CLEVELAND CLINIC

Lobbying Spend

—

Filings

Firms Hired

Active Period

2003–2020

Lobbying Spend by Year

Client-reported lobbying expenses on LDA filings

Year	Lobbying Spend	Filings	Firms
2020	—	2	1
2019	—	4	1
2018	—	5	1
2017	—	4	1
2016	—	4	1
2015	—	4	1
2014	—	4	1
2010	—	1	1
2009	—	4	1
2008	—	4	1
2007	—	3	1
2005	—	2	1
2004	—	3	1
2003	—	1	1

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

Firm Name	Reported Spend	Filings
THORN RUN PARTNERS	—	16
IMPACT HEALTH POLICY PARTNERS	—	11
THE COHEN GROUP	—	12
SMITH HINAMAN & ASSOCIATES	—	6

Government entities explicitly identified as targets in LDA filings

Government Body	Filings
SENATE	22
Centers For Medicare and Medicaid Services (CMS)	17
White House Office	13
Treasury, Dept of	9
Health Resources & Services Administration (HRSA)	6
Defense, Dept of (DOD)	5
Energy, Dept of	5
HOUSE OF REPRESENTATIVES	5
Veterans Affairs, Dept of (VA)	5

Most frequently reported lobbying issues

Issue Code	Description	Reports
Medicare/Medicaid	Medicare/Medicaid	26
Health Issues	Health Issues	14
Energy/Nuclear	Energy/Nuclear	6
Medical/Disease Research/Clinical Labs	Medical/Disease Research/Clinical Labs	6

CLEVELAND CLINIC — Lobbying Disclosure | Poliscope