HR HEALTHCARE

• ADAPTIVE GOVERNMENT RELATIONS $90,000 Outside firm · 4 filings
• JEFFREY J. KIMBELL & ASSOCIATES, INC. $30,000 Outside firm · 3 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 $30,000 3 filings

• Medicare/Medicaid 7
• Budget/Appropriations 1
• Health Issues 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 5
• SENATE 4
• Centers For Medicare and Medicaid Services (CMS) 1
• Executive Office of the President (EOP) 1