HCA Healthcare's Federal Lobbying Record
At $11.0M in disclosed federal lobbying, HCA Healthcare ranks as a major spender — well above the typical filer. Outlays in this range generally reflect a sustained presence in Washington, with at least one full-time government affairs lead and a stable of outside lobbyists engaged on the organization's priority issues.
Across the 5-year window from 2020 to 2024, HCA Healthcare's annual disclosed lobbying spend has climbed modestly — from $2.0M in 2020 to $2.2M in 2024, a change of +6%. 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.
HCA Healthcare's disclosed lobbying covers 5 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.
2 of 7 lobbyists reported by HCA Healthcare (29%) disclose prior federal government service. That share is common at established government affairs operations that explicitly hire from agency and committee staff.
Among the named bench, lobbyists with disclosed prior federal service include Robert L. Walker (Former Professional Staff Member, Senate Appropriations Committee); Frederick H. Graefe (Former Deputy Assistant Secretary of Defense). 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, HCA Healthcare ranks #5 of 24 tracked organizations by disclosed lobbying spend. The sector leader is American Hospital Association at $128.0M; the sector average is $16.4M. HCA Healthcare's $11.0M sits 33% below the sector average.
HCA Healthcare's LobbySpend Influence Score of 56/100 (grade C) is the most common grade in the index — it covers organizations with established but moderate federal advocacy programs. The score combines disclosed total spend (40%), issue breadth (30%), and revolving-door connections (30%). A C-grade is typical of mid-size corporations and trade associations with steady quarterly filings on a focused issue set.
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.
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Annual Lobbying Spend
Policy Issues
Government Entities Contacted
Recent Filings
| Period | Registrant | Issues | Lobbyists | Amount |
|---|---|---|---|---|
| 2024 Oct-Dec | Mehlman Consulting | GOVHCRTAX+1 | 2 | $609K |
| 2024 Jul-Sep | Mehlman Consulting | MMMMEDGOV+1 | 1 | $467K |
| 2024 Apr-Jun | Podesta Group | TAXMED | 4 | $517K |
| 2024 Jan-Mar | Fierce Government Relations | MMMHCRGOV | 3 | $620K |
| 2023 Oct-Dec | Cornerstone Government Affairs | TAXMMMMED+1 | 3 | $505K |
| 2023 Jul-Sep | Capitol Counsel | MMMTAXGOV+1 | 3 | $564K |
| 2023 Apr-Jun | Squire Patton Boggs | MEDHCRMMM+1 | 4 | $643K |
| 2023 Jan-Mar | Jones Day | GOVMEDHCR | 2 | $582K |
HCA Healthcare Lobbying FAQ
HCA Healthcare has spent $11.0M on federal lobbying across 5 policy areas. This includes spending on registered lobbyists and direct government contacts.
HCA Healthcare lobbies on 5 policy issues, including Health Issues, Medicare/Medicaid, Medical/Disease Research, Taxation. These disclosures are filed quarterly with the Senate Office of Public Records.
HCA Healthcare has an Influence Score of 56/100 (Grade C). This proprietary score is based on total lobby spend (40%), policy issue breadth (30%), and revolving door connections (30%).
HCA Healthcare employs 7 registered lobbyists, of whom 2 have revolving door connections, meaning they previously held government positions before becoming lobbyists.
HCA Healthcare has contacted 7 government entities as part of their lobbying activities, including Dept of Labor, U.S. House of Representatives, White House Office.
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Lobbying data is sourced from quarterly Lobbying Disclosure Act (LDA) filings with the Senate Office of Public Records. Influence Scores combine total spend (40%), issue breadth (30%), and revolving door connections (30%). Filings may be amended after initial submission.