VANTIVE US HEALTHCARE LLC

• VANTIVE US HEALTHCARE LLC $3,410,000 In-house, the client's own filings · 8 filings
• AKIN GUMP STRAUSS HAUER & FELD $400,000 Outside firm · 8 filings
• THE NICKLES GROUP, LLC $400,000 Outside firm · 8 filings
• PORTERFIELD, FETTIG & SEARS, LLC $360,000 Outside firm · 7 filings
• TODD STRATEGY GROUP $340,000 Outside firm · 8 filings
• B HALL STRATEGIES, LLC $10,000 Outside firm · 2 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.

• H.R. 4441
  Patient Access to Innovative New Technologies Act of 2025
  11 filings
• H.R. 8319
  KIDNEY Remote Monitoring Act
  7 filings
• H.R. 1
  One Big Beautiful Bill Act
  3 filings

• 2026 $2,110,000 17 filings
• 2025 $2,810,000 24 filings

• Health Issues 27
• Medicare/Medicaid 24
• Foreign Relations 15
• Trade (domestic/foreign) 13
• Taxation/Internal Revenue Code 4
• Budget/Appropriations 1

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 35
• SENATE 27
• Health & Human Services, Dept of (HHS) 14
• Centers For Medicare and Medicaid Services (CMS) 13
• Executive Office of the President (EOP) 8
• State, Dept of (DOS) 7
• Commerce, Dept of (DOC) 6
• Intl Trade Administration (ITA) 4
• U.S. Trade Representative (USTR) 1

• VANTIVE LIMITED Ireland named on 1 filing · highest disclosed ownership 100% · largest disclosed contribution $0

Section 7 of the LD-2: a foreign company or government that owns part of the client, pays toward the lobbying, or benefits from it. Figures are the highest single disclosure across these filings, not a sum: the same stake is re-disclosed each quarter.