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All lobbying clients

ASCENSION HEALTH ALLIANCE D/B/A ASCENSION

Lobbying client · Missouri · filed 2025 to 2026

Health system running hospitals, clinics, and senior care across the U.S.

$4,992,552 Reported spend
16 Filings counted
2 Outside firms hired
9 Bills named

Spend is reported income plus in-house expenses across 16 filings. The LDA keeps a separate client record for every registrant that files for a client, so this page adds up 3 records, one per registrant listed below. Records are combined when the client name matches once case, punctuation and endings such as Inc. or LLC are set aside; for a city, county or port the state has to match as well.

 Who filed for this client 3

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.

 Bills named in these filings 9
  • H.R. 1
    One Big Beautiful Bill Act
    6 filings
  • H.R. 8702
    Improving Seniors’ Timely Access to Care Act of 2024
    4 filings
  • H.R. 2433
    Reducing Medically Unnecessary Delays in Care Act of 2025
    4 filings
  • H.R. 247
    Health Care Affordability Act of 2025
    4 filings
  • S. 4352
    Fair and Transparent Gas Prices Act of 2026
    4 filings
  • S. 46
    Health Care Affordability Act of 2025
    4 filings
  • H. Con. Res. 14
    Establishing the congressional budget for the United States Government for fiscal year 2025 and setting forth…
    2 filings
  • H.R. 8375
    Medicare Advantage Improvement Act of 2026
    2 filings
  • S. 4384
    Medicare Advantage Improvement Act of 2026
    2 filings
 Reported by year 2 years
  • 2026 $2,017,552 8 filings
  • 2025 $2,975,000 8 filings
 Issues lobbied 7

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.

 Agencies and chambers lobbied 6
  • HOUSE OF REPRESENTATIVES 15
  • SENATE 15
  • Centers For Medicare and Medicaid Services (CMS) 14
  • Health & Human Services, Dept of (HHS) 14
  • Health Resources & Services Administration (HRSA) 8
  • Federal Emergency Management Agency (FEMA) 2
 Recent filings 16 total
Q3 report
THE SMITH-FREE GROUP, LLC
3rd Quarter 2026 (July 1 - Sep 30) · House · Senate · $60,000 income · posted Oct 20, 2026
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Q3 report
ASCENSION HEALTH ALLIANCE D/B/A ASCENSION
3rd Quarter 2026 (July 1 - Sep 30) · House · Senate · $440,752 expenses · posted Oct 20, 2026
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Registration
THE SMITH-FREE GROUP, LLC
3rd Quarter 2026 (July 1 - Sep 30) · posted Oct 15, 2026
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Q3 termination
MCDERMOTT+
3rd Quarter 2026 (July 1 - Sep 30) · House · Senate · $40,000 income · posted Aug 28, 2026
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Q2 report
ASCENSION HEALTH ALLIANCE D/B/A ASCENSION
2nd Quarter 2026 (Apr 1 - June 30) · House · Senate · $666,800 expenses · posted Jul 16, 2026
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Q2 report
MCDERMOTT+
2nd Quarter 2026 (Apr 1 - June 30) · House · Senate · $60,000 income · posted Jul 6, 2026
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Q1 report
ASCENSION HEALTH ALLIANCE D/B/A ASCENSION
1st Quarter 2026 (Jan 1 - Mar 31) · House · Senate · $690,000 expenses · posted Apr 19, 2026
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Q1 report
MCDERMOTT+
1st Quarter 2026 (Jan 1 - Mar 31) · House · Senate · $60,000 income · posted Apr 15, 2026
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Q4 report
ASCENSION HEALTH ALLIANCE D/B/A ASCENSION
4th Quarter 2025 (Oct 1 - Dec 31) · House · Senate · $485,000 expenses · posted Jan 16, 2026
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Q4 report
MCDERMOTT+
4th Quarter 2025 (Oct 1 - Dec 31) · House · Senate · $60,000 income · posted Jan 13, 2026
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Q3 report
ASCENSION HEALTH ALLIANCE D/B/A ASCENSION
3rd Quarter 2025 (July 1 - Sep 30) · House · Senate · $550,000 expenses · posted Oct 20, 2025
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Q3 report
MCDERMOTT+
3rd Quarter 2025 (July 1 - Sep 30) · House · Senate · $60,000 income · posted Oct 15, 2025
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Q2 report
ASCENSION HEALTH ALLIANCE D/B/A ASCENSION
2nd Quarter 2025 (Apr 1 - June 30) · House · Senate · $1,300,000 expenses · posted Jul 21, 2025
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Q2 report
MCDERMOTT+
2nd Quarter 2025 (Apr 1 - June 30) · House · Senate · $60,000 income · posted Jul 8, 2025
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Q1 report
ASCENSION HEALTH ALLIANCE D/B/A ASCENSION
1st Quarter 2025 (Jan 1 - Mar 31) · House · Senate · $400,000 expenses · posted Apr 21, 2025
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Q1 report
MCDERMOTT+
1st Quarter 2025 (Jan 1 - Mar 31) · House · Senate · $60,000 income · posted Apr 9, 2025
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Filings through , the newest posted date on this record. Source: federal Lobbying Disclosure Act filings, synced daily. Money is self-reported by the filer and often rounded. Lobbying is legal, disclosed activity.

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