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LOBBYING REPORT |
Lobbying Disclosure Act of 1995 (Section 5) - All Filers Are Required to Complete This Page
2. Address
| Address1 | 800 Maine Avenue, SW |
Address2 | Suite 800 |
| City | Washington |
State | DC |
Zip Code | 20024 |
Country | USA |
3. Principal place of business (if different than line 2)
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5. Senate ID# 39837-1008745
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6. House ID# 328020993
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| TYPE OF REPORT | 8. Year | 2025 |
Q1 (1/1 - 3/31) | Q2 (4/1 - 6/30) | Q3 (7/1 - 9/30) | Q4 (10/1 - 12/31) |
9. Check if this filing amends a previously filed version of this report
| 10. Check if this is a Termination Report | Termination Date |
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11. No Lobbying Issue Activity |
| INCOME OR EXPENSES - YOU MUST complete either Line 12 or Line 13 | |||||||||
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| 12. Lobbying | 13. Organizations | ||||||||
| INCOME relating to lobbying activities for this reporting period was: | EXPENSE relating to lobbying activities for this reporting period were: | ||||||||
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| Provide a good faith estimate, rounded to the nearest $10,000, of all lobbying related income for the client (including all payments to the registrant by any other entity for lobbying activities on behalf of the client). | 14. REPORTING Check box to indicate expense accounting method. See instructions for description of options. | ||||||||
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Method A.
Reporting amounts using LDA definitions only
Method B. Reporting amounts under section 6033(b)(8) of the Internal Revenue Code Method C. Reporting amounts under section 162(e) of the Internal Revenue Code |
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| Signature | Digitally Signed By: Chad Schulken, Vice President |
Date | 7/21/2025 8:38:42 AM |
LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.
15. General issue area code BUD
16. Specific lobbying issues
Higher education healthcare research and development related program issues
Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, FY2026, NIH related issues; Higher education and training initiatives; Medical research and development; CDC/public health; IDEA program; Organ allocation issues; and Regional Biocontainment Laboratories; and NIH indirect costs
Monitor Hospital and Graduate Medical Education related issues
17. House(s) of Congress and Federal agencies Check if None
U.S. HOUSE OF REPRESENTATIVES, U.S. SENATE
18. Name of each individual who acted as a lobbyist in this issue area
| First Name | Last Name | Suffix | Covered Official Position (if applicable) | New |
Chad |
Schulken |
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Carlisle |
Clarke |
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Jack |
Bryan |
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19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None
LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.
15. General issue area code EDU
16. Specific lobbying issues
Higher education healthcare research and development related program issues
Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, FY2026, NIH related issues; Higher education and training initiatives; Medical research and development; CDC/public health; IDEA program; Organ allocation issues; and Regional Biocontainment Laboratories; and NIH indirect costs
Monitor Hospital and Graduate Medical Education related issues
17. House(s) of Congress and Federal agencies Check if None
U.S. HOUSE OF REPRESENTATIVES, U.S. SENATE
18. Name of each individual who acted as a lobbyist in this issue area
| First Name | Last Name | Suffix | Covered Official Position (if applicable) | New |
Chad |
Schulken |
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Carlisle |
Clarke |
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Jack |
Bryan |
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19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None
LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.
15. General issue area code HCR
16. Specific lobbying issues
Rural healthcare related issues
Higher education healthcare related issues, generally
NIH program related issues
NIH indirect costs
Monitor the following:
Public health and CDC related issues Adolescent Mental Health related issues Telehealth related issues
Graduate Medical Education (GME)
Alabama Area Health Education Centers (AHEC)
Proposed Cuts to OPPS for Organ Acquisition Cos Disproportionate Share Hospital (DSH) Payments
Agency for Healthcare Research and Quality related issues
17. House(s) of Congress and Federal agencies Check if None
U.S. HOUSE OF REPRESENTATIVES, U.S. SENATE
18. Name of each individual who acted as a lobbyist in this issue area
| First Name | Last Name | Suffix | Covered Official Position (if applicable) | New |
Chad |
Schulken |
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Carlisle |
Clarke |
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Jack |
Bryan |
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19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None
LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.
15. General issue area code MED
16. Specific lobbying issues
Higher education healthcare related issues and NIH indirect costs
Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, FY2026, NIH related issues; and NIH indirect costs
National Institutes of Health, and various institutes and bureaus thereof, NIH indirect costs
Monitor the following:
Biomedical research related issues
National Institutes of Health, Chronic Disease related issues
Public health and CDC related issues
Department of Defense, Neurofibromatosis
17. House(s) of Congress and Federal agencies Check if None
U.S. HOUSE OF REPRESENTATIVES, U.S. SENATE
18. Name of each individual who acted as a lobbyist in this issue area
| First Name | Last Name | Suffix | Covered Official Position (if applicable) | New |
Chad |
Schulken |
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Carlisle |
Clarke |
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Jack |
Bryan |
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19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None
LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.
15. General issue area code MMM
16. Specific lobbying issues
Site neutral Cuts
Medicare Wage Index
340B related issues
H.R.1, One Big Beautiful Bill Act, Provider taxes related issues; Disproportionate Share Hospitals (DSH) payments; State Directed payments
Monitor the following:
Physician Fee Schedule related issues
Higher education healthcare related issues, generally
Graduate Medical Education (GME)
Telehealth reimbursement issues
Hospital at Home Program, Entirety
Alabama Area Health Education Centers (AHEC)
Medicare Reimbursement related issues
Medicaid Provider Hold Harmless Arrangements
Low Volume Hospitals and Medicare Dependent Hospitals
17. House(s) of Congress and Federal agencies Check if None
U.S. HOUSE OF REPRESENTATIVES, U.S. SENATE
18. Name of each individual who acted as a lobbyist in this issue area
| First Name | Last Name | Suffix | Covered Official Position (if applicable) | New |
Chad |
Schulken |
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Jack |
Bryan |
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19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None
Information Update Page - Complete ONLY where registration information has changed.
20. Client new address
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21. Client new principal place of business (if different than line 20)
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22. New General description of client’s business or activities
LOBBYIST UPDATE
23. Name of each previously reported individual who is no longer expected to act as a lobbyist for the client
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4 |
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ISSUE UPDATE
24. General lobbying issue that no longer pertains
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AFFILIATED ORGANIZATIONS
25. Add the following affiliated organization(s)
Internet Address:
| Name | Address |
Principal Place of Business (city and state or country) |
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26. Name of each previously reported organization that is no longer affiliated with the registrant or client
| 1 | 2 | 3 |
FOREIGN ENTITIES
27. Add the following foreign entities:
| Name | Address |
Principal place of business (city and state or country) |
Amount of contribution for lobbying activities | Ownership percentage in client | ||||||||||
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28. Name of each previously reported foreign entity that no longer owns, or controls, or is affiliated with the registrant, client or affiliated organization
| 1 | 3 | 5 |
| 2 | 4 | 6 |
CONVICTIONS DISCLOSURE
29. Have any of the lobbyists listed on this report been convicted in a Federal or State Court of an offense involving bribery,
extortion, embezzlement, an illegal kickback, tax evasion, fraud, a conflict of interest, making a false statement, perjury, or money laundering?
| Lobbyist Name | Description of Offense(s) |