CONFLUENCE WASHINGTON STRATEGIES, LLC

Lobbying Income

—

Filings

Unique Clients

Active Period

2023–2026

Lobbying Income by Year

Registrant-reported income from clients on LDA filings

Year	Lobbying Income	Filings	Clients
2026	—	3	1
2025	—	4	1
2024	—	4	1
2023	—	4	1

Largest clients by registrant-reported income

Client	Reported Income	Filings	Period
PHYSMARK, INC	—	15	2023–2026

Government entities explicitly identified as targets in LDA filings

Government Body	Filings
HOUSE OF REPRESENTATIVES	12
Health & Human Services, Dept of (HHS)	12
SENATE	12

Most frequently reported lobbying issues

Issue Code	Description	Reports
Health Issues	Health Issues	15

CONFLUENCE WASHINGTON STRATEGIES, LLC — Lobbying Disclosure | Poliscope