Summa Health

• Summa Health $240,000 In-house, the client's own filings · 5 filings
• Alston & Bird LLP $210,000 Outside firm · 7 filings

Spend per registrant: fees an outside firm reported, or the costs the client reported for lobbying in-house. The rows add up to the total above.

• 2026 $90,000 4 filings
• 2025 $360,000 8 filings

• Health Issues 11
• Medicare/Medicaid 11
• Budget/Appropriations 4

The count is how many filings named that issue area. A filing reports one lump figure covering every issue on it, so the money above cannot be split between them.

• HOUSE OF REPRESENTATIVES 11
• SENATE 11
• Centers For Medicare and Medicaid Services (CMS) 3
• Health & Human Services, Dept of (HHS) 1