{"url":"https://lda.senate.gov/api/v1/filings/87c1d9ce-dcf9-42e6-bd7c-9df043445feb/","filing_uuid":"87c1d9ce-dcf9-42e6-bd7c-9df043445feb","filing_type":"Q4","filing_type_display":"4th Quarter - Report","filing_year":2023,"filing_period":"fourth_quarter","filing_period_display":"4th Quarter (Oct 1 - Dec 31)","filing_document_url":"https://lda.senate.gov/filings/public/filing/87c1d9ce-dcf9-42e6-bd7c-9df043445feb/print/","filing_document_content_type":"text/html","income":null,"expenses":null,"expenses_method":null,"expenses_method_display":null,"posted_by_name":"Ellen Kugler","dt_posted":"2024-01-12T16:26:49-05:00","termination_date":null,"registrant_country":"United States of America","registrant_ppb_country":null,"registrant_address_1":"21351 Gentry Drive","registrant_address_2":"Suite 210","registrant_different_address":false,"registrant_city":"Sterling","registrant_state":"VA","registrant_zip":"20166","registrant":{"id":11834,"url":"https://lda.senate.gov/api/v1/registrants/11834/","house_registrant_id":31362,"name":"DEBRUNNER & ASSOCIATES, INC.","description":"Health Policy Consulting Firm","address_1":"21351 Gentry Drive","address_2":"Suite 210","address_3":null,"address_4":null,"city":"Sterling","state":"VA","state_display":"Virginia","zip":"20166","country":"US","country_display":"United States of America","ppb_country":"US","ppb_country_display":"United States of America","contact_name":"ELLEN J. KUGLER","contact_telephone":"+1 703-444-4091","dt_updated":"2026-01-23T09:58:07.634541-05:00"},"client":{"id":57563,"url":"https://lda.senate.gov/api/v1/clients/57563/","client_id":57563,"name":"TOWER HEALTH","general_description":"Hospital System","client_government_entity":null,"client_self_select":false,"state":"PA","state_display":"Pennsylvania","country":"US","country_display":"United States of America","ppb_state":"PA","ppb_state_display":"Pennsylvania","ppb_country":"US","ppb_country_display":"United States of America","effective_date":"2023-10-16"},"lobbying_activities":[{"general_issue_code":"HCR","general_issue_code_display":"Health Issues","description":"CMS Life Safety Survey","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":12395,"prefix":null,"prefix_display":null,"first_name":"ELLEN","nickname":null,"middle_name":"J","last_name":"KUGLER","suffix":null,"suffix_display":null},"covered_position":"Federal Legislative consultant","new":false},{"lobbyist":{"id":2312,"prefix":null,"prefix_display":null,"first_name":"KATE","nickname":null,"middle_name":null,"last_name":"FINKELSTEIN","suffix":null,"suffix_display":null},"covered_position":"Federal legislative consultant","new":false}],"government_entities":[{"id":2,"name":"HOUSE OF REPRESENTATIVES"}]},{"general_issue_code":"MMM","general_issue_code_display":"Medicare/Medicaid","description":"CMS Life Safety survey","foreign_entity_issues":"","lobbyists":[{"lobbyist":{"id":12395,"prefix":null,"prefix_display":null,"first_name":"ELLEN","nickname":null,"middle_name":"J","last_name":"KUGLER","suffix":null,"suffix_display":null},"covered_position":"federal legislative consultant","new":false},{"lobbyist":{"id":2312,"prefix":null,"prefix_display":null,"first_name":"KATE","nickname":null,"middle_name":null,"last_name":"FINKELSTEIN","suffix":null,"suffix_display":null},"covered_position":"federal legislative consultant","new":false}],"government_entities":[{"id":2,"name":"HOUSE OF REPRESENTATIVES"}]}],"conviction_disclosures":[],"foreign_entities":[],"affiliated_organizations":[]}