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How to read the money
Income and expense are whole-filing amounts associated with this lobbyist, not personal compensation or an allocated share.
Specific issues are shown only where the LDA source assigned them to this lobbyist. Targets apply to the associated filing.
EPHRAIM MCDOWELL HEALTH via THE ROTUNDA GROUP LLC
2026 · third_quarter · Q3
application to CMS for Sole Community Hospital (SCH) designation
Filing targets: HOUSE OF REPRESENTATIVES
EPHRAIM MCDOWELL HEALTH via THE ROTUNDA GROUP LLC
2026 · second_quarter · Q2
Source: Senate LDA
practitioner participation in National Health Service Corps loan repayment program
application to CMS for Sole Community Hospital (SCH) designation
Filing targets: HOUSE OF REPRESENTATIVES
EPHRAIM MCDOWELL HEALTH via THE ROTUNDA GROUP LLC
2026 · second_quarter · RR
healthcare issues related to not-for-profit health system