• Seeking settlement of appeals regarding Puerto Rico DSH reimbursement.

Duration: December 1, 2017 to January 30, 2018

General Issues: Health Issues

Spending: about $100,000 (But it's complicated. Here's why.)

It can be tricky to figure out how much an organization spent on a particular lobbying engagement. The law only requires lobbyists to report the amount they were paid for federal lobbying each quarter rounded to the nearest $10,000—and if it's less than $3,000 in a given quarter (or less than $13,000 for organizations with in-house lobbyists), they don't have to disclose it at all. Plus, some organizations include spending that doesn’t belong in the report—for instance, money spent lobbying state governments or other legal work.

Agencies lobbied since 2017: U.S. Senate, House of Representatives

Affiliated organizations: Hospital Episcopal Cristo Redentor; Hospital Episcopal San Lucas I & II; Hospital Dr. Cayetano Coll Y Toste; Hospital Dr. Perea; Hospital Dr. Susoni; Hospital Metropolitano (Rio Piedras); Hospital Metropolitano Yauco Dr. Tito Mattei; Hospital Pavia Hato Rey; Hospital Pavia Santurce; Hospital San Francisco; Hospital San Pablo del Este; Hospital San Pablo; Hospital General Menonita (Aibonito); Hospital General Menonita (Cayey); Hospital Alejandro Otero Lopez; Hospital Asociacion Hospital del Maestro; Hospital Bella Vista; Hospital Buen Samaritano; Hospital de la Concepcion; Hospital Damas; Hospital Doctor's Center; Hospital Ryder Memorial; Hospital San Carlos Borromeo; Hospital Wilma N. Vazquez