022 | July 1, 2024 |
| PROCARE PHARMACY, L.L.C. | COLUMBIA, SC | October 1, 2022 | July 1, 2024 |
| PROCARE PHARMACY, L.L.C. | HONOLULU, HI | October 1, 2022 | July 1, 2024 |
| PROCARE PHARMACY, L.L.C. | HONOLULU, HI | October 1, 2017 | April 14, 2020 |
| WAL-MART CENTRAL FILL 10-2670 | SPRING, TX | October 1, 2019 | April 14, 2020 |
| WAL-MART PHARMACY 10-2476 | COLLEGE PLACE, WA | October 1, 2019 | April 14, 2020 |
| WAL-MART PHARMACY 10-5997 | ORLANDO, FL | October 1, 2019 | April 14, 2020 |
| WALGREEN CO. | SPOKANE, WA | October 1, 2022 | July 1, 2024 |
| WALGREEN CO. | WALLA WALLA, WA | October 1, 2022 | July 1, 2024 |
| WALGREEN CO. | SPOKANE, WA | July 1, 2018 | April 14, 2020 |
| WALGREEN CO. | WALLA WALLA, WA | October 1, 2017 | April 14, 2020 |
| WALGREENS MAIL SERVICE, INC. | TEMPE, AZ | October 1, 2022 | July 1, 2024 |
| WALGREENS MAIL SERVICE, INC. | TEMPE, AZ | October 1, 2017 | January 1, 2018 |
| WALGREENS MAIL SERVICE, LLC | TEMPE, AZ | October 1, 2022 | July 1, 2024 |
| WALGREENS MAIL SERVICE, LLC | TEMPE, AZ | January 1, 2018 | April 14, 2020 |
| WALGREENS SPECIALTY PHARMACY, LLC | PITTSBURGH, PA | October 1, 2022 | July 1, 2024 |
| WALGREENS SPECIALTY PHARMACY, LLC | CANTON, MI | October 1, 2022 | July 1, 2024 |
| WALGREENS SPECIALTY PHARMACY, LLC | FRISCO, TX | October 1, 2022 | July 1, 2024 |
| WALGREENS SPECIALTY PHARMACY, LLC | CANTON, MI | October 1, 2017 | April 14, 2020 |
| WALGREENS SPECIALTY PHARMACY, LLC | PITTSBURGH, PA | October 1, 2017 | April 14, 2020 |
| WALGREENS SPECIALTY PHARMACY, LLC | FRISCO, TX | October 1, 2017 | April 14, 2020 |
| WALGREENS SPECIALTY PHARMACY, LLC | BEAVERTON, OR | October 1, 2017 | April 14, 2020 |
| WALGREENS.COM, INC. | CHANDLER, AZ | October 1, 2022 | July 1, 2024 |
| WALGREENS.COM, INC. | CHANDLER, AZ | January 1, 2018 | April 14, 2020 |
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.