ADAP Advocacy has published a two-part infographic series examining the relationship between hospital CEO compensation and the 340B Drug Pricing Program, raising significant questions about the program's current implementation and financial priorities. The advocacy group's 340B Project materials highlight what they describe as excessive executive compensation packages funded through a program originally designed to assist low-income patients, with particular implications for healthcare systems in Northern Virginia and surrounding areas including Fairfax and Arlington counties where hospital networks participate in the program.
The first infographic, '340B Too Big to Fail – Executive Compensation – Part 1,' focuses on the growing disparity between CEO pay and frontline nurse compensation while emphasizing that the 340B Drug Pricing Program was specifically created to help poor patients access essential healthcare services. According to ADAP Advocacy, despite the program's expansion to $66 billion in scale, manufacturer rebates intended for patient care are being diverted to fund what they characterize as excessive compensation for hospital executives. This financial dynamic has direct implications for healthcare affordability and access in Northern Virginia communities where hospital systems benefit from 340B participation.
The second infographic, '340B Too Big to Fail – Executive Compensation – Part 2,' documents how CEO compensation has increased exponentially following hospitals' eligibility to participate in the 340B Program. ADAP Advocacy contends that the program was never intended to enrich healthcare executives but rather to support vulnerable patient populations. The organization's national advocacy campaign questions whether the 340B Drug Pricing Program has become 'too big to fail,' drawing parallels to financial institutions during the 2008 economic crisis. Both infographics are available for download through ADAP Advocacy's publications portal.
The materials complement the organization's recently released commercial and form part of their broader campaign to increase transparency and accountability within the 340B Program. The advocacy group maintains that the program's original mission of serving low-income patients is being compromised by financial practices that prioritize executive enrichment over patient care. This has particular relevance for Northern Virginia healthcare systems that serve diverse populations with varying income levels and healthcare needs.
The release of these infographics comes amid ongoing national debate about healthcare costs and executive compensation in the nonprofit hospital sector. ADAP Advocacy's analysis suggests a direct correlation between hospital participation in the 340B Program and dramatic increases in CEO compensation, raising questions about whether the program is achieving its intended purpose of expanding access to care for vulnerable populations. This examination of financial practices within healthcare institutions participating in the 340B Program has significant implications for how healthcare dollars are allocated and whether programs designed to assist low-income patients are effectively serving their intended beneficiaries in communities throughout Northern Virginia and surrounding regions.

