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ObjectId: 201442279349300639 - Submission: 2014-08-15
TIN: 04-2774441
SCHEDULE C
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities
For Organizations Exempt From Income Tax Under section 501(c) and section 527
Complete if the organization is described below.
Attach to Form 990 or Form 990-EZ.
See separate instructions.
OMB No. 1545-0047
20
12
Open to Public
Inspection
If the organization answered “Yes” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35c (Proxy Tax), then
Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
Children's Hospital Corporation
Employer identification number
04-2774441
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.
1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV.
2
Political expenditures
....................................
$
3
Volunteer hours
........................................
Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955
.........
$
2
Enter the amount of any excise tax incurred by organization managers under section 4955
......
$
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year?
..............
Yes
No
4a
Was a correction made?
.........................................
Yes
No
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities
$
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities
...................................
$
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b
..
$
4
Did the filing organization file
Form 1120-POL
for this year?
..........................
Yes
No
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a)
Name
(b)
Address
(c)
EIN
(d)
Amount paid from filing organization's funds. If none, enter -0-.
(e)
Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2012
Page 2
Schedule C (Form 990 or 990-EZ) 2012
Page
2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A
Check
if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN,
expenses, and share of excess lobbying expenditures).
B
Check
if the filing organization checked box A and "limited control" provisions apply.
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.)
(a)
Filing
organization's
totals
(b)
Affiliated group
totals
1a
Total lobbying expenditures to influence public opinion (grass roots lobbying)
......
b
Total lobbying expenditures to influence a legislative body (direct lobbying)
.......
c
Total lobbying expenditures (add lines 1a and 1b)
...................
d
Other exempt purpose expenditures
........................
e
Total exempt purpose expenditures (add lines 1c and 1d)
...............
f
Lobbying nontaxable amount. Enter the amount from the following table in both
columns.
If the amount on line 1e, column (a) or (b) is:
The lobbying nontaxable amount is:
Not over $500,000
20% of the amount on line 1e.
Over $500,000 but not over $1,000,000
$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000
$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000
$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000
$1,000,000.
g
Grassroots nontaxable amount (enter 25% of line 1f)
.................
h
Subtract line 1g from line 1a. If zero or less, enter -0-.
................
i
Subtract line 1f from line 1c. If zero or less, enter -0-.
................
j
If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year?
......................................
Yes
No
4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in)
(a)
2009
(b)
2010
(c)
2011
(d)
2012
(e)
Total
2a
Lobbying nontaxable amount
b
Lobbying ceiling amount
(150% of line 2a, column(e))
c
Total lobbying expenditures
d
Grassroots nontaxable amount
e
Grassroots ceiling amount
(150% of line 2d, column (e))
f
Grassroots lobbying expenditures
Schedule C (Form 990 or 990-EZ) 2012
Page 3
Schedule C (Form 990 or 990-EZ) 2012
Page
3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each “Yes” response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
No
Yes
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers?
.........................................
Yes
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)?
....
Yes
c
Media advertisements?
....................................
No
d
Mailings to members, legislators, or the public?
.........................
Yes
98,305
e
Publications, or published or broadcast statements?
.......................
No
f
Grants to other organizations for lobbying purposes?
.......................
Yes
98,120
g
Direct contact with legislators, their staffs, government officials, or a legislative body?
........
Yes
478,575
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means?
......
No
i
Other activities?
..........................
No
j
Total. Add lines 1c through 1i
...............................
675,000
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)?
.....
No
b
If "Yes," enter the amount of any tax incurred under section 4912
.................
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912
.....
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year?
.......
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members?
................
1
2
Did the organization make only in-house lobbying expenditures of $2,000 or less?
................
2
3
Did the organization agree to carry over lobbying and political expenditures from the prior year?
..........
3
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered “No” OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members
.....................
1
2
Section 162(e) nondeductible lobbying and political expenditures
(do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year
.........................................
2a
b
Carryover from last year
....................................
2b
c
Total
............................................
2c
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues
.
3
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year?
................................
4
5
Taxable amount of lobbying and political expenditures (see instructions)
..............
5
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.
Identifier
Return Reference
Explanation
Part IV, Supplemental Information:
Children's Hospital is a section 501(c)(3) organization whose mission is fourfold - to provide the best possible pediatric health care, combining compassion with advanced technical capabilities; to be the leading source of research and discovery, seeking new approaches to the prevention, diagnosis, and treatment of childhood diseases; to educate the next generation of leadership in child health care; and to provide education and healthcare services to the community. In fulfillment of the above mission, the Hospital advocates on behalf of children and the providers who care for them at the State and Federal levels. Professional staff in the Hospital's Office of Government Relations direct these activities and coordinate the work of other Hospital staff who support the advocacy efforts on an intermittent basis. The Hospital has also sent correspondence to and met directly with State and local legislators and officials. The Hospital has also utilized a grassroots network of employees and friends to advocate on behalf of children's health issues. In Fiscal Year 2013, five Office of Government Relations staff members registered with the State as lobbyists, dedicating a portion of their time to lobbying activities. In accordance with state lobbying laws, the Hospital also registered its CEO and its President as lobbyists, although their involvement in these efforts was minimal. Two Office of Government Relations staff members registered as lobbyists at the Federal level. The Hospital utilized the services of two outside consultants in Fiscal Year 2013 in either the Massachusetts General Court or the U.S. Congress. These consultants, on behalf of the Hospital, prepared written materials which are distributed to officials and met with elected and appointed officials. The following is a detailed list of lobbying expenses incurred: Josh Greenberg Registered Lobbyist Children's Hospital personnel $246,383 Karen Darcy Registered Lobbyist Children's Hospital personnel $35,727 Maria Fernandes Registered Lobbyist Children's Hospital personnel $19,901 Amy DeLong Registered Lobbyist Children's Hospital personnel $50,387 Sandra Fenwick Registered Lobbyist Children's Hospital personnel $7,545 Melissa Shannon Children's Hospital personnel $42,394 Kathryn Audette Children's Hospital personnel $19,618 Ann Langley Consultant Health Policy Strategies 728 Battery Place, Alexandria, VA 22314 $21,620 Joe Grant Consultant Grant Associates 130 Bowdoin Street - Suite 1706, Boston, MA 02108 $35,000 Total Lobbyist/Consultant Expenses = $478,575 Expenses Incurred by the Office of Government Relations for Lobbying Activities = $98,308 Grant to Nat'l Assoc of Children's Hospitals for GME - Related Lobbying Expense = $98,120 TOTAL LOBBYING EXPENSES = $675,000 In addition to Children's Hospital Corporation's direct and listed lobbying expenses, Children's Hospital Corporation pays dues to certain membership organizations, a piece of which may be used by such organizations for lobbying activities on behalf of this institution and other similarly situated organizations. Total direct and indirect lobbying expenditures were minimal and not substantial based on revenues.
Schedule C (Form 990 or 990EZ) 2012
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