Clerk of the House of Representatives
Legislative Resource Center
135 Cannon Building
Washington, DC 20515
http://lobbyingdisclosure.house.gov 		Secretary of the Senate
Office of Public Records
232 Hart Building
Washington, DC 20510
http://www.senate.gov/lobby

LOBBYING REGISTRATION

Lobbying Disclosure Act of 1995 (Section 4)

Check One: New Registrant New Client for Existing Registrant Amendment

1. Effective Date of Registration
07/01/2009
2. House Identification
 332560121
 Senate Identification
 5164-1001725

REGISTRANT Organization/Lobbying Firm Self Employed Individual

3. Registrant Organization
Baker Healthcare Consulting, Inc.
Address
One American Square
 Address2
​Suite 2000
City
Indianapolis
 State
IN
 Zip
46282
 Country
USA

4. Principal place of business (if different than line 3)

City
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 State
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 Zip
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 Country
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5. Contact name and telephone number International Number
Contact
​Mr. Dale E. Baker
 Telephone
​3176313613
 E-mail
​bakerhealthcare@yahoo.com
6. General description of registrant’s business or activities
​Consulting

CLIENT A Lobbying Firm is required to file a separate registration for each client. Organizations employing in-house lobbyists should check the box labeled “Self” and proceed to line 10. Self

7. Client name
​Titus Regional Medical Center
Address
​2001 North Jefferson
City
​Mt. Pleasant
 State
​TX
 Zip
​75455
 Country
​USA
8. Principal place of business (if different than line 7)
City
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 State
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 Zip
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9. General description of client’s business or activities
​Acute care hospital

LOBBYISTS

10. Name of each individual who has acted or is expected to act as a lobbyist for the client identified on line 7. If any person listed in this section has served as a “covered executive branch official” or “covered legislative branch official” within twenty years of first acting as a lobbyist for the client, state the executive and/or legislative position(s) in which the person served.

Name Covered Official Position (if applicable)
First
Last
Suffix
​Dale ​Baker ​ ​
​Neal ​Cooper ​ ​
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​ ​ ​ ​
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LOBBYING ISSUES

11. General lobbying issue areas (Select all applicable codes).

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12. Specific lobbying issues (current and anticipated)

Request Representatives to send a letter to CMS asking them to "roll back" the geographic reclassification criteria to historic level and to support the "Lincoln-Crapo Amendement" which is a part of health reform.

AFFILIATED ORGANIZATIONS

13. Is there an entity other than the client that contributes more than $5,000 to the lobbying activities of the registrant in a quarterly period and either participates in and/or in whole or in major part supervises or controls the registrant’s lobbying activities?

No --> Go to line 14. Yes --> Complete the rest of this section for each entity matching the criteria above, then proceed to line 14.
Internet Address:
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Name Address Principal Place of Business
Street
City State/Province Zip Code Country
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FOREIGN ENTITIES

14. Is there any foreign entity

a) holds at least 20% equitable ownership in the client or any organization identified on line 13; or

b) directly or indirectly, in whole or in major part, plans, supervises, controls, directs, finances or subsidizes activities of the client or any organization identified on line 13; or

c) is an affiliate of the client or any organization identified on line 13 and has a direct interest in the outcome of the lobbying activity?

No --> Sign and date the registration. Yes --> Complete the rest of this section for each entity matching the criteria above, then sign the registration.
Address Ownership
Name Street Principal place of business Amount of contribution
City State/Province Country
(city and state or country) for lobbying activities
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Signature
Digitally Signed By: Dale E. Baker, President
 Date
07/10/2009