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KENTUCKY’S 340B HOSPITALS AND CLINIC SYSTEMS ARE FAILING PATIENTS

Kentucky’s 340B hospitals and clinics are supposed to help people. Instead, they’re exploiting taxpayer funds, failing audits, and enriching executives while hardworking Kentuckians are left in the dark.

Billions of Dollars. Zero Accountability.

Kentucky’s tax-exempt hospitals and publicly-funded clinics are gaming the system – cashing in on 340B dollars with no guarantee that patients benefit.

Despite their safety-net status, Kentucky health systems provide far less charity care than the rest of the nation. Their average charity care rate was just 0.68% of their operating budget.   

One 340B hospital in Kentucky made nearly $3 billion in revenue in 2023 but only spent 0.78% of its total expenses on charity care.

Massive Markups. But Hospitals Say They Need Even More.

One major Louisville-area hospital charges 3X the price of the same treatment at another nearby hospital. 

One report found that two Kentucky 340B hospitals charged patients an average of five times the actual cost of care.

A young breast cancer patient was charged $20,000 to have her biopsy results read at a Kentucky hospital and her bills continued to pile up.

Where Is The Money Going?

The CEO and director of one Kentucky 340B hospital is one of the highest paid nonprofit employees in the state, making over $3 million a year in total compensation. 

Multiple Kentucky 340B hospitals used profits for million-dollar expansions, including a $100 million project in 2025. 

Kentucky's 340B program was meant to serve patients, not pad hospital and clinic profits. Instead, charity care lags, CEO pay soars, and transparency is ignored.

STOP HOSPITALS’ 340B ABUSE AND PROTECT HARDWORKING KENTUCKIANS.

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Community Action for Responsible Hospitals (CARH) is a non-profit organization of patient-focused stakeholders including labor unions, faith leaders, healthcare providers, consumer advocates, and public interest groups.

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