340B Impact Report
The 340B prescription drug program is a vital lifeline for safety-net providers, supporting critical health services in our communities. The program is narrowly tailored to reach only hospitals that provide a high level of services to low-income individuals or that serve isolated rural communities.
Savings from the 340B program help hospitals meet the healthcare needs of underserved patients across the country. Congress should preserve and protect the 340B program as an essential part of the safety-net that does not rely on taxpayer dollars.
340B by the Numbers
CMH 340B Impact by the Numbers
| Impact | FY25 Amount | FY24 Amount |
|---|---|---|
| CMH pharmacy benefit | $7.5 million | $3.2 million |
| Contract pharmacy benefit | $13.1 million | $6.7 million |
| CMH bottom line with 340B benefits | $5.5 million (2% margin) | $0.5 million (0.2% margin) |
| CMH bottom line without 340B benefits | -$15.1 million (-5.4% margin) | -$6.2 million (-2.7% margin) |
340B Patient Impact by the Numbers
| Impact | FY25 Amount | FY24 Amount |
|---|---|---|
| Medication savings passed along to CMH patients | $3.2 million | $2.7 million |
| Charity care provided at reduced or no cost to patients based on their individual financial situation | $0.6 million | $0.3 million |
| Uncompensated care provided to patients | $4.7 million | $4.1 million |
The 340B Impact in Our Community
Citizens Memorial Hospital is an 86-bed disproportionate share hospital (DSH) located in Bolivar, Missouri. CMH has 31 registered child sites serving patients over eight counties in southwestern Missouri.
CMH uses its 340B savings to stretch scarce federal resources to expand services, invest in technology or equipment to care for patients, increase patient access to medications, and for provider recruitment and retention.
Walk-in clinics are operated seven days a week in Bolivar, Buffalo, El Dorado Springs and Willard, with walk-in hours available at several additional clinics.
Ambulance services are operated from three base stations in Polk, Hickory and St. Clair Counties.
Savings from the 340B program enable us to provide the following services:
- Obstetrics care in a rural community hospital.
- Geriatric wellness unit to meet behavioral needs in aging population.
- Home health and health transit services for patients to access care.
- Senior Health Center for residents to access exercise equipment and community
- resources at no cost.
- Specialty clinics with board-certified providers close to home.
- Access to new Alzheimer’s research and clinical trials.
- Robust acute care, transitional care, and chronic care management services.
- Community education and outreach to create new programs like our Mobile Integrated Health unit.
- Medication Discount Program.