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LOBBYING REPORT |
Lobbying Disclosure Act of 1995 (Section 5) - All Filers Are Required to Complete This Page
2. Address
| Address1 | P.O. BOX 60 |
Address2 | 4712 COUNTRY CLUB DRIVE |
| City | JEFFERSON CITY |
State | MO |
Zip Code | 65102 |
Country | USA |
3. Principal place of business (if different than line 2)
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5. Senate ID# 25523-12
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6. House ID# 319850000
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| TYPE OF REPORT | 8. Year | 2026 |
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: Jane Drummond |
Date | 4/14/2026 4:59:04 PM |
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
- Corresponded with a member of the Missouri congressional delegation health staffer to discuss Medicare GME Slot applications.
- Corresponded with a member of the Missouri congressional delegation health staffer to convene a call to discuss the POTUS new healthcare plan.
- Corresponded and distributed Rural Briefing papers as requested by a member of the Missouri congressional delegation health staff.
- Corresponded and distributed Medicare Wage Index to a member of the Missouri congressional delegation health staff.
- Corresponded with a member of the Missouri congressional delegation health staffer regarding HR 3514 Improving Seniors Timely Access to Care Act.
- Corresponded with a member of the Missouri congressional delegation health staffer regarding Medicare Advantage Proposed Rule comments.
- Corresponded with members of the Missouri congressional delegation health staffers regarding DGME/IME fix.
- Corresponded with a member of the Missouri congressional delegation health staffer regarding the Defend Rural Health Act bill.
- Corresponded with a member of the Missouri congressional delegation health staffer regarding conversations with a Missouri Hospital Association member hospital.
- Corresponded with a member of the Missouri congressional delegation health staffer regarding harmful insurance unilaterally imposed policies.
- Corresponded with members of the Missouri congressional delegation health staffers regarding convening a virtual meeting to discuss issues of interest to MHA member hospitals.
- Corresponded with a member of the Missouri congressional delegation health staffer regarding Missouri hospitals in their district with Covid Funds due.
- Corresponded with members of the Missouri congressional delegation staff to schedule in-person meetings for DC trip in April.
- Attended a fundraiser for Missouri congressional delegate.
- Corresponded with a member of the Missouri congressional delegation health staffer to distribute articles regarding MHA member hospitals and their insurance issues.
- Corresponded with a member of the Missouri congressional delegation health staffer regarding Rural Hospital Transformation eligibility in their district.
- Corresponded with a member of the Missouri congressional delegation health staffer regarding HRSA 340B RFI comment letter.
-Convened calls with members of the Missouri congressional delegation health staffers to give an MHA hospital issues update.
17. House(s) of Congress and Federal agencies Check if None
U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES
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 |
Andrew |
Wheeler |
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Jane |
Drummond |
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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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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) |