VASCULAR MANAGEMENT AND INNOVATIONS GROUP, LLC DBA MANGROVE MANAGEMENT PARTNERS

• SBL STRATEGIES, LLC $70,000 Outside firm · 5 filings
• COVENANT GOVERNMENT AFFAIRS, LLC $60,000 Outside firm · 4 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 $60,000 4 filings
• 2025 $70,000 5 filings

• Health Issues 9
• Medicare/Medicaid 9

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.

• Centers For Medicare and Medicaid Services (CMS) 7
• Health & Human Services, Dept of (HHS) 7