APEX PRACTICE SOLUTIONS, INC.

Lobbying Spend

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Filings

Firms Hired

Active Period

2009

Lobbying Spend by Year

Client-reported lobbying expenses on LDA filings

Year	Lobbying Spend	Filings	Firms
2009	—	5	1

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

Firm Name	Reported Spend	Filings
IMPACT TEXAS COMMUNICATIONS, LLP (D/B/A IMPACT US)	—	5

Government entities explicitly identified as targets in LDA filings

Government Body	Filings
Centers For Medicare and Medicaid Services (CMS)	2
HOUSE OF REPRESENTATIVES	2
SENATE	2

Most frequently reported lobbying issues

Issue Code	Description	Reports
Medicare/Medicaid	Medicare/Medicaid	3

APEX PRACTICE SOLUTIONS, INC. — Lobbying Disclosure | Poliscope