Why It Matters

Insight Institute of Neurosurgery and Neuroscience (IINN), a Michigan-based healthcare provider, terminated its lobbying contract with Khoury Johnson Leavitt LLC on September 1, according to a filing with the Lobbying Disclosure Act (LDA) database.

The relationship between IINN and the firm was modest but consistent. In 2024 alone, IINN spent $22,000 on lobbying efforts overall.

A lobbying engagement charged $5,500 per quarter. The engagement had lasted years, suggesting it was a stable part of IINN's advocacy strategy even if the dollar amounts were limited.

The healthcare provider operates in locations across Michigan and Illinois, has approximately 249 employees, and provides minimally invasive neurosurgery services alongside imaging, physical therapy, pain management, and other clinical services.

Broader Context

Andy Leavitt, the lobbyist at Khoury Johnson Leavitt who represented IINN, had prior experience with Rep. Daniel T. Kildee (D-MI-8). Kildee served in Congress from 2013 to 2025 and announced in November 2023 that he would not seek re-election. Leavitt's status in recent filings is listed as Inactive.

Sen. Debbie Stabenow announced her retirement in January 2023, and Kildee's departure from Congress took effect after the 2024 election cycle.

Insight Institute of Neurosurgery and Neuroscience's 2021 lobbying reports filed by Khoury Johnson Leavitt LLC covered Appropriations issues related to Health Issues. Khoury Johnson Leavitt LLC reported covering Appropriations and Health Issues in a 2021 first quarter filing.

The Bottom Line

IINN's decision to terminate the relationship leaves the healthcare provider without active lobbying representation on file.

With Kildee's departure from Congress and Stabenow's retirement, the political landscape in Michigan shifted.

IINN's spending on lobbying and political contributions suggests the organization remains engaged in the political process. The provider made political contributions of $58,785 during the 2024 election cycle and had no outside spending in that period.

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