AMERICAN JOINT REPLACEMENT REGISTRY

Lobbying Spend

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Filings

Firms Hired

Active Period

2010–2017

Lobbying Spend by Year

Client-reported lobbying expenses on LDA filings

Year	Lobbying Spend	Filings	Firms
2017	—	4	1
2016	—	5	1
2015	—	4	1
2014	—	6	1
2010	—	2	1

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

Firm Name	Reported Spend	Filings
POWERS PYLES SUTTER & VERVILLE, P.C.	—	21

Government entities explicitly identified as targets in LDA filings

Government Body	Filings
Centers For Medicare and Medicaid Services (CMS)	2
HOUSE OF REPRESENTATIVES	2
Food & Drug Administration (FDA)	1

Most frequently reported lobbying issues

Issue Code	Description	Reports
Medical/Disease Research/Clinical Labs	Medical/Disease Research/Clinical Labs	5
Health Issues	Health Issues	3
Medicare/Medicaid	Medicare/Medicaid	3

AMERICAN JOINT REPLACEMENT REGISTRY — Lobbying Disclosure | Poliscope