ACIST MEDICAL SYSTEMS

Lobbying Spend

—

Filings

Firms Hired

Active Period

2024–2025

Lobbying Spend by Year

Client-reported lobbying expenses on LDA filings

Year	Lobbying Spend	Filings	Firms
2025	—	4	1
2024	—	2	1

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

Firm Name	Reported Spend	Filings
THE NICKLES GROUP, LLC	—	6

Government entities explicitly identified as targets in LDA filings

Government Body	Filings
HOUSE OF REPRESENTATIVES	4
SENATE	4
Centers For Medicare and Medicaid Services (CMS)	3
Office of Management & Budget (OMB)	3

Most frequently reported lobbying issues

Issue Code	Description	Reports
Medicare/Medicaid	Medicare/Medicaid	6

ACIST MEDICAL SYSTEMS — Lobbying Disclosure | Poliscope