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LOBBYING REPORT |
Lobbying Disclosure Act of 1995 (Section 5) - All Filers Are Required to Complete This Page
2. Address
| Address1 | 800 10th STREET, NW |
Address2 | Two City Center, Suite 400 |
| City | WASHINGTON |
State | DC |
Zip Code | 20001-4956 |
Country | USA |
3. Principal place of business (if different than line 2)
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5. Senate ID# 2571-12
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6. House ID# 306350000
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| TYPE OF REPORT | 8. Year | 2026 |
Q1 (1/1 - 3/31) | Q2 (4/1 - 6/30) | Q3 (7/1 - 9/30) | Q4 (10/1 - 12/31) |
9. Check if this filing amends a previously filed version of this report
| 10. Check if this is a Termination Report | Termination Date |
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11. No Lobbying Issue Activity |
| INCOME OR EXPENSES - YOU MUST complete either Line 12 or Line 13 | |||||||||
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| 12. Lobbying | 13. Organizations | ||||||||
| INCOME relating to lobbying activities for this reporting period was: | EXPENSE relating to lobbying activities for this reporting period were: | ||||||||
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| Provide a good faith estimate, rounded to the nearest $10,000, of all lobbying related income for the client (including all payments to the registrant by any other entity for lobbying activities on behalf of the client). | 14. REPORTING Check box to indicate expense accounting method. See instructions for description of options. | ||||||||
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Method A.
Reporting amounts using LDA definitions only
Method B. Reporting amounts under section 6033(b)(8) of the Internal Revenue Code Method C. Reporting amounts under section 162(e) of the Internal Revenue Code |
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| Signature | Digitally Signed By: Stacey Hughes |
Date | 10/20/2026 4:48:38 PM |
LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.
15. General issue area code MMM
16. Specific lobbying issues
H.R. 1805, Assistance for Rural Community Hospitals (ARCH) Act, all provisions; S. 1261 / H.R. 4206, CONNECT for Health Act of 2025, all provisions; H.R. 2191, Physician Led and Rural Access to Quality Care Act, all provisions; S. 335, Rural Hospital Support Act, all provisions; S.1816 / H.R.3514, Improving Seniors Timely Access to Care Act, all provisions; S. 502, Rural Hospital Closure Relief Act, all provisions; S. 2439 / H.R. 4731, Resident Physician Shortage Reduction Act of 2025, all provisions; H.R. 4002, Patient Access to Higher Quality Health Care Act, all provisions; H.R. 5454/S. 2879, the Medicare Advantage Prompt Pay Act, all provisions; H.R. 6240, Rural Hospital Closure Relief Act of 2025, all provisions; H.R. 8375/ S. 4384, Medicare Advantage Improvement Act, all provisions; H.R. 8967 / S. 4460, Rural Community Hospital Demonstration Program Reauthorization, all provisions; H.R. 9468, Saving Today's Acute Care Resources (STAR) Act, all provisions; H.R. 8891, Rural Maternity Options for Medial Support (Rural MOMS) Act, all provisions; H.R. 3108 / S. 1535, Rural Patient Monitoring Access Act (RPM Access Act), all provisions; S. 2761 / H.R. 5269, the Reforming and Enhancing Sustainable Updates to Laboratory Testing Services (RESULTS) Act , all provisions; H.R. 5142, The Home Health Stabilization Act, all provisions; H.R. 8261, Chronic Care Management Improvement Act, all provisions; DRAFT, HCA Mission Act, all provisions; H.R. 9642, Medicare Access to Rural Anesthesiology Act, all provisions; H.R. 9644, Medicare Advantage MLR Transparency Act, all provisions; H.R. 9693, Patients First Act of 2026, all provisions; H.R. 8163, Provider Reimbursement Stability Act of 2026, all provisions; H.R. 8622, Medicare Physician Data-driven Performance Payment system, all provisions; DRAFT, Medicare Provider Reimbursement Step to Stabilization Act of 2026, Issues pertaining to physician fee schedule reforms; H.R.10666, Frontier Community Health Integration Project Extension Act, all provisions; H.R. 1775, Second Chances for Rural Hospitals Act, all provisions; Centers for Medicare & Medicaid Services (CMS), Issues regarding proposed rule on Medicaid managed care state-directed payments and Medicaid fee-for-service targeted practitioner payments; Centers for Medicare & Medicaid Services (CMS), Issues pertaining to funding from the Rural Health Transformation Program and how it is distributed to hospitals; Centers for Medicare & Medicaid Services (CMS), Issues pertaining to the physician fee schedule and updates for the CY2027; Centers for Medicare & Medicaid Services (CMS), "Comments pertaining to the proposed rule regarding the indirect hold harmless threshold of healthcare-related taxes. "; Centers for Medicare & Medicaid Services (CMS), Issues pertaining to interim final rule on community engagement requirements for certain Medicaid beneficiaries; Centers for Medicare & Medicaid Services (CMS), Issues pertaining to the hospital outpatient prospective payment system and ambulatory surgical center payment system proposed rule for calendar year 2027; Centers for Medicare & Medicaid Services (CMS), Issues pertaining to the calendar year 2027 home health prospective payment system proposed rule; Centers for Medicare & Medicaid Services (CMS), Issues pertaining to the CMS proposed rule implementing and codifying the Medicare Drug Benefit Program under the Inflation Reduction Act of 2022; Centers for Medicare & Medicaid Services (CMS), Issues pertaining to Essential Health Benefits framework and Affordable Care Act requirements; Medicaid Program, Issues pertaining to Medicaid program and how states finance programs, reimburse providers, and determine beneficiary eligibility, and implementation and mitigation of H.R. 1 provisions related to state directed payments, provider taxes and community engagement requirements; Site Neutral Payments, Issues related to site neutral payment cuts and facility fees; Rural Hospitals, Issues pertaining to the sustainability of MDHS, CAHs, SCHs, REH's, implementation of Rural Health Transformation Program, rural reclassification policy; Physician Payments, Issues pertaining to alternative payment models, mental health of workforce, physician reimbursement cuts, Medicare Access & CHIP Reauthorization (MACRA) Reforms; Health Plan Accountability, Issues specific to prior authorization, patient access to care, adequate provider networks, inappropriate denials, reducing account receivables, prompt pay and cost-based reimbursement for critical access hospitals under Medicare Advantage, Wasteful and Inappropriate Services Reduction (WISeR) model, transparency in plan denial signatures, inappropriate downcoding, reducing administrative burdens; Provider Reimbursements, Issues related to provider reimbursement, site neutral payment cuts, Medicare/Medicaid program funding, facility fees; Post Acute Care, Issues pertaining to expanding patients' access to crucial services provided by long-term care hospitals, inpatient rehabilitation facilities, skilled nursing facilities, hospital at home, and home health agencies; Expiring Health Care Programs, Issues pertaining to expiring health care programs such as GPCI, Physician reimbursement, Medicare Dependent Hospital Program, and Low-Volume Adjustment program.
17. House(s) of Congress and Federal agencies Check if None
U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Centers For Medicare and Medicaid Services (CMS)
18. Name of each individual who acted as a lobbyist in this issue area
| First Name | Last Name | Suffix | Covered Official Position (if applicable) | New |
Megan |
Cundari |
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Aimee Hartlage |
Kuhlman |
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Priscilla |
Ross |
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Akin |
Demehin |
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Joanna |
Kim |
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Roslyne |
Schulman |
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Ashley |
Thompson |
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Kristina |
Weger |
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Travis |
Robey |
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Lisa Kidder |
Hrobsky |
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Molly |
Smith |
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Aaron |
Wesolowski |
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Ariel |
Levin |
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Benjamin |
Finder |
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Stacey |
Hughes |
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Shannon |
Wu |
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Jason |
Kleinman |
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Terrence |
Cunningham |
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Rachel |
Short |
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Devin |
Gerzof |
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Jonathan |
Gold |
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Jennifer |
Holloman |
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Kristin |
Horvath |
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Caitlin |
Gillooley |
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Bharath |
Krishnamurthy |
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Adrienne |
Thomas |
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Eduardo |
Sacasa |
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Thifeen |
Deen |
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19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None
LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.
15. General issue area code HCR
16. Specific lobbying issues
H.R. 4581 / S.2372, 340B PATIENTS Act, all provisions; H.R. 5256, 340B Access Act, all provisions; DRAFT, 340B Drug Pricing Integrity and Affordability for Patients Act, all provisions; H.R. 9599, Strengthening the Exercise of Controls and Upgrading Requirements for Efficiency in 340B Act (SECURE 340B Act), all provisions; S. 5244, Supporting Underserved and Strengthening Transparency Accountability and Integrity Now (SUSTAIN) Act, all provisions; H.R. 3178 / S. 1600, The Save Healthcare Workers Act, all provisions; H.R. 929 / S. 266, Dr. Lorna Breen Health Care Provider Protection Reauthorization Act, all provisions; H.R. 1585 / S. 709, Conrad State 30 and Physician Access Reauthorization Act, all provisions; S. 1874, Title VIII Nursing Workforce Reauthorization Act, all provisions; S. 2169 / H.R. 9908, Rural Hospital Cybersecurity Enhancement Act, all provisions; H.R. 5283 / S. 2759, Healthcare Workforce Resilience Act, all provisions; S. 3315, Health Care Cybersecurity and Resiliency Act of 2025, all provisions; DRAFT, Health Care Cybersecurity and Resiliency Act of 2026, all provisions; S. 2355 / H.R. 5582, Patients Deserve Price Tags Act, all provisions; H.R. 7961, Physicians and the Healthcare Workforce Act, all provisions; S. 3435 / H.R. 6607, The Future Advancement of Academic Nursing, all provisions; DRAFT, Issues pertaining to medical debt; S. 4568 / H.R. 8691, Nursing is a Professional Degree Act, all provisions; S.J. Res 196, A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of Education relating to "Reimagining and Improving Student Education-Federal Student Loan Program Final Regulations", all provisions; H.R. 6718, Professional Student Degree Act, all provisions; H.R. 9393, Lower Costs More Transparency Act of 2026, all provisions; S.4252, WIPP Economic Assistance Assurance Act of 2026, all provisions; S.3364, Fast Track Healthcare Apprenticeships Act, all provisions; H.R. 8726, the Protecting Authority and Restoring Tools Necessary for Enforcement by Regulatory States Act of 2026 PARTNERS Act, all provisions; H.R. 5629, To provide that the final rule of the Department of Health and Human Services titled Medications for the Treatment of Opioid Use Disorder, except for the portion of the final rule relating to accreditation of opioid treatment programs, shall have no force or effect, all provisions; S. 4027, Healthy Competition for Better Care Act, all provisions; S. 1482, National Nursing Workforce Center, all provisions; S. 4637, Physician Workforce Optimization Act, all provisions; H.R. 9390, Prices on the Wall Act of 2026, all provisions; H.R. 9645, Health Care Price Certainty for All Americans Act, all provisions; S. 380 / H.R. 1254, Rural Obstetrics Readiness Act, all provisions; H.R. 9996, No Surprise Bills for New Moms Act, all provisions; H.R. 9862, The Responsible Artificial Intelligence for Veterans Act of 2026, all provisions; S. 5462, Frontier Community Health Integration Project Extension Act (FCHIP Extension Act), all provisions; H.R. 10440, REACH Act, all provisions; DRAFT, Graduate Medical Education (GME), Issues pertaining to graduate medical education (GME) reforms; H.R. 2936 / S. 1974, The Addressing Boarding and Crowding in the Emergency Department (ABC-ED) Act, all provisions; H. Res 1519, National Physician Suicide Awareness Day Resolution, Supporting the designation of September 17, 2026, as "National Physician Suicide Awareness Day" to raise awareness of, and promote a national discussion about, physician suicide and to reduce the stigma of mental health conditions, and for other purposes; H.R. 5439 / S. 2834, Medically Tailored Home-Delivered Meals Program Pilot Act, all provisions S. 4927, Rural Hospital Emergency Room Guarantee Act, all provisions; Health Resources and Services Administration (HRSA), Issues pertaining to the 340B Rebate Model Pilot Program and information collection request; Consumer Product Safety Commission, Issues pertaining to hospital and health system priorities for the 2027 and 2028 fiscal years; Food & Drug Administration, Issues pertaining to regulation of non-device software such as digital health technology, AI, wellness applications and wearable devices; Enhanced Premium Tax Credits, Extension of Enhanced Premium Tax Credits; Rural Health Care Access, Issues to protect access to rural health care; 340B Program, Issues pertaining to protecting 340B Program, including 340B Rebate Model Pilot Program; Maternal and Child Health, Access to maternal and child health care and addressing related workforce shortages, conditions of participation (COP), funding priorities; Behavioral Health, Issues related to expanding access to care and reducing regulatory barriers; Workforce, Issues pertaining to workforce development programs, supporting health care workforce and physician shortages, loan repayment programs for providers in rural and underserved areas, Graduate Medical Education program; Health Plan Accountability, Issues specific to prior authorization, patient access to care, adequate provider networks, inappropriate denials, reducing account receivables, prompt pay, white-bagging and brown-bagging policies; Health Care Resiliency & Preparedness, Issues pertaining to natural disasters, strengthen health care cybersecurity, cybersecurity workforce, and securing drug supply chains, hospital preparedness program, PAHPA reauthorization; Healthcare Price Transparency, Issues related to health care price transparency; Affordability, Issues and policy solutions pertaining to health care affordability and rising costs of health care; Tax-exempt status, Issues pertaining to not-for-profit hospitals' tax exempt status and tax-exempt private activity bonds; Immigration, Proposed H1-B Visa Program changes and impact to health care workforce; AI in Healthcare, Issues pertaining to the use of AI in healthcare and cybersecurity needs; Professional Degree Program Changes, Issues pertaining to new student loan borrowing limits and professional degree programs changes; Drug Prices, Issues pertaining to lowering drug prices, securing drug supply chain, and transparency; Rural Health Transformation Fund, Issues pertaining to implementation of the Rural Health Transformation program; Hospital Mergers & Acquisitions, Issues pertaining to hospital mergers and acquisitions; No Surprises Act, Issues pertaining to No Suprises Act reforms; Health Outcomes, Issues pertaining to prevention, nutrition, and improving health outcomes.
17. House(s) of Congress and Federal agencies Check if None
U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), Health & Human Services - Dept of (HHS), Consumer Product Safety Commission (CPSC), Food & Drug Administration (FDA)
18. Name of each individual who acted as a lobbyist in this issue area
| First Name | Last Name | Suffix | Covered Official Position (if applicable) | New |
Megan |
Cundari |
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Aimee Hartlage |
Kuhlman |
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Priscilla |
Ross |
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Akin |
Demehin |
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Joanna |
Kim |
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Roslyne |
Schulman |
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Ashley |
Thompson |
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Kristina |
Weger |
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Travis |
Robey |
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Lisa Kidder |
Hrobsky |
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Molly |
Smith |
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Aaron |
Wesolowski |
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Ariel |
Levin |
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Benjamin |
Finder |
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Stacey |
Hughes |
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Shannon |
Wu |
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Jason |
Kleinman |
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Terrence |
Cunningham |
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Rachel |
Short |
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Devin |
Gerzof |
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Jonathan |
Gold |
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Jennifer |
Holloman |
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Kristin |
Horvath |
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Caitlin |
Gillooley |
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Bharath |
Krishnamurthy |
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Adrienne |
Thomas |
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Eduardo |
Sacasa |
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Thifeen |
Deen |
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19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None
LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.
15. General issue area code BUD
16. Specific lobbying issues
Office of Management & Budget, Federal Financial Assistance Rule, Issues pertaining to changes to federal grant funding and impact to hospitals and health systems; OMB's Proposed Federal Financial Assistance Rule, Issues pertaining to changes to federal grant funding and impact to hospitals and health systems.
17. House(s) of Congress and Federal agencies Check if None
U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB)
18. Name of each individual who acted as a lobbyist in this issue area
| First Name | Last Name | Suffix | Covered Official Position (if applicable) | New |
Megan |
Cundari |
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Aimee Hartlage |
Kuhlman |
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Priscilla |
Ross |
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Akin |
Demehin |
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Joanna |
Kim |
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Roslyne |
Schulman |
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Ashley |
Thompson |
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Kristina |
Weger |
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Travis |
Robey |
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Lisa Kidder |
Hrobsky |
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Molly |
Smith |
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Aaron |
Wesolowski |
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Ariel |
Levin |
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Benjamin |
Finder |
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Stacey |
Hughes |
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Shannon |
Wu |
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Jason |
Kleinman |
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Terrence |
Cunningham |
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Rachel |
Short |
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Devin |
Gerzof |
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Jonathan |
Gold |
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Jennifer |
Holloman |
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Kristin |
Horvath |
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Caitlin |
Gillooley |
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Bharath |
Krishnamurthy |
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Adrienne |
Thomas |
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Eduardo |
Sacasa |
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Thifeen |
Deen |
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19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None
LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.
15. General issue area code TAX
16. Specific lobbying issues
H.R. 9504, Tax Exempt Hospital Transparency Act, all provisions; H.R. 10440, REACH Act, all provisions; U.S. Trade Representative, Issues pertaining to proposed duties on certain economies under the Trade Act including medications, medical devices, equipment, PPE and other essential supplies; Enhanced Premium Tax Credits, Extension of Enhanced Premium Tax Credits; Tax-exempt status, Issues pertaining to not-for-profit hospitals' tax exempt status; Tariffs, Issues pertaining to impact of tariffs on hospitals and health systems.
17. House(s) of Congress and Federal agencies Check if None
U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, U.S. Trade Representative (USTR)
18. Name of each individual who acted as a lobbyist in this issue area
| First Name | Last Name | Suffix | Covered Official Position (if applicable) | New |
Megan |
Cundari |
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Aimee Hartlage |
Kuhlman |
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Priscilla |
Ross |
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Akin |
Demehin |
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Joanna |
Kim |
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Roslyne |
Schuman |
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Ashley |
Thompson |
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Kristina |
Weger |
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Travis |
Robey |
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Lisa Kidder |
Hrobsky |
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Molly |
Smith |
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Aaron |
Wesolowski |
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Ariel |
Levin |
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Benjamin |
Finder |
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Stacey |
Hughes |
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Shannon |
Wu |
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Jason |
Kleinman |
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Terrence |
Cunningham |
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Rachel |
Short |
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Devin |
Gerzof |
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Jonathan |
Gold |
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Jennifer |
Holloman |
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Kristin |
Horvath |
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Caitlin |
Gillooley |
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Bharath |
Krishnamurthy |
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Adrienne |
Thomas |
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Eduardo |
Sacasa |
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Thifeen |
Deen |
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19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None
LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.
15. General issue area code IMM
16. Specific lobbying issues
H.R. 7961, Physicians and the Healthcare Workforce Act, all provisions; DRAFT, Issues pertaining H-1B visa program; U.S. Department of Homeland Security / U.S. Citizenship & Immigration Services, Comments pertaining to the proposed fee for H-1B petitions and impact to health care workforce; Immigration, Proposed H1-B Visa Program changes and impact to health care workforce.
17. House(s) of Congress and Federal agencies Check if None
U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Homeland Security - Dept of (DHS), U.S. Citizenship & Immigration Services (USCIS)
18. Name of each individual who acted as a lobbyist in this issue area
| First Name | Last Name | Suffix | Covered Official Position (if applicable) | New |
Megan |
Cundari |
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Aimee Hartlage |
Kuhlman |
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Priscilla |
Ross |
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Akin |
Demehin |
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Joanna |
Kim |
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Roslyne |
Schuman |
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Ashley |
Thompson |
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Kristina |
Weger |
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Travis |
Robey |
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Lisa Kidder |
Hrobsky |
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Molly |
Smith |
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Aaron |
Wesolowski |
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Ariel |
Levin |
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Benjamine |
Finder |
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Stacey |
Hughes |
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Shannon |
Wu |
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Jason |
Kleinman |
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Terrence |
Cunningham |
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Rachel |
Short |
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Devin |
Gerzof |
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Jonathan |
Gold |
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Jennifer |
Holloman |
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Kristin |
Horvath |
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Caitlin |
Gillooley |
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Bharath |
Krishnamurthy |
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Adrienne |
Thomas |
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Eduardo |
Sacasa |
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Thifeen |
Deen |
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19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None
Information Update Page - Complete ONLY where registration information has changed.
20. Client new address
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21. Client new principal place of business (if different than line 20)
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22. New General description of client’s business or activities
LOBBYIST UPDATE
23. Name of each previously reported individual who is no longer expected to act as a lobbyist for the client
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ISSUE UPDATE
24. General lobbying issue that no longer pertains
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AFFILIATED ORGANIZATIONS
25. Add the following affiliated organization(s)
Internet Address:
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Principal Place of Business (city and state or country) |
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26. Name of each previously reported organization that is no longer affiliated with the registrant or client
| 1 | 2 | 3 |
FOREIGN ENTITIES
27. Add the following foreign entities:
| Name | Address |
Principal place of business (city and state or country) |
Amount of contribution for lobbying activities | Ownership percentage in client | ||||||||||
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28. Name of each previously reported foreign entity that no longer owns, or controls, or is affiliated with the registrant, client or affiliated organization
| 1 | 3 | 5 |
| 2 | 4 | 6 |
CONVICTIONS DISCLOSURE
29. Have any of the lobbyists listed on this report been convicted in a Federal or State Court of an offense involving bribery,
extortion, embezzlement, an illegal kickback, tax evasion, fraud, a conflict of interest, making a false statement, perjury, or money laundering?
| Lobbyist Name | Description of Offense(s) |