About
Why the name is an invitation.
340B exists so that safety-net providers can stretch scarce resources further for the patients who need them most. Every unit that fails to accumulate is care that doesn't get funded. That is the reason this work matters — and the reason we do it the slow, verifiable way.
The mission
Come and see for yourself
The name comes from the Gospel of John. Philip tells Nathanael he has found the one the prophets wrote about, and Nathanael is openly skeptical. Philip doesn't argue the point or press his credentials. He says: come and see.
It is an invitation rather than an argument, and that is how we mean it. Come and see is how a partnership starts: come alongside, look at the same records, learn the method while it is being built. What gets understood is shared, and so is the ownership. Nobody is asked to trust a black box.
It is also where the pronouns change. Before it, they are your gaps, your numbers, your audit on the calendar. After it, they are ours. We are not studying someone else's problem from a safe distance — we have taken on a shared one, and we carry it the way a colleague would.
So we don't ask you to accept a number because a consultant produced it. We show you what sits underneath it and invite you to look for yourself. If a finding doesn't survive that, it isn't a finding.
Our clients are hospitals and health systems participating in the 340B program. We don't provide patient care. What we do is make sure the program that funds it is working the way you believe it is.
Principles
Independent of your vendors. Not of your team.
Independence is about who we answer to, not how far away we stand.
Ownership, not observation
Give us a piece of the program and it stops being your problem and becomes ours — in the meetings, carrying actions, answerable for the numbers. Consultants study someone else's problem from a distance. Most of the useful work happens after the findings.
No vendor relationships
We do not resell split-billing software, accept referral fees, or hold a stake in which platform you run. When we say a vendor's logic is wrong, there is nothing behind that opinion but the data.
Source data or nothing
Every finding traces to a record in your systems. Where the data can't support a conclusion, we say so — instead of producing a confident number that won't survive an audit.
You keep the method
The method is taught while it is built, so your team can rerun the analysis without us. We are trying to leave you a capability, not a subscription.
Leadership
Who you'll work with
- Apexus Advanced 340B Operations Certificate
- Doctor of Pharmacy, University of Georgia
- Lean Six Sigma Black Belt
Nathan Wooten, PharmD
Founder
Nathan has spent more than fifteen years in hospital pharmacy leadership, the last several as a director responsible for a health system's 340B program. He holds the Apexus Advanced 340B Operations Certificate and a Doctor of Pharmacy from the University of Georgia, where he graduated magna cum laude.
The reason this practice exists is straightforward: he has run a 340B program from inside a covered entity, and he has been on the receiving end of the audit. Within three weeks of stepping into a director role he completed and had accepted a HRSA corrective action plan, then built the 340B oversight committee that kept the program compliant afterward — while a GPO and wholesaler conversion, an automated dispensing implementation, and an Epic go-live were all in flight at the same time.
Since then he has taken a department through a HRSA audit, two Joint Commission surveys, and three state board of pharmacy inspections. He has rebuilt a pharmacy charge master, led a biosimilar conversion through genuine physician resistance, and chaired a multi-hospital pharmacy aggregation group. He is a certified Lean Six Sigma Black Belt.
That history is the whole methodology. Consultants who have never sat across from an auditor tend to produce findings that don't survive one.
Come and see
A scoping call costs you nothing but the time. We'll tell you honestly whether there's an engagement here.