American Hospital Association

American Hospital Association's disclosed federal lobbying spend of $128.0M places it in the megaspender tier — the small set of organizations that have crossed nine figures in cumulative reported lobbying outlays. Spending at this scale typically means a permanent in-house government affairs office, a roster of outside lobbying firms on retainer, and active engagement on dozens of separate policy items in any given year.

Across the 5-year window from 2020 to 2024, American Hospital Association's annual disclosed lobbying spend has climbed modestly — from $23.9M in 2020 to $26.1M in 2024, a change of +9%. Step-changes of this size often coincide with major bills moving through Congress, regulatory rulemakings affecting the organization's industry, or a leadership change in the relevant committee.

American Hospital Association's disclosed lobbying covers 8 general issue areas — a moderate footprint. Filers in this range tend to engage on a coherent cluster of related topics rather than spreading effort across the federal agenda.

14 of 60 lobbyists reported by American Hospital Association (23%) disclose prior federal government service — a small minority of the named bench.

Among the named bench, lobbyists with disclosed prior federal service include Barbara J. Wilson (Former Legislative Director, Senate HELP Committee); Karen M. Smith (Former Senior Advisor, Office of the Vice President); Amanda D. Morris (Former Senior Advisor, Office of the Vice President). The covered-position field on LDA cover sheets captures executive-branch and senior congressional roles held within the prior two years.

Within the Healthcare sector, American Hospital Association ranks #1 of 24 tracked organizations by disclosed lobbying spend. The sector leader is American Hospital Association at $128.0M; the sector average is $16.4M. American Hospital Association's $128.0M sits 680% above the sector average.

American Hospital Association's LobbySpend Influence Score of 66/100 (grade B) reflects significant federal lobbying reach. The score blends disclosed total spend, issue breadth, and revolving-door connections — lobbyists with prior federal government service. A B-grade typically means the organization is well above average on at least two of those three signals, with sustained activity over multiple years rather than a one-off spike.

Every figure above is sourced from Senate lobbying disclosure filings submitted under the Lobbying Disclosure Act of 1995. Per-issue dollar splits and covered-position flags are filer-reported and may be amended after initial submission.