New You know us for 340B. Meet the rest. Expertise extended: now in operations and compliance.

End-to-End Strategy, Operations & 340B Expertise for FQHCs

AI-Powered Intelligence. Executive Leadership. Sustainable Growth.

Leading a community health center means making high-stakes decisions across compliance, finance, and operations — rarely with a clear, real-time picture of where the organization stands. Seismic Health Strategies changes that with Seismic Epicenter (COI Platform): a single, AI-driven view of organizational health, live compliance status, and early warning on the risks that threaten sustainability — backed by fractional C-suite leadership, 340B program design and optimization, and revenue leakage recovery.

NOT ANOTHER DASHBOARD: A Compliance & Operational Intelligence (COI) platform built for each seat at the table for FQHCs.
Seismic COI dashboard, CEO executive overview: enterprise compliance score, framework scorecard, priority alerts, and headline KPIs.

Illustrative data shown. Actual COI Platforms are configured to each health center.

$100M+
340B pharmacy revenue generated (last 5 years)
25+ Yrs
FQHC C-suite leadership
91%
340B capture rate achieved
7 of 10
FQHCs leave 340B revenue on the table

Based on more than 25 years of experience: many FQHCs operate compliant 340B programs but not optimized ones — often leaving hundreds of thousands, or millions, in annual pharmacy revenue unrealized.

Apexus Advanced 340B Certificate Program — 340B Apexus Certified Expert (340B ACE)
Project Management Professional (PMP) certification
340B Apexus Certified Experts (ACE) PharmD · MBA · HCEP · PMP Expert testimony — MD Legislature (HB1056 / SB986) 340B Grantee Conference presenter MACHC presenter
NewWhat’s New at Seismic

Known for 340B. Now Built for Everything Around It.

Health centers have engaged Seismic for one thing: 340B expertise and the results that follow. That has not changed — the extension of expertise beyond 340B has. We have expanded into the operations and compliance visibility layer that FQHC leadership teams have traditionally lacked: one source of truth for organizational health, live compliance status, alerts that arrive before findings do, and continuous audit readiness — for the CEO, the full C-suite, and the entire covered entity.

The Intelligence Layer

Seismic Epicenter

The Compliance & Operational Intelligence (COI) platform for FQHCs. Epicenter watches your operational, financial, and compliance data around the clock, surfaces risk while there is still time to act, and tells you what to do about it — one trusted view for every seat at the table.

  • Organizational health at a glance, board-ready
  • Live compliance status across every oversight framework
  • Risks flagged as alerts — before they become findings
The Documentation Layer

FQHC OneSource

Whatever is requested, by whichever agency, is in hand in minutes rather than days — and it is always the current version. OneSource integrates directly with Seismic Epicenter, so your compliance picture updates as your records do, moving your organization from scrambling when the notice arrives to being ready before it does.

  • Any agency, any request, answered the same day
  • Continuously audit-ready — not a project you repeat every year
  • Turnover-proof: institutional knowledge does not walk out the door

OneSource gets your documentation in order.
Epicenter keeps it intelligent.

Seismic Epicenter

One Dashboard. Every Executive. Total Visibility.

Seismic Epicenter — our Compliance & Operational Intelligence (COI) platform — turns scattered data into a single, trusted view every member of the leadership team can act on. It is built on FQHC OneSource, our standardized document framework: OneSource gets your documentation in order; Epicenter keeps it intelligent.

Seismic COI dashboard, CEO executive overview: enterprise compliance score, framework scorecard, priority alerts, and headline KPIs.

CEO view: A single source of truth for organizational health, board-ready reporting, and confidence that no risk goes unseen.

Illustrative data shown. Actual COI Platforms are configured to each health center.

Built for healthcare data

Architected for HIPAA-aligned handling of protected and PHI-adjacent data, with role-based access, audit logging, and encryption in transit and at rest.

Governed AI, not black-box AI

Our AI surfaces risk and pattern — it does not decide for you. Every insight is traceable, auditable, and reviewable.

Why Seismic

Consultants Advise. We Operate.

Most consultants deliver a report and leave. Seismic is led by a healthcare executive who has held the COO, CSO, and Chief Pharmacy Officer seats inside FQHCs — running the P&L, standing up the pharmacy, leading the HRSA site visit — supported by a team of seasoned FQHC specialists. Every recommendation we make, we have successfully implemented ourselves.

Operators, Not Advisors

Seismic leaders embed as fractional and interim executives with real accountability — not as outside observers. We are measured by what changes, not by what we recommend.

Built for the Safety Net

Greater than twenty years inside FQHCs — HRSA readiness, UDS, grant compliance, sliding fee. We do not adapt hospital playbooks; we build for community health.

What We Do

Ten Capabilities, One Operating Philosophy

We help safety-net organizations grow stronger, stay compliant, and keep improving — long after we're gone.

Growth & Strategy

New Service Line Identification & Growth Strategy

We identify high-impact service line opportunities based on community need, market demand, and financial viability — organic or through partnership — from urgent care and specialty pharmacy to infusion, weight management, and community-based behavioral health.

Strategic Partnerships & Acquisitions

We guide organizations through the full lifecycle of partnerships and acquisitions — from opportunity identification to execution and integration — building aligned, value-driven relationships that reduce reliance on grant funding.

340B

340B Program Design, Development & Implementation

We design and implement compliant, high-performing 340B programs tailored to your structure — entity-owned pharmacy with a contract network, or contract-pharmacy-only.

Entity-owned pharmacies are powerful but not required. We have built strong, compliant, financially significant programs with no entity-owned pharmacy at all.

340B Program Assessment & Optimization

We evaluate existing programs to find risk, gaps, and opportunity, then optimize for compliance, capture rate, and value. A healthy program should contribute 20–60% of a covered entity's total revenue — most have never had that number calculated.

Is your program underperforming? Take the 340B Quick Assessment below — free.

Fractional & Interim C-Suite Executives

Executive expertise, scaled to what your health center needs — no learning curve, no recruitment cycle, no long-term salary commitment.

Fractional / Interim COO

Patient access, revenue cycle, provider productivity, credentialing, vendor negotiation, and HRSA Operational Site Visit readiness — enterprise operational leadership on day one.

Fractional / Interim CSO

We build the strategic plan, pressure-test the business case, model the financials, and stay through implementation — aligning growth with payer mix, demand, and mission.

Fractional / Interim CPO

Executive pharmacy leadership without the full-time cost. For many health centers, 15–20 hours a week is enough to optimize the 340B program and materially increase net savings.

Intelligence & Performance
Continuous Audit Readiness

FQHC OneSource

One Source — any document, any audit, located in minutes.

In this field, the saying goes: “If you've seen one FQHC, you've seen one FQHC.” Every department files its own way, every manager names things their own way, and version control rarely exists. When someone leaves, the scramble begins — for audits, loans, grant applications — and too often the only fix is going back to the source to reissue a document and start over.

FQHC OneSource replaces that chaos with a single, standardized system where every required record has a defined, findable home. Whatever is asked for, by whichever agency, is produced in minutes rather than days — and it stays that way regardless of who comes or goes.

HRSA / OSV340BOIGCMSOCR / HIPAAIRSState Board of Pharmacyand every other body with authority to request records
  • Audit-ready in as little as 30 days, and continuously thereafter
  • One standardized system across every department — no more silos
  • Consistent naming and version control, so the right document is always the one you find
  • Turnover-proof — the system outlasts the people who built it

Institutional knowledge that doesn't walk out the door.

Centralized Operational Intelligence & Compliance (COI)

Real-time visibility into performance, risk, and regulatory adherence — 61 KPIs across 16 dashboards, live audit-readiness across 14 oversight frameworks.

AI Governance

Responsible, compliant AI governance frameworks aligned with clinical, operational, and ethical standards — so your board can approve AI with confidence.

Revenue Leakage Identification & Recovery

We quantify leakage across clinical, operational, and pharmacy workflows and implement controls — prior-auth denials cut from 15% to 5%, A/R reduced 70%, $2M recovered via look-back.

A Condition We Named Because We Kept Finding It

Does Your 340B Program Suffer from 340B Paralysis?

340B Paralysis (n.)
Seismic Health Strategies · observed in covered entities nationwide

The state in which a covered entity’s 340B program continues to operate but stops advancing — not because leadership undervalues it, but because no one has the time, the specialized expertise, or a clear place to turn for help. The program exists. It never fully performs.

For many covered entities, 20% to 60% of total revenue is attributable to their 340B program. A resource this significant cannot afford to sit on the shelf, idling and unattended. Every month a program runs unoptimized is savings not captured — and for a safety-net provider, uncaptured savings are services your community never receives.

Make an honest assessment. Check every one that is true today.

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You have checked 0 of 8.

Check the statements that describe your organization today. Two or more is the threshold.

There’s a cure.

Seismic Health Strategies brings the specialized 340B leadership most entities cannot staff full-time — fractional Chief Pharmacy Officer expertise, program optimization, compliance oversight, and strategy — so your 340B program stops idling and starts working as the lifeline it is meant to be. Click the link below for a quick (3 minute) FREE online 340B assessment.

  • Diagnose Your Program — Your answers stay on the page. Nothing is submitted, stored, or sent. You will not be contacted unless you request it.
  • Talk to a 340B Expert — For a free discussion and/or to discuss a Full 340B Program Assessment.
Free 340B Quick Assessment

Is Your 340B Program Leaving Money on the Table?

Every Missed 340B Claim Is Revenue Your Mission Needs.

Eleven questions. About three minutes. Your full results on screen — no email required.

An optimized 340B program should contribute between 20% and 60% of a covered entity's total revenue — with or without an entity-owned pharmacy. Most covered entities have never had that number calculated, and most are further from it than they think. This assessment gives you a score, a benchmark, and a clear picture of where the gap is.

Start the Assessment

Your responses are anonymous. We use combined, de-identified responses to build sector benchmarks. We will not contact you unless you ask us to.

Results That Fund Patient Care

Growth From Optimization, Not Expansion

Every figure below was achieved without increasing patient volume or adding providers.

6% → 37%
Nine-site Maryland FQHC · entity-owned pharmacy designed and implemented
  • $34.8M cumulative pharmacy revenue over three years; $50M at 4.5 years
  • Annual 340B revenue $2.1M (2021) to $12M+ (2024)
  • $2M recovered via 340B look-back
  • Rx volume up 42%; capture rate 91%
>$13M / yr
Five-site New York FQHC · no entity-owned pharmacy
  • Contract pharmacy revenue up 125% year over year
  • Pharmacy contribution 26% (2023) → 31% (2025) → 36% (2026)
  • Net pharmacy income $4.1M, restoring pre-carve-out performance
  • Network expanded 15 locations; 3% COGS reduction
53% → 5%
Operational turnaround · Patient Access Center redesign
  • Scheduled appointments up 29%; +$700K annual revenue
  • Credentialing turnaround cut 40%; +$1M revenue
  • A/R reduced 70%; collections up 30%
  • First successful HRSA OSV after two failures — $20M+ secured
What Health Center Leaders Say

Trusted by FQHC CEOs and CFOs

“Seismic became an integral part of our leadership team and drove significant increases in 340B program income that directly benefit our patients, staff, and clinical programs.”

Christopher DeMarco, PhD, MBA
CEO, Greater Baden Medical Services

“Seismic meets an organization where it is — optimizing existing assets rather than relying on volume growth, and proving a strong program is achievable without an entity-owned pharmacy.”

Renee Hastick-Motes
CEO, Joseph P. Addabbo Family Health Center

“Their pharmacy and 340B expertise produced unexpected revenue that funded additional services for the underserved. A standout choice for any organization seeking a trusted 340B partner.”

Lawrence J. Wojcik
former CFO, Joseph P. Addabbo Family Health Center

“Dr. Webb immediately assessed the organization and implemented major changes that improved operational effectiveness and increased revenue across multiple sectors. Our pharmacy revenue grew 326% in just nine months. GBMS has greatly benefited from her expertise and her ability to implement complex strategy across the organization.”

Sonja Bachus, MJ, CHCEF
Previous CEO, Greater Baden Medical Services
How We Engage

Three Models, Scaled to Your Needs

Most engagements begin with a conversation and a scoped assessment — an easy, no-pressure start. Clarity first, commitment when it's right.

Fractional Leadership

Ongoing executive leadership at partial time, typically 10–20 hours per week. Best when a function needs sustained senior ownership. Common for CPO and CSO.

Interim Leadership

Full-time coverage during a transition, turnaround, or unexpected departure. Best when operations cannot drift while a search runs. Common for COO.

Project-Based Consulting

Defined scope, timeline, and deliverable — 340B assessment, revenue leakage analysis, HRSA OSV readiness, FQHC OneSource, or COI implementation.

Weeks 1–2

Assess

We get inside the numbers, workflows, and team — using your data, not a generic diagnostic.

Weeks 3–6

Prioritize

We present findings ranked by financial impact and effort. You decide what we tackle first.

Weeks 7–12

Implement

We execute alongside your team. Changes go live; results become measurable.

Ongoing

Sustain

We build the controls and internal capability so performance holds after we step back.

Engagements typically begin with a scoped assessment.

Communities We Serve

Built for the Safety Net — and Beyond

Community Health Centers — FQHCs, Look-Alikes & Safety-Net Providers

We position covered entities to reduce reliance on grant funding by optimizing service lines, eliminating revenue leakage, and executing organic and inorganic growth — from single-site centers to multi-site enterprises.

Hospitals & Health Systems

We strengthen your ability to expand revenue opportunities, navigate value-based care, and deliver consumer-centric, high-quality outcomes through fresh approaches, technology, and deeper expertise.

About Seismic

A Firm Built by FQHC Operators

Seismic Health Strategies is a national healthcare consulting firm built by people who have held the C-suite seats, run the P&L, and owned the results — not advised from the outside. We combine deep 340B pharmacy expertise, operations and strategy leadership, compliance and audit-readiness, and an AI-enabled intelligence platform to help community health centers grow, stay compliant, and control their own sustainability.

Leadership

The firm is founded and led by J. Wyndy Webb, PharmD, MBA, HCEP, PMP, 340B ACE — Founder, CEO, and Lead Consultant. Wyndy has spent more than 25 years in Leadership of Federally Qualified Health Centers — as Chief Strategy Officer, Chief Operating Officer, and Chief Pharmacy Officer, frequently holding COO and CPO at once. She has provided expert testimony before the Maryland State Legislature in support of HB1056 and SB986, contributing to legislation prohibiting discriminatory 340B distribution practices.

The Team

Wyndy leads a team of seasoned FQHC consultants and specialists whose combined expertise spans every service Seismic offers — 340B, pharmacy operations, fractional C-suite leadership, revenue cycle, HRSA and multi-agency compliance, AI governance, and operational intelligence. Several have themselves held multiple C-suite positions inside community health centers.

Under the firm's leadership, client health centers have grown 340B revenue from 6% to 37% of total organizational revenue, generated more than $100M in cumulative pharmacy revenue, cut call abandonment from 53% to 5%, and secured a first successful HRSA site visit after two consecutive failures. Beyond FQHCs, Seismic serves correctional healthcare systems and behavioral health organizations facing the same pressures.

Let's Talk

Let's Find What Your Program Is Missing

Most health centers we assess discover revenue they did not know they were losing. The first conversation costs nothing and usually takes thirty minutes.