CLEVELAND CLINIC FOUNDATION — Lobbying Disclosure | Poliscope

CLEVELAND CLINIC FOUNDATION

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This entity appears on both sides of lobbying disclosures. The firm tab shows registrant-reported income; the client tab shows client-reported lobbying spend. Contract awards are separate and are not included here.

Lobbying Spend

$17.5M

Filings

255

Firms Hired

Active Period

1999–2026

Lobbying Spend by Year

Client-reported lobbying expenses on LDA filings

Year	Lobbying Spend	Filings	Firms
2026	$600,000	8	3
2025	$630,000	12	3
2024	$500,000	9	3
2023	$680,000	14	3
2022	$627,693	12	3
2021	$474,000	13	3
2020	$493,000	11	3
2019	$929,000	10	2
2018	$1,163,300	10	2
2017	$1,016,000	9	2
2016	$690,000	8	2
2015	$720,000	8	2
2014	$660,000	8	2
2013	$480,000	12	3
2012	$780,000	12	4
2011	$630,000	13	3
2010	$740,000	12	3
2009	$880,000	13	3
2008	$1,150,000	12	3
2007	$1,940,000	8	4
2006	$740,000	9	5
2005	$380,000	7	4
2004	$160,000	8	4
2003	$100,000	3	2
2002	$80,000	5	3
2001	$97,000	2	1
2000	$63,438	3	2
1999	$82,600	4	2

Hired Firms

Lobbying firms retained by this client; amounts are client-reported expenses when available

Firm Name	Reported Spend	Filings
CLEVELAND CLINIC FOUNDATION	$17,486,031	97
THE NICKLES GROUP, LLC	—	82
LAW OFFICES OF FREDERICK H. GRAEFE, PLLC	—	26
PUBLIC STRATEGIES WASHINGTON, INC.	—	19
HICKS PARTNERS	—	7
BROWNSTEIN HYATT FARBER SCHRECK, LLP	—	3
HEALTH POLICY SOURCE, INC.	—	5
HUNTON ANDREWS KURTH LLP (FORMERLY HUNTON & WILLIAMS LLP)	—	4
THE PETRIZZO GROUP, INC.	—	6
BAKER & HOSTETLER LLP	—	4
SQUIRE PATTON BOGGS (US) LLP (F.K.A. SQUIRE SANDERS (US) LLP)	—	2

Government Bodies Lobbied

Government entities explicitly identified as targets in LDA filings

Government Body	Filings
HOUSE OF REPRESENTATIVES	229
SENATE	226
Health & Human Services, Dept of (HHS)	100
Centers For Medicare and Medicaid Services (CMS)	80
Defense, Dept of (DOD)	25
White House Office	24
Veterans Affairs, Dept of (VA)	13
Small Business Administration (SBA)	11
Executive Office of the President (EOP)	10
Natl Institutes of Health (NIH)	10
Office of Management & Budget (OMB)	7
Food & Drug Administration (FDA)	6
Centers For Disease Control & Prevention (CDC)	5
Office of Science & Technology Policy (OSTP)	5
Office of the Vice President of the United States	4
Justice, Dept of (DOJ)	3
Natl Aeronautics & Space Administration (NASA)	3
Treasury, Dept of	3
Energy, Dept of	2
Transportation, Dept of (DOT)	2

Top Issues

Most frequently reported lobbying issues

Issue Code	Description	Reports
Health Issues	Health Issues	202
Medicare/Medicaid	Medicare/Medicaid	178
Budget/Appropriations	Budget/Appropriations	102
Medical/Disease Research/Clinical Labs	Medical/Disease Research/Clinical Labs	49
Taxation/Internal Revenue Code	Taxation/Internal Revenue Code	27
Pharmacy	Pharmacy	22
Immigration	Immigration	13
Law Enforcement/Crime/Criminal Justice	Law Enforcement/Crime/Criminal Justice	13
Veterans	Veterans	12
Defense	Defense	10
Copyright/Patent/Trademark	Copyright/Patent/Trademark	5
Agriculture	Agriculture	5
Communications/Broadcasting/Radio/TV	Communications/Broadcasting/Radio/TV	5
Telecommunications	Telecommunications	3
Small Business	Small Business	3
Economics/Economic Development	Economics/Economic Development	3
Environment/Superfund	Environment/Superfund	2
Housing	Housing	2
Government Issues	Government Issues	1
Family issues/Abortion/Adoption	Family issues/Abortion/Adoption	1

Bills Explicitly Cited (25)

Bill numbers found in source-reported LDA specific issue text; broad topic matches are excluded

H.R. 1119th Congress

An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.

2026 · third_quarter · Firm: THE NICKLES GROUP, LLC

Open original LDA filing ↗

Cited source text and reported amounts

Monitored issues regarding PPS exempt hospitals. Issues concerning reimbursement for hospital services. S. 2355 / H.R. 5582, Patients Deserve Price Tags Act and H.R. 9393, Lower Costs, More Transparency Act of 2026. Issues regarding hospital transparency. Issues regarding healthcare sector consolidation. Monitored implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals. Issues regarding organ transplantation.

Client expense: — · Firm income: $50,000

Matched citations: H.R. 1

H.R. 3178119th Congress

Save Healthcare Workers Act

2026 · third_quarter · Firm: THE NICKLES GROUP, LLC

Open original LDA filing ↗

Cited source text and reported amounts

Issues concerning Safety from Violence for Healthcare Employees. H.R. 3178 / S.1600, Save Healthcare Workers Act.

Client expense: — · Firm income: $50,000

Matched citations: H.R. 3178

H.R. 5582119th Congress

Patients Deserve Price Tags Act

2026 · third_quarter · Firm: THE NICKLES GROUP, LLC

Open original LDA filing ↗

Cited source text and reported amounts

Monitored issues regarding PPS exempt hospitals. Issues concerning reimbursement for hospital services. S. 2355 / H.R. 5582, Patients Deserve Price Tags Act and H.R. 9393, Lower Costs, More Transparency Act of 2026. Issues regarding hospital transparency. Issues regarding healthcare sector consolidation. Monitored implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals. Issues regarding organ transplantation.

Client expense: — · Firm income: $50,000

Matched citations: H.R. 5582

H.R. 9393119th Congress

Lower Costs, More Transparency Act of 2026

2026 · third_quarter · Firm: THE NICKLES GROUP, LLC

Open original LDA filing ↗

Cited source text and reported amounts

Monitored issues regarding PPS exempt hospitals. Issues concerning reimbursement for hospital services. S. 2355 / H.R. 5582, Patients Deserve Price Tags Act and H.R. 9393, Lower Costs, More Transparency Act of 2026. Issues regarding hospital transparency. Issues regarding healthcare sector consolidation. Monitored implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals. Issues regarding organ transplantation.

Client expense: — · Firm income: $50,000

Matched citations: H.R. 9393

Show 21 more cited filings

H.R. 9504119th Congress

Tax Exempt Hospital Transparency Act

2026 · third_quarter · Firm: THE NICKLES GROUP, LLC

Open original LDA filing ↗

Cited source text and reported amounts

H.R. 9504, the Tax Exempt Hospital Transparency Act and issues related to tax-exempt hospitals.

Client expense: — · Firm income: $50,000

Matched citations: H.R. 9504

S. 1600119th Congress

Save Healthcare Workers Act

2026 · third_quarter · Firm: THE NICKLES GROUP, LLC

Open original LDA filing ↗

Cited source text and reported amounts

Issues concerning Safety from Violence for Healthcare Employees. H.R. 3178 / S.1600, Save Healthcare Workers Act.

Client expense: — · Firm income: $50,000

Matched citations: S.1600

S. 2355119th Congress

Patients Deserve Price Tags Act

2026 · third_quarter · Firm: THE NICKLES GROUP, LLC

Open original LDA filing ↗

Cited source text and reported amounts

Monitored issues regarding PPS exempt hospitals. Issues concerning reimbursement for hospital services. S. 2355 / H.R. 5582, Patients Deserve Price Tags Act and H.R. 9393, Lower Costs, More Transparency Act of 2026. Issues regarding hospital transparency. Issues regarding healthcare sector consolidation. Monitored implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals. Issues regarding organ transplantation.

Client expense: — · Firm income: $50,000

Matched citations: S. 2355

H.R. 1119th Congress

An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.

2026 · second_quarter · Firm: THE NICKLES GROUP, LLC

Open original LDA filing ↗

Cited source text and reported amounts

Monitored issues regarding PPS exempt hospitals. Issues concerning reimbursement for hospital services. S. 2355 / H.R. 5582, Patients Deserve Price Tags Act and H.R. 9393, Lower Costs, More Transparency Act of 2026. Issues regarding hospital transparency. Issues regarding healthcare sector consolidation. Monitored implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals. Issues regarding organ transplantation.

Client expense: — · Firm income: $50,000

Matched citations: H.R. 1

H.R. 3178119th Congress

Save Healthcare Workers Act

2026 · second_quarter · Firm: THE NICKLES GROUP, LLC

Open original LDA filing ↗

Cited source text and reported amounts

Issues concerning Safety from Violence for Healthcare Employees. H.R. 3178 / S.1600, Save Healthcare Workers Act.

Client expense: — · Firm income: $50,000

Matched citations: H.R. 3178

H.R. 5582119th Congress

Patients Deserve Price Tags Act

2026 · second_quarter · Firm: THE NICKLES GROUP, LLC

Open original LDA filing ↗

Cited source text and reported amounts

Monitored issues regarding PPS exempt hospitals. Issues concerning reimbursement for hospital services. S. 2355 / H.R. 5582, Patients Deserve Price Tags Act and H.R. 9393, Lower Costs, More Transparency Act of 2026. Issues regarding hospital transparency. Issues regarding healthcare sector consolidation. Monitored implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals. Issues regarding organ transplantation.

Client expense: — · Firm income: $50,000

Matched citations: H.R. 5582

H.R. 9393119th Congress

Lower Costs, More Transparency Act of 2026

2026 · second_quarter · Firm: THE NICKLES GROUP, LLC

Open original LDA filing ↗

Cited source text and reported amounts

Monitored issues regarding PPS exempt hospitals. Issues concerning reimbursement for hospital services. S. 2355 / H.R. 5582, Patients Deserve Price Tags Act and H.R. 9393, Lower Costs, More Transparency Act of 2026. Issues regarding hospital transparency. Issues regarding healthcare sector consolidation. Monitored implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals. Issues regarding organ transplantation.

Client expense: — · Firm income: $50,000

Matched citations: H.R. 9393

H.R. 9504119th Congress

Tax Exempt Hospital Transparency Act

2026 · second_quarter · Firm: THE NICKLES GROUP, LLC

Open original LDA filing ↗

Cited source text and reported amounts

H.R. 9504, the Tax Exempt Hospital Transparency Act and issues related to tax-exempt hospitals. Issues related to OECD Pillar 2 definitions.

Client expense: — · Firm income: $50,000

Matched citations: H.R. 9504

S. 1600119th Congress

Save Healthcare Workers Act

2026 · second_quarter · Firm: THE NICKLES GROUP, LLC

Open original LDA filing ↗

Cited source text and reported amounts

Issues concerning Safety from Violence for Healthcare Employees. H.R. 3178 / S.1600, Save Healthcare Workers Act.

Client expense: — · Firm income: $50,000

Matched citations: S.1600

S. 2355119th Congress

Patients Deserve Price Tags Act

2026 · second_quarter · Firm: THE NICKLES GROUP, LLC

Open original LDA filing ↗

Cited source text and reported amounts

Monitored issues regarding PPS exempt hospitals. Issues concerning reimbursement for hospital services. S. 2355 / H.R. 5582, Patients Deserve Price Tags Act and H.R. 9393, Lower Costs, More Transparency Act of 2026. Issues regarding hospital transparency. Issues regarding healthcare sector consolidation. Monitored implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals. Issues regarding organ transplantation.

Client expense: — · Firm income: $50,000

Matched citations: S. 2355

H.R. 1119th Congress

An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.

2026 · first_quarter · Firm: THE NICKLES GROUP, LLC

Open original LDA filing ↗

Cited source text and reported amounts

Monitored issues regarding PPS exempt hospitals. Issues concerning reimbursement for hospital services. Issues regarding hospital transparency. Issues regarding healthcare sector consolidation. Issues related to the extension of the Acute Care Hospital at Home program and S. 2237 / H.R. 4313, Hospital Inpatient Services Modernization Act. Issues related to telehealth. H.R. 1509 / S. 752, Accelerating Kids Access to Care Act. Monitored implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals. Issues regarding organ transplantation. H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to Medicare extenders.

Client expense: — · Firm income: $50,000

Matched citations: H.R. 1

H.R. 1509119th Congress

Accelerating Kids’ Access to Care Act of 2025

2026 · first_quarter · Firm: THE NICKLES GROUP, LLC

Open original LDA filing ↗

Cited source text and reported amounts

Monitored issues regarding PPS exempt hospitals. Issues concerning reimbursement for hospital services. Issues regarding hospital transparency. Issues regarding healthcare sector consolidation. Issues related to the extension of the Acute Care Hospital at Home program and S. 2237 / H.R. 4313, Hospital Inpatient Services Modernization Act. Issues related to telehealth. H.R. 1509 / S. 752, Accelerating Kids Access to Care Act. Monitored implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals. Issues regarding organ transplantation. H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to Medicare extenders.

Client expense: — · Firm income: $50,000

Matched citations: H.R. 1509

H.R. 3178119th Congress

Save Healthcare Workers Act

2026 · first_quarter · Firm: THE NICKLES GROUP, LLC

Open original LDA filing ↗

Cited source text and reported amounts

Issues concerning Safety from Violence for Healthcare Employees. H.R. 3178 / S.1600, Save Healthcare Workers Act.

Client expense: — · Firm income: $50,000

Matched citations: H.R. 3178

H.R. 4313119th Congress

Hospital Inpatient Services Modernization Act

2026 · first_quarter · Firm: THE NICKLES GROUP, LLC

Open original LDA filing ↗

Cited source text and reported amounts

Monitored issues regarding PPS exempt hospitals. Issues concerning reimbursement for hospital services. Issues regarding hospital transparency. Issues regarding healthcare sector consolidation. Issues related to the extension of the Acute Care Hospital at Home program and S. 2237 / H.R. 4313, Hospital Inpatient Services Modernization Act. Issues related to telehealth. H.R. 1509 / S. 752, Accelerating Kids Access to Care Act. Monitored implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals. Issues regarding organ transplantation. H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to Medicare extenders.

Client expense: — · Firm income: $50,000

Matched citations: H.R. 4313

H.R. 7148119th Congress

Consolidated Appropriations Act, 2026

2026 · first_quarter · Firm: THE NICKLES GROUP, LLC

Open original LDA filing ↗

Cited source text and reported amounts

Monitored issues regarding PPS exempt hospitals. Issues concerning reimbursement for hospital services. Issues regarding hospital transparency. Issues regarding healthcare sector consolidation. Issues related to the extension of the Acute Care Hospital at Home program and S. 2237 / H.R. 4313, Hospital Inpatient Services Modernization Act. Issues related to telehealth. H.R. 1509 / S. 752, Accelerating Kids Access to Care Act. Monitored implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals. Issues regarding organ transplantation. H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to Medicare extenders.

Client expense: — · Firm income: $50,000

Matched citations: H.R. 7148

S. 1600119th Congress

Save Healthcare Workers Act

2026 · first_quarter · Firm: THE NICKLES GROUP, LLC

Open original LDA filing ↗

Cited source text and reported amounts

Issues concerning Safety from Violence for Healthcare Employees. H.R. 3178 / S.1600, Save Healthcare Workers Act.

Client expense: — · Firm income: $50,000

Matched citations: S.1600

S. 2237119th Congress

Hospital Inpatient Services Modernization Act

2026 · first_quarter · Firm: THE NICKLES GROUP, LLC

Open original LDA filing ↗

Cited source text and reported amounts

Monitored issues regarding PPS exempt hospitals. Issues concerning reimbursement for hospital services. Issues regarding hospital transparency. Issues regarding healthcare sector consolidation. Issues related to the extension of the Acute Care Hospital at Home program and S. 2237 / H.R. 4313, Hospital Inpatient Services Modernization Act. Issues related to telehealth. H.R. 1509 / S. 752, Accelerating Kids Access to Care Act. Monitored implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals. Issues regarding organ transplantation. H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to Medicare extenders.

Client expense: — · Firm income: $50,000

Matched citations: S. 2237

S. 752119th Congress

Accelerating Kids’ Access to Care Act

2026 · first_quarter · Firm: THE NICKLES GROUP, LLC

Open original LDA filing ↗

Cited source text and reported amounts

Monitored issues regarding PPS exempt hospitals. Issues concerning reimbursement for hospital services. Issues regarding hospital transparency. Issues regarding healthcare sector consolidation. Issues related to the extension of the Acute Care Hospital at Home program and S. 2237 / H.R. 4313, Hospital Inpatient Services Modernization Act. Issues related to telehealth. H.R. 1509 / S. 752, Accelerating Kids Access to Care Act. Monitored implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals. Issues regarding organ transplantation. H.R. 7148 (P.L. 119-75), Consolidated Appropriations Act of 2026, as it relates to Medicare extenders.

Client expense: — · Firm income: $50,000

Matched citations: S. 752

H.R. 1119th Congress

An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.

2025 · fourth_quarter · Firm: THE NICKLES GROUP, LLC

Open original LDA filing ↗

Cited source text and reported amounts

Monitored issues regarding PPS exempt hospitals. Issues concerning reimbursement for hospital services. Issues regarding hospital transparency. Issues regarding healthcare sector consolidation. Issues related to the extension of the Acute Care Hospital at Home program and S. 2237 / H.R. 4313, Hospital Inpatient Services Modernization Act. Issues related to telehealth. H.R. 1509 / S. 752, Accelerating Kids Access to Care Act. Monitored implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals. H.R. 5371 (P.L. 119-37), Continuing Appropriations Act, 2026, as it relates to Medicare extenders.

Client expense: — · Firm income: $50,000

Matched citations: H.R. 1

H.R. 1509119th Congress

Accelerating Kids’ Access to Care Act of 2025

2025 · fourth_quarter · Firm: THE NICKLES GROUP, LLC

Open original LDA filing ↗

Cited source text and reported amounts

Monitored issues regarding PPS exempt hospitals. Issues concerning reimbursement for hospital services. Issues regarding hospital transparency. Issues regarding healthcare sector consolidation. Issues related to the extension of the Acute Care Hospital at Home program and S. 2237 / H.R. 4313, Hospital Inpatient Services Modernization Act. Issues related to telehealth. H.R. 1509 / S. 752, Accelerating Kids Access to Care Act. Monitored implementation of H.R. 1 (P.L. 119-21), One Big Beautiful Bill Act, as it relates to Medicaid and hospitals. H.R. 5371 (P.L. 119-37), Continuing Appropriations Act, 2026, as it relates to Medicare extenders.

Client expense: — · Firm income: $50,000

Matched citations: H.R. 1509

H.R. 3178119th Congress

Save Healthcare Workers Act

2025 · fourth_quarter · Firm: THE NICKLES GROUP, LLC

Open original LDA filing ↗

Cited source text and reported amounts

Issues concerning Safety from Violence for Healthcare Employees. H.R. 3178 / S.1600, Save Healthcare Workers Act.

Client expense: — · Firm income: $50,000

Matched citations: H.R. 3178

Source: Senate LDA